Utilization pattern of child health care services in the rural area of Surendranagar district: a community based cross sectional study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20174942Keywords:
Child health care services, Rural area, Utilization patternAbstract
Background: Infant and child mortality continues to be a major public health problem all over the country. Despite the existence of national programmes for improving child health in India, child mortality and morbidity continue to be high. Utilization of child health care services is poor in the rural areas, causing significant impact on the health causing increased morbidity and mortality.
Methods: It was a Community based Cross-sectional study carried out in the rural area of Surendranagar district through oral questionnaire method which was pre-designed and pretested. Data on demography, history of colostrum, initiation of breastfeeding, prelacteal feeds, exclusive breastfeeding, introduction of complementary feeding, immunization, respiratory infections etc. were collected, compiled and analyzed by applying appropriate tests using SPSS.
Results: Out of 154 participants, 43.51% were offered breastfeeding within one hour of birth. Association was observed between initiation of breastfeeding, exclusive breastfeeding, time of introduction of complementary foods and duration of breastfeeding and utilization of health education services. Educational level of mothers and immunization status of the children had a significant statistical association. The overall prevalence of ARI was 31.82% & of Diarrhoea was 39.61%.
Conclusions: A positive association was observed between nutritional status and utilization of nutritional services. Significant impact of health education services given during the antenatal period was observed on initiation of breastfeeding as well as exclusive breastfeeding. Although child services in India have been created, strengthened and expanded over the years, their performance in terms of utilization particularly in rural area is still limited.
References
Kumar C, Singh PK, Rai RK. Under-five mortality in high focus states in India: a district level geospatial analysis. PLoS One. 2012;7(5):e37515.
Kumar C, Singh PK, Rai RK. Coverage gap in maternal and child health services in India: assessing trends and regional deprivation during 1992–2006. J Pub He. 2013;35(4):598-606.
Bryce J, El Arifeen S, Bhutta ZA, Black RE, Claeson M, Gillespie D, et al. Getting it right for children: a review of UNICEF joint health and nutrition strategy for 2006–15. The Lancet. 2006;368(9538):817-9.
Horton R. A new global commitment to child survival. The Lancet. 2006;368(9541):1041-2.
Bhutta ZA. Childhood pneumonia in developing countries. BMJ.2006;333:612–613.
You D, Hug L, Ejdemyr S, Beise J. Levels and trends in child mortality. Report 2015. Estimates developed by the UN Inter-Agency Group for Child Mortality Estimation. The Lancet. 2015;386(10010):2275-86.
Bhutta ZA, Chopra M, Axelson H, Berman P, Boerma T, Bryce J, Bustreo F, Cavagnero E, Cometto G, Daelmans B, de Francisco A. Countdown to 2015 decade report (2000–10): taking stock of maternal, newborn, and child survival. The Lancet. 2010;375(9730):2032-44.
World Health Organization. Technical bases for the WHO recommendations on the management of pneumonia in children at first level health facilities,2012. Available at: http://www.who.int/ maternal_child_adolescent/documents/ari_91_20/en/.
Makinen M, Waters H, Rauch M, Almagambetova N, Bitrán R, Gilson L, et al. Inequalities in health care use and expenditures: empirical data from eight developing countries and countries in transition. Bulletin of the World Health Organization. 2000;78(1):55-65.
Ghosh R. Child mortality in India: a complex situation. World Journal of Pediatrics. 2012;8(1):11-8.
Sreeramareddy CT, Shankar RP, Sreekumaran BV, Subba SH, Joshi HS, Ramachandran U. Care seeking behaviour for childhood illness-a questionnaire survey in western Nepal. BMC international health and human rights. 2006;6(1):7.
Srivastava NM, Awasthi S, Agarwal GG. Care-seeking behavior and out-of-pocket expenditure for sick newborns among urban poor in Lucknow, northern India: a prospective follow-up study. BMC health services research. 2009;9(1):61.
Hill Z, Kendall C, Arthur P, Kirkwood B, Adjei E. Recognizing childhood illnesses and their traditional explanations: exploring options for care‐seeking interventions in the context of the IMCI strategy in rural Ghana. Trop Medic Int Heal. 2003;8(7):668-76.
Fosu GB. Childhood morbidity and health services utilization: cross-national comparisons of user-related factors from DHS data. So Sci Medic. 1994;38(9):1209-20.
International Institute for Population Sciences. India National Family Health Survey (NFHS-3), 2005-06. International Institute for Population Sciences; 2007.
Vyas S, Kumaranayake L. Constructing socio-economic status indices: how to use principal components analysis. Health policy and planning. 2006;21(6):459-68.
