**6.4 They are only permitted to manage first-degree tears**


*Identification and Management of High Risk Complications during Postnatal Period… DOI: http://dx.doi.org/10.5772/intechopen.97533*


#### **6.5 Post Partum Hemorrhage (PPH)**

The ground level worker should react immediately once it has been realized that the amount of blood flow is exceeding the limits, She should immediately do the following.

**Figure 1** depict the protocols to be followed by the ground level health workers in management of Primary and secondary PPH.


**Figure 1.**

*Protocol to be followed for management of PPH.*

#### **7. Conclusion**

This chapter concludes that the health task force though assumed to be well trained as per the qualification mandates still requires an updates and practice on hands on skill trainings rather than the traditional lecture cum discussion

methods. Health task force must be abreast with the knowledge and skills. Though Government is taking every effort to train the workers and hand hold them but there is a strong need to modify the strategies and implementation process where the skill enhancement should be given a huge importance especially in the complicated situation where the onus totally lies on the ground level workers to identify and manage the complications before getting critical. The training received by the ground level workers needs to be streamlined and the skills needs to be enhanced time to time with updated practices. The strategic reforms are quite necessary to shed off the traditional classroom lectures.
