Utilization of Maternal Health Care Services In an Urban Slum of Bangalore- A Cross-Sectional Study

Swetha NB; Shobha S; Sriram S

doi:10.5455/njcm.20210610100415

Authors

Swetha NB Sree Balaji Medical College and Hospital, Chennai
Shobha S Sree Balaji Medical College and Hospital, Chennai
Sriram S Sree Balaji Medical College and Hospital, Chennai

DOI:

https://doi.org/10.5455/njcm.20210610100415

Keywords:

Maternal mortality, antenatal, postnatal, Breastfeeding, newborn

Abstract

Background: Pregnancy is golden period in woman’s life. They must not face any complications during this period. In spite of the developed health care system in India, it is disgraceful to see many mothers who succumb to pregnancy and child birth. Although there is decline in maternal mortality, still India contributes to lot of maternal deaths. Accessibility and utilization of services are two major issues to be addressed immediately.

Objective: The study was to assess the utilization of maternal health care services in urban slum.

Methods: This was a Cross-sectional study. Study was conducted among the postnatal women of an urban slum area in Bangalore. Sample size was 125. Data was collected using a pre-tested questionnaire by interview method. Data regarding socio-demographic profile, antenatal visits, health services utilized, type of health center and also regarding postnatal visits were obtained.

Results: Registration of pregnancy 124 (99.2%), 4 antenatal visits-123 (98.6%), TT doses-121 (96.4%), Institutional delivery was found to be 100%. IFA tablets consumption was only seen in 86 (68.6%). Minimum 3 postnatal visits in 6 months duration were completed by only 93 (74.5%) subjects. Family planning services was adopted by 57 (45.6%). 98 (78%) of the study participants followed Exclusive breastfeeding.

Conclusion: The insights provide an opportunity to develop strategies to address the inadequacies and inequitable distribution of health care services.

References

WHO. Trends in Maternal Mortality: 1990 to 2015 estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations population division. 2015. Available from: https:// apps.who.int/iris/bitstream/handle/ 10665/194254/ 978924 1565141_eng.pdf?sequence=1. Accessed 20 October 2019

Sample Registration System. Maternal Mortality Ratio Bulletin, 2011-13. Available from: http://www.censusindia.gov.in/vital _statistics/mmr_bulletin_ 2011-13.pdf. Accessed 22 October 2019.

Open Working Group. Open Working Group proposal for sus-tainable development goals 2014 [cited 22 October 2019]. https://sustainabledevelopment.un.org/content/documents/1579SDGs%20Proposal.pdf.

Simkhada B, Tejilingen E RV, Porter M, Simkhada P. Factors affecting the utilization of antenatal care in developing coun-tries: systematic review of the literature. Jan Review Paper. Oct 12 2007.

Registrar General I. Sample Registration System; Available from: http://www.cghr.org/wordpress/wp-content/uploads/ RGI-CGHR-Maternal-Mortality-in-India-1997-2003.pdf. Accessed 22 October 2019.

Swetha NB, Shobha, Ramya MS, Sriram S. Assessment of health-seeking behavior among the households of an urban area, Bengaluru, Karnataka - A cross-sectional study. Int J Med Sci Public Health 2019;8(2):156-160.

Amin R., Chowdhury S.A., Kamal G.M. & Chowdhury J. (1989) Community health services and health care utilisation in rural Bangladesh. Social Science & Medicine 29(12), 1343– 1349

Shariff A, Singh G. Determinants of Maternal Health Care Utili-zation in India: Evidence from a Recent Household Survey. National Council of Applied Economic Research. February 2002.

Navaneetham K, Dharmalingam A. Utilization of Maternal Health Care Services In South India. Soc Sci Med. 2002 Nov;55(10):1849-69.

Poornima C, Ranganath T S. A study on utilization of maternal services in urban slums of Bangalore. Indian J of Basic & Ap-plied Medical Sciences.2011;1(1):70-75

Singh R , Neogi S B, Hazra A, Irani L, Ruducha J, Ahmad D et al. Utilization of maternal health services and its determinants: a cross-sectional study among women in rural Uttar Pradesh, India. Journal of Health, Population and Nutrition. 2019; 38:13

Ministry of Health and Family Welfare. National Family Health Survey- 4:2015-16. Available from: http://rchiips.org/nfhs/ factsheet_nfhs-4.shtml [Last cited on 2019 October 22]

Thaddeus, S. & Maine, D. (1994) Too far to walk: maternal mortality in context. Social Science& Medicine 38(8), 1091–1110.

Seth A, Tomar S, Singh K, Chandurkar D, Chakraverty A, Dey A, et al. Differential effects of community health worker visits across social and economic groups in Uttar Pradesh, India: a link between social inequities and health disparities. Interna-tional journal for equity in health. 2017; 16(1):46. https:// doi.org/10.1186/s12939-017-0538-6 PMID: 28270151

Mahapatro S R. Utilization Of Maternal And Child Health Care Services In India: Does Women’s Autonomy Matter?. J Family Welfare. 2012 Jun; 58(1).

District Level Household Survey (2012-13). IIPS. MOHFW, India. http://rchiips.org/DLHS-4.html

Khanal V, Bhandari R, Adhikari M, Karkee R, Joshi C. Utilization of maternal and child health services in western rural Nepal: A cross-sectional community-based study. Indian J Public Health 2014;58:27-33.

Dey A, Hay K, Afroz B, Chandurkar D, Singh K, Dehingia N, et al. (2018) Understanding intersections of social determinants of maternal healthcare utilization in Uttar Pradesh, India. PLoS ONE 13(10): e0204810.

Singh L, Rai R K, Singh P K. Assessing The Utilization Of Mater-nal And Child Health Care Among Married Adolescent Women: Evidence From India. J. Biosoc. Sci. 2012);44: 1–26, doi:10.1017/S0021932011000472