Utilization Of Maternal Care Services in Urban Area: Still an Issue of Modern World
Keywords:
Maternal care, JSY, urban, obstetric services, home deliveryAbstract
Introduction: Inspite of ongoing efforts of the government, home deliveries are still reported in urban area where finance and dis- tance play minor role. The aim is to study the reasons regarding the barriers of health facility delivery system in Surat city of India.
Methodology: Out of 1004 community based service providing centre of Surat 30 centres were selected by using cluster sampling design. In selected 30 Maternal and Child Day Care Centres, Sec- ond phase of sampling was done where household was sampling unit. A household survey was conducted to assess maternal and child healthcare status.
Results: Among 322 surveyed mothers, 42 mothers delivered at home. Among the home delivered mother 93% was registered for antenatal care, however only 68% had completed 3 Ante natal visits. The most common reason cited by mothers for home deliv- ery was lack of time (45%) followed by family pressure or social custom; unfelt need for hospital delivery and lack of faith in hos- pital.
Conclusion: Though the overall rate of home delivery was less, most of the reasons cited for the home delivery are avoidable, es- pecially when most mothers came into contact of health care sys- tem at least once.
References
United Nations (2008) UN Millennium Development Goals. Available at: http://www.un.org/millenniumgoals/maternal.shtml. Accessed on 8th May, 2015.
World Health Organisation (2010). Trends in maternal mortality: 1990 to 2008. Estimates developed by WHO, UNICEF,UNFPA and The World Bank. Geneva: World Health Organisation. Available at: http://whqlibdoc.who.int/publications/2010/97892415 00265_eng.pdf. Accessed on 8th May, 2015.
Graham WJ, Bell JS, Bullough CHW (2001). Can skilled attendance at delivery reduce maternal mortality in de- veloping countries? Safe motherhood strategies: a re- view of the evidence. Antwerp: ITG Press; 2001. p97– 129.
Stephenson R, Baschieri A, Clements S, et al. Contextual influences on the use of health facilities for childbirth in Africa. Am J Public Health 2006; 96: 84–93.
Freedman LP, Waldman RJ, de PinhoR,et al. (2005) Who’s got the power? Transforming health systems for women and children. Eartnscan, London. Available: http://www.unfpa.org/webdav/site/global/shared/s afemotherhood/ docs/maternalchild.pdf.2005;365:997– 1000.
The White Ribbon Alliance for Safe Motherhood: Saving Mothers’ Lives what works, a field guide for imple- menting best practices in safe motherhood India. Best practices Sub-committee 2002; 24(4): p479–488.
Margaret E, Magdalena M, Ayalew T, Fasil T, Craig H, Mekonnen A, Assfaw A: Women’s preference for obstet- ric care in rural Ethiopia. Epidemiol Community Health 2012; 64:984-988.
Bhatia JC, Cleland J: Determinants of maternal care in a region of South India. Health Transit Rev 1995; 5(2):127– 142.
Paul BK, Rumsey DJ. Utilization of health facilities and trained birth attendants for childbirth in rural Bangla- desh: an empirical study. SocSci Med 2002; 54: 1755– 1765.
Addai I. Determinants of use of maternal-child health services in rural Ghana. J BiosocSci 2003;32: 1–15.
Wall LL.Dead mothers and injured wives: The social context of maternal morbidity and mortality among the Hausa of Northern Nigeria. Stud FamPlann1998; 29: 341–359.
Central Statistical Agency OM: Ethiopia demographic and health survey 2005. Ethiopia: Ethiopia Demographic and Health Survey; 2006.
Hill K, Thomas K, AbouZahr C, et al. Estimates of ma- ternal mortality worldwide between 1990 and 2005. Lancet 2007; 370:1311–1319.
WHO: Core health indicators. Geneva, Switzerland: World Health Organization Statistical Information Sys- tem; 2007.
Celia Y, Hotchkiss D: The socioeconomic determinants of maternal healthcare utilization in Turkey. SocSci Med 2000; 50:1797–1806.
Kwast B, Liff G: Factors associated with maternal mor- tality in Ethiopia. IntJ Epidemiol 1988; 17:115–121.
Onah H, Ikeako L, Iloabachie G: Factors associated with the use ofmaternity services in Enugu southeastern Ni- geria. SocSci Med 2006;63:1870–1878.
Ekele B, Tunau K: Place of delivery among women who had antenatalcare in a teaching hospi- tal.ActaObstetGynecolScand 2007; 86:627–630.
Thaddeus S, Maine D: Too far to walk: maternal mortali- ty in context. Soc Sci Med 1994, 38(8):1089-1110.
Timyan J: Access to care; More than a problem of dis- tance. In The Health of Women: A Global Perspective Edited by: Koblinsky M, Timyan, Boulder M. San Fran- cisco and Oxford: Westview Press; 1993.
Ministry of Health & Family Welfare, Government of India. JananiSuraksha Yojana Guidelines: Feature and frequently asked questions 2006. New Delhi, India: GOI; 2006. p1.
Vishwanath WH, Jatti GM,Tannu U.Missed Opportuni- ties of JananiSuraksha Yojana Benefits Among the Bene- ficiaries in Slum AreasNatl J Community Med. 2011; 2(1):40-2.
Codiran WG. Sampling Techniques. 2nd ed. New York: John Wiley;1963.
Pfeiffer C and Mwaipopo R. Delivering at home or in a health facility?health-seeking behaviour of women and the role of traditional birth attendants in Tanzania. BMC Pregnancy and Childbirth 2013; 13:55.
Kumbani L, Bjune G, ChirwaE,et al. Why some women fail to give birth at health facilities: a qualitative study of women’s perceptions of perinatal care from rural South- ern Malawi. Reproductive Health 2013;10(9):2-12.
Shiferaw S, Spigt M, Godefrooij M, et al. Why do wom- en prefer home births in Ethiopia? BMC Pregnancy Childbirth 2013 Jan 16;13(5):2-10.
Amoako JF, Padmadas SS, Matthews Z. Are women deciding against home births in low and middle income countries? PLoS One. 2013 Jun 14;8(6):e65527.doi: 10.1371/journal.pone.0065527. Print 2013.
Sharma B, GiriG,Christensson K, RamaniKV,et al. The transition of childbirth practices among tribal women in Gujarat, India - a grounded theory approach. BMC In- ternational Health and Human Rights 2013;13(41):2-15.
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