Study of utilization of antenatal care services in tribal area of Thane district

Kalpalata Abhiman Bhaisare, Dasi H. Rao, Gautam Marotrao Khakase

Abstract


Background: Many health problems among pregnant women are preventable, detectable or treatable through visits to health facility before birth. This enables women to receive important services, such as tetanus vaccinations and screening and treatment for infections, as well as potentially life-saving information on warning signs during pregnancy.2 The objective of this study is to understand the current status of utilization of maternal health services in rural area by elucidating the various factors influencing the use of these services.

Methods: It is a community based, cross sectional study carried out in a primary health centre in tribal area of Thane district.

Results: 93% women received ANC care for 3 or more than 3 times. 73% women received recommended antenatal care. 68% women received ANC care exclusively from public health facility.

Conclusions: Inspite of implementation of various programmes like Janani Suraksha Yojana, Matrutva Anudan Yojana and NRHM in the area percentage of registration during first trimester was less. There was lack of awareness and motivation in study subjects to come on their own to PHC for early registration of pregnancy. Though the coverage of ANC services was good it was not of good quality.

Keywords


Antenatal care, Maternal health, Registration of pregnancy, Tribal area, Utilization

Full Text:

PDF

References


World Health Organization. Making pregnancy safer; millennium development goal 5, 2008. Available at: http://www.who.int/making_pregnancy_safer/topics/mdg/en/index.html. Accessed 5 October 2008.

United Nations. The millennium development goals report, 2009. Available at: http://www.un.org/millenniumgoals/pdf/MDG_Report_2009_ENG.pdf. Accessed 20 August 2009.

USAID, Focused Antenatal Care. Providing integrated, individualized care during pregnancy, 2014. Available at: www.accesstohealth.org.

Government of Maharashtra, Ministry of Health And Family Welfare, Primary Health Centre. Medical officer’s training module, 2013. Available at: http://nrhm.gov.in/nrhm-in-state/state-wise-information/maharashtra.html.

IIPS District level household and facility survey under reproductive and child health project (DLHS-3). In: IIPS, eds. Ministry of Health and Family Welfare, Government of India 2007-08. Mumbai: International Institute for Population Sciences; 2009.

Venkatesh RR, Umakantha AG, Yuvaraj J. Safe Motherhood status in the urban slums of Davangere city. Indian J Community Med. 2005 Jan-Mar;30(1):6-7.

International Institute for Population Sciences (IIPS). National family health survey (NFHS-3), 2005-06. In: IIPS, eds. IIPS Survey. Mumbai: IIPS; 2007.

Khatib N1, Zahiruddin QS, Gaidhane AM, Waghmare L, Srivatsava T, Goyal RC, et al. Predictors for antenatal services and pregnancy outcome in a rural area: A prospective study in Wardha district, India. Indian J Med Sci. 2009 Oct;63(10):436-44.

Metgud CS, Katti SM, Mallapur MD, Wantamutte AS. Utilization patterns of antenatal services among pregnant women: a longitudinal study in rural area of North Karnataka. Al-Ameen J Med Sci. 2009;2(1):58-62.

Loveleen Sethi NK. Evaluation of quality of maternal and child health services at maternal and child welfare centre under the municipal corporation of Delhi. In: Loveleen Sethi NK, eds. A Thesis. New Delhi: NIHFW; 1997.

Toan K. Tran, Chuc TK. Nguyen, Hinh D. Nguyen, Bo Eriksson, Goran Bondjers, Karin Gottvall, et al. Urban - rural disparities in antenatal care utilization: a study of two cohorts of pregnant women in Vietnam. BMC Health Services Res. 2011;11:120.

Emilia Goland, Dinh Thi Phuong Hoa, Mats Målqvist. Inequity in maternal health care utilization in Vietnam. Int J Equity Health. 2012;11:24.

Rajesh Gupta, Jagdish Mandliya, H. P. Singh. Assessment of maternal-fetal and neonatal healthcare practices in an eastern Madhya Pradesh district. Int J Med Sci Public Health. 2013;2(2):403-9.

Materia E, Mehari W. A community survey on maternal and child health services utilization in rural Ethiopia. Eur J Epidemiol. 1993 Sep;9(5):511-6.

Sahni B, Sobti S. Utilization of antenatal care among pregnant females registered at sub centre level in a rural area of Jammu in India. Int J Healthcare Biomed Res. 2013 Jul;1(4):269-78.

Bbaale E. Factors influencing the utilisation of antenatal care content in Uganda. Australas Med J. 2011;4(9):516-26.

Pavalavalli Govindasamy, B. M. Ramesh. Maternal education and the utilization of maternal and child health services in India. In: Pavalavalli Govindasamy, B. M. Ramesh, eds. National Family Health Survey Subject Reports Number 5. India: National Family Health Survey; December 1997.

Ofra Anson. Utilization of maternal care in rural HeBei province, People’s Republic of China: individual and structural characteristics. Health Policy. 2004 Nov;70(2):197-206.

Navaneetham K, Dharmalingam A. Utilization of maternal health care services in Southern India. Soc Sci Med. 2002;55(10):1849-69.

Varma GR, Kusuma YS, Babu BV. Antenatal care service utilization in tribal and rural areas in a South Indian district: an evaluation through mixed methods approach. J Egypt Public Health Assoc. 2011;86(1-2):11-5.

Monika Agarwal, M. Z. Idris. Quality of reproductive health care at primary level. Indian J Community Med. 2001;26(3):119-28.