Factors influencing utilization of maternal and child health services among the postnatal mothers in hilly region
DOI:
https://doi.org/10.18203/2320-6012.ijrms20161780Keywords:
Antenatal care, Factors, Maternal and child services, Postnatal care, UtilizationAbstract
Background:Maternal mortality is a global issue and WHO recommends the use of maternal health services to help improve the health of women and babies during pregnancy and childbirth. Use of maternal health services is an effective means for reducing the risk of maternal morbidity and mortality, especially in places where the maternal and child health (MCH services utilization was poor. The main objective of this study was to assess the factors affecting utilization of MCH services among postnatal mothers in selected hilly areas of Uttarakhand.
Methods: The study has adopted exploratory descriptive design. The data was collected from 196 postnatal mothers within 42 days of postnatal period by administrating self-structured questionnaire in selected community areas of Pauri District, Uttarakhand. Samples were selected by using convenient and consecutive sampling technique.
Results: The present study revealed that the main reasons given by the individual women for not attending antenatal and postnatal care services that they were apparently healthy in present pregnancy, distance from MCH centers, doctors are not available in MCH centers, better services in home and lack of time due to household work. Conclusions: The findings of this study will help the nurse-midwife who are working in community and hospital setup to understand the factors that hinder women from utilization of MCH services and provides evidence to address women’s problem for ensure effective utilization of available MCH services.
References
Daniels AA, Ahenkan A, Poku KA. Factors influencing the utilization of maternal health services: the perspective of rural women in ghana. JPAG. 2013;3:2.
Introduction to pregnancy referral solution group. 2005:1-2. Available At: https://www.mentalhelp.net/articles/in Jessica Evert, MD.
Over view of pregnancy complication. 2015:1-2. Available at: http://bestpractice.bmj.com/best-practice/monograph/494.html.
Elangbam DS. A study to assess the knowledge and attitude regarding the utilization of MCH services selected hospital, Bangalore. 2005;5. Available At: www.rguhs.ac.in.
Murthy BK, Murthy MB, Prabhu PM. Maternal mortality in a tertiary care hospital: a 10-year review. PMCID. 2003;4(1):105-9. Available At: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3570901/.
Sharma P, Kishore S, Gupta SK, Semwa J. Effects of janani suraksha yojana (a maternity benefit scheme) up-on the utilization of ante-natal care services in rural and urban-slum communities of Dehradun. Natl J Community Med. 2012;3:139-7.
Mohan P, Vishnu K. Determinants of postnatal service utilization in a western district of nepal: community based cross sectional study. J Womens Health Care. 2015;2:2-3.
Elangbam DS.A study to assess the knowledge and attitude regarding the utilization of MCH services selected hospital,bangalore. 2005;5. Available At: www.rguhs.ac.in.
Sood A, Pahwa P. Exististing practice and barriers to acess of MCH services: a case study of residential urban slums of district mohali, Punjab, India. Global journal of medicine and Punjab health. 2013;2(4):1-8. Available At: www.Researchgate. Net/ publication/ 260932677.
Kipronoh KM. Factors influencing the quality of antenatal care in public maternal and child health facilities in nairobi province Kenya. 2009. Available at:http://irlibrary.ku.ac.ke/bistream/handle/1234568.
Fenta M. Assessment of factors affecting utilization affecting utilization of maternal health care services in ayssaita and Dubti town, Afar regional state, North east Ethiopia. Available at:www.datafirst.uct.ac.za/dataportal/index.php/citations/586.
Malik JS, Kalhan M, Punia A, Sachveda S. Utilization of health services under janani suraksha yojana in rural Haryana. 2013;3:176-9. Available at: www.ijmedph.org/article.as.
Vikram K, Sharma AK, Kannan AT. Beneficiary level factors influencing suraksha yojana utilization in urban slum population of trans: yamuna area of delhi, 2013. Indian J Med Res. 138:340-51. Available at: http://icmr.nic.in/ijmrjanani.
Singh MK, Singh JV, Ahmad N, Kumara R, Khanna A. factors influencing utilization of ASHA servies under NRHM in relation to maternal health in rural lucknow. Indian J community Med. 2009;35(3):414-9. Available at: http:// medind.nic.in/iaj/t10/i3/iajt10i3414.htm.
Zenium B, Ishlam N. On utilization of MCH services in Bangladesh journal of family swelfare. 2014;47:68-78. Available at: http://medind.nic.in/jah/t01/i1/jaht01ilp68g.pdf.
Onasoga A. Olayinka. A wareness and barriers to utilization of maternal health care services among reproductive women in amassoma community, bayelsa state. Int J Nurs Midwifery. 2014;6:10-5.
