A cross-sectional study of antenatal care services utilization, delivery practices and factors affecting them in urban slum area of India in 2015

Suresh K. Mangulikar; Prashant V. Howal; Kailash P. Kagne

doi:10.18203/2320-6012.ijrms20161218

Authors

Suresh K. Mangulikar Department of Community Medicine, Dr. Vaishampayan Memorial Govt. Medical college, Solapur, Maharashtra
Prashant V. Howal Department of Community Medicine, Dr. Vaishampayan Memorial Govt. Medical college, Solapur, Maharashtra
Kailash P. Kagne Department of Community Medicine, Dr. Vaishampayan Memorial Govt. Medical college, Solapur, Maharashtra

DOI:

https://doi.org/10.18203/2320-6012.ijrms20161218

Keywords:

Antenatal care service utilization, 108 MEMS services, Janani suraksha yojana program.

Abstract

Background: Antenatal care (ANC) is one of the important factors in reducing maternal morbidity and mortality has wide regional variation. The present study was carried out in an urban slum area to determine the pattern of utilization of ANC services, awareness regarding Janani suraksha yojana (JSY) national programme and MEMS (Maharashtra emergency medical services) toll free helpline number (108 and 102).

Methods: A community based cross sectional study was conducted in urban slum area of India in the month of October 2015. Probability proportion to size sampling was used to select 256 mothers who had delivered within last 1 year. After obtaining written informed consent, the participants were interviewed using a predesigned, semi-structured questionnaire and the information was cross-checked with the available antenatal cards to minimize recall bias. The data were analysed considering the level of significance at 95%.

Results: The utilization of the ANC services by the respondents was 86.33%. 43.36% were aware of JSY program while only 17.19% were aware of MEMS toll free helpline numbers.

Conclusions: Utilization of ANC services was significantly associated with mother’s education and parity status of mother (Chi square=8.349; p<0.05). The main reasons for inadequate utilization of ANC services were non acceptability and inaccessibility of hospital services, inappropriate advice from health workers, and lack of awareness about ANC services and toll-free helpline numbers.

Metrics

Metrics Loading ...

References

World health organisation. Maternal health. 2015. available at http://www.who.int/ topics/ maternal_health/ en. Accessed 15 Oct 2015.

Rakesh KS, Shraboni P. Differentials in the utilization of antenatal care services in EAG states of India. Int. Res. J. Social Sci. 2013;2:28-32.

WHO, UNICEF, UNFPA, the world bank and the united nations population division. Trends in maternal mortality: 1990 to 2013. Available at http://www.who.int/ reproductivehealth/ publications/ monitoring/ maternal-mortality-2013/ en/ Accessed 15 Oct 2015.

Park’s textbook of preventive and social medicine, 23rd ed., Jabalpur, Banarsidas Bhanot Publishers. 2015;9:560.

Mousumi D, Nirmalya M. A study on socio-demographic correlates of maternal health care utilization in a rural area of West Bengal, India. GJMEDPH 2012;1(4):7-12.

Emergency medical and referral services (EMS), National Health Mission Maharashtra. Available from: https://www.nrhm.maharashtra.gov.in/ ems.htm. Accessed 02 November 2015.

National health portal. Helpline. New Delhi: Centre for health informatics. 2015. Available from http://www.nhp.gov.in/ helpline_pg. Accessed 15 October 2015

National health mission, Maharashtra. Janani Suraksha Yojana (JSY). Available at https://www.nrhm.maharashtra.gov.in/ schjsy.htm. Accessed 02 November 2015.

Mumbare SS, Rege R. antenatal care services utilization, delivery practices and factors affecting them in tribal area of north Maharashtra. IJCM. 2011;36:4:287-90.

District Level Household and Facility Survey (DLHS-4), 2012-2013 fact sheet Maharashtra. International Institute for Population Sciences Deonar, Mumbai. Ministry of health and family welfare, Government of India. 2012-13. Available from: www.rchiips.org/ pdf/ dlhs4/ report/ MH.pdf. Accessed 15 Sept 2015.

Dudala SR, Reddy KAK, Prabhu GR. Prasad's socio-economic status classification. An update for 2014. Int J Res Health Sci. 2014;31;2(3):875-8.

Singh A, Kumar A, Pranjali P. Utilization of maternal healthcare among adolescent mothers in urban India: evidence from DLHS-3. Peer J. 2014;2:e593.

Bhabhor H, Chhaya J, Machhar U, Devalia J, Talsania N. A cross-sectional study on utilization of 108 EMRI obstetric care services for institutional delivery in Gandhinagar district of Gujarat. IOSR journal of dental and medical science .2015;14:36-40.

Sharma P, Srivastava K, Vyas S, Kishore S, Semwal J. Is janani suraksha yojana′s (JSY) awareness a reflection of healthy pregnancy outcome? Differences in rural areas and urban Slums. Natl J Community Med. 2012;3:187-92.