Inequities in the Utilization of Obstetric Care Services among Women in Urban Slums: A Cross-Sectional Study from Central Karnataka, India
Keywords:
Inequity, Obstetric care, urban slums, KarnatakaAbstract
Background: Utilization of obstetric services is a concept of ex- pressing the extent of interaction between the service and the beneficiaries for whom it is intended. It depicts the health infra- structure and services given.
Objective: To know the obstetric services utilized by the women in reproductive age group during antenatal, natal & postnatal period in urban slums and factors influencing the utilization.
Methods: A cross sectional study was conducted in the urban slums of Davangere city among 300 mothers for one year. Data was collected from mothers using a pre-tested, semi-structured questionnaire. Data was analyzed using descriptive statistics, chi square test and logistic regression.
Results: Among the respondents, 46% (138) were in age group 20- 24 years, 56% (168) were Hindus, and 74% (222) belonged to lower socio economic class. Majority of the mothers had accessed private hospital (75%), 99.3% had institutional delivery and 73% had at least two post-natal visits. The present study observed education of parents, occupation and type of family affect the utilization of obstetric services.
Conclusion: There was decreased awareness about early registra- tion and postnatal visits. Majority of the mothers had accessed pri- vate healthcare services for antenatal care & the utilization of overall obstetric care was poor.
References
Park K. Park’s Text book of Preventive and Social Medi- cine.22nd Ed. Jabalpur: Banarsidas Bhanot; 2013
Devraj C, Anita NH, Kamdar S. Health care in India – A profile: National health policy, Appendix-I. Mumbai/Pune: The foundation for research in community health; 1997
Millennium Development Goals: India country reports 2014. Available from URL: http://indiaenvironmentportal.org. in/files/file/mdg_2014/India/country/report.pdf [Access- ed on 23/10/16]
Census of India 2011. Available from URL: http://census india.gov.in/2011-common/censusdataonline.html [Acces- sed on 23/07/16]
Draft of National Urban Health Mission. Available from URL: http://www.uhrc.in/downloads/Reports/NUHM- Draft.pdf [Accessed on 23/07/16]
National Family Health Survey (NFHS-3), 2005-06: India: Vol.1. Mumbai: IIPS; 2007. Available from: URL: http://www.nfhsindia.org [Accessed on 23/07/16]
National Family Health Survey (NFHS-4), 2015-16: India. Available from: URL: http://rchiips.org/NFHS/NFHS- 4Reports/India.pdf [Accessed on 23/07/17]
Selvaraj. Reproductive and Child Health Programme (RCH). Available at www.publichealth.pitt.edu [Accessed on 23/07/16]
Surinder, Goyal RKD. “Maternal and Child Health services in India – Past, present and future”. Indian Journal of Ma- ternal and Child Health.1997; 8(1):1-4
Kishore J. National Health Programme of India. 10th edi- tion. Century Publications, Jamia Nagar, New Delhi 2006; 26-125.
Ranganath T S and Poornima C. A study of utilization of maternal services in urban slums of Bangalore. International journal of basic and applied medical sciences. ISSN: 2277- 2103 [Online]. Available at http://www.cibtech.org/jms. htm 2011 vol.1 (1) September-December, pp. 70-75. [Ac- cessed on 23/07/15]
Housing stock, amenities & assets in slums - Census 2011. Available at URL: https://censusindia.gov.in/2011-Docu- ments/ On_ Slums-2011Final.ppt [Accessed on 17/09/2015]
Kuppuswamy SES Scale. Available at URL: http:// scale- update.weebly.com/real.html [Accessed on 12/04/2015]
District Level Household and Facility Survey IV. 2012-13. Available from URL: https://nrhm-mis.nic.in/SitePages/ DLHS-4.aspx [Accessed on 23/07/16]
Paras A, Singh MM, Suneela G. Maternal health-care utiliza- tion among women in an urban slum in Delhi. Indian J Com Med 2007; 32(3); p 203-05.
Gupte RK, Kumar A. Maternal care among slum dwellers in Delhi. Indian Journal of Maternal and Child Health 1996; 7(3): 78-81.
Dinesh K, Goel NK, Meenu K, Swami H M and Ruchi S. Gap Between Awareness and Practices Regarding Maternal and Child Health Among Women in an Urban Slum Com- munity. Indian Journal of Pediatrics 2008; 75: 455-58.
Chakraborty N, Ataharul Islam, Islam R C, Wasimul bari1, Akhter H. To know the determinants of the use of maternal health services in rural Bangladesh. Health Promotion In- ternational 2003; 18(4): 327-37.
Hazarika I. Women’s Reproductive Health in Slum Popula- tions in India: Evidence from NFHS-3. Journal of Urban Health 2009; 87: p2-6.
Awasthi S, Chaturvedi M , Nandan D, Jha S.K , Malhotra
A.K. Indian Journal of Public Health Research & Develop- ment 2010; 1(2).
Vijay M S. Does illiteracy influence pregnancy complica- tions among women in the slums of greater Mumbai. Inter- national J of Sociology and Anthropology 2010; 2(5): 82-94.
Yang Y, Yoshitoku Y, Harun O R, Junichi S. Factors Affect- ing The Utilization Of Antenatal Care Services Among Women In Kham District, Xiengkhouang Province, Lao PDR. Nagoya J. Med. Sci 2010; 72: 23-33.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.