Forsberg BC, Petzold MG, Tomson G, Allebeck P. Diarrhoea case management in low-and middle-income countries: an unfinished agenda. Bulletin of the World Health Organization. 2007;85(1):42-8.
Chandramouli C, General R. Census of India 2011. Provisional Population Totals. New Delhi: Government of India. 2011.
Sample Registration System (SRS). Statistical Report, Population Composition-2012, Available at: http://www.censusindia.gov.in/vital_statistics/SRS_Reports_2012.html.
District Level Household and Facility Survey (DLHS III) 2007-08 fact sheet Gujarat. Institute of Population Sciences Deonar, Mumbai Ministry of Health and Family Welfare, Government of India, 2010. Available at: http://mohfw.nic.in/sites /default/files/DLHS%20III.pdf.
India National Family Health Survey (NFHS III) 2005-06 key findings. International Institute of Population Sciences Deonar, Mumbai. Ministry of Health and Family Welfare; Government of India, 2007. Available at: http://rchiips.org/nfhs/NFHS-3%20Data/VOL1/India_volume_I_corrected_17oct08.pdf.
Raval D, Jankar DV, Singh MP. A study of breastfeeding practices among infants living in slums of Bhavanagar city, Gujarat, India. Healthline. 2011;2(2):78-83.
Khan Z, Mehnaz S, Siddiqui AR, Ansari A, Khalil S, Sachdeva S. All Slums are Not Equal: Maternal Health Conditions Among Two Urban Slum Dwellers. Ind J Community Medic. 2012;37(1):50-56.
Khanal V, Bhanderi R, Adhikari M, Karkee R, Joshi C. Utilization of Maternal and Child Health Services in Western Rural Nepal: A Cross-sectional Community-based Study. Ind J Public Hel. 2014; 58(1):27-33.
Bagul AS, Supare MS. The Infant Feeding Practices in an Urban Slum of Nagpur, India. J Clinic Di Res. 2012;6(9):1525-1527.
Bhanderi D, Choudhary S. A community based study of feeding & weaning practices in under five children in semi urban community of Gujarat. Nat J Community Medic. 2011;2(2):277-283.
Cesar JA, Victora CG, Barros FC. Impact of breast feeding on Admission for pneumonia during postneonatal period in Brazil. BMJ. 1999;318 (7194):1316-20.
Al-Ghambi SA, Abdulmoneim I. relationship between breast feeding duration and acute respiratory infection in infants. Saudi Med J. 2001;22(4);347-50.
Arifeen S, Black RE, Becker S. Exclusive breast feeding reduces Acute respiratory infection and diarrhea deaths among infants in Dhaka slums. Pediatrics. 2001;108(4):67.
Jha RK, Gopalkrishnan S, Ajitha K, Kuberan D, Rana M, Makade MK. Evaluation of Universal Immunization Programme in rural Tamil Nadu (Kancheepuram District). Ind J Mat Child Heal. 2010;12(3):1-9.
Dubey DK, Singh S, Kushwah SS. Demographic variates & correlates of the immunization status of children in slums of Rewa city. Ind J Mat Child Heal. 2012;14(2):1-8.
Dhandwal D, Sood R, Gupta AK, Ahluwalia SK, Vatsayan A, Sharma R. Immunization coverage among urban and rural children in the Shimla hills. J Com Dis.1997;29:127-30.
Yadav RJ, Singh P. Immunization status of children and mothers in the state of Madhya Pradesh. Ind J Com Med. 2004;29:147-8.
Punith K, Lalitha K, Suman G, Pradeep BS, Jayanth KK. Evaluation of Primary Immunization Coverage of Infants Under Universal Immunization Programme in an Urban Area of Bangalore City Using Cluster Sampling and Lot Quality Assurance Sampling Techniques. Ind J Commu Medic. 2008; 33(3):151-155.
Kariwal P, Srivastav S, Gupta SB. Immunization status and the reasons for non-immunization in three districts of Bundelkhand division. Ind J Mat Child Heal. 2011;13(2):1-7.
Singh MP, Nayar S. Magnitude of Acute respiratory tract infection in under five children. J Com Dis. 1996;28(4):273-8.
Agarwal DK, Bhatiya BD, Agrwal KN. Simple approach to acute respiratory infection in rural under five children. Indian pediatrics. 1993;30(5): 629-635.
Deb SK. Acute respiratory disease survey in Tripura in case of Children below five years of age. J Ind Med Ass. 1998;96(4):111-6.
Sutariya S, Talsamia N, Shah C. Study of prevalence of diarrhoeal diseases amongst under five population. Nat J Com Medic. 2011;2(1):96