scholarly journals Study of the changing trends in place of delivery in rural women in relation to pre and post NRHM period in Paithan, Aurangabad, Maharashtra

2017 ◽  
Vol 4 (7) ◽  
pp. 2356 ◽  
Author(s):  
Sandeep B. Pund ◽  
Bina M. Kuril ◽  
Mohan K. Doibale ◽  
Rajendra T. Ankushe ◽  
Purushottam Kumar ◽  
...  
Keyword(s):  
Rural Health ◽  
Rural Women ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Mortality And Morbidity ◽  
Institutional Deliveries ◽  
Changing Trends ◽  
Increasing Trends

Background: Maternal health reflects the overall effectiveness of the health system of any country. One strategy for reducing maternal mortality and morbidity is ensuring that every baby is delivered in an institution. Government of India has launched various health schemes under the umbrella of National Rural Health Mission (NRHM) to promote institutional deliveries. Thus this study was conducted to study the changing trends in place of delivery in rural women in relation to NRHM.Methods: A community based cross-sectional study was conducted in the field practice area of rural health training center (RHTC), Paithan, Dist. Aurangabad during the period of 1st October 2015 to 31st March 2016. All the villages under two sub-centers of one PHC under the RHTC were selected for the study. All women above 18 years of age who delivered at least once between 1st January 2001 to 31st December 2015, were interviewed for their place of delivery.Results: Institutional deliveries increased from 47.06% to 93.65% in 2001 to 2015. The odds for institutional deliveries in the post NRHM period were seen to vary in the 1st 5 years of NRHM and the next 5 years. In 2006-10, odds of institutional deliveries were 2.44 times more, whereas in 2011-15 the odds were 8.99 times more than the pre-NRHM period. The overall odds of institutional delivery in the post-NRHM period were 4.1 times more than the pre-NRHM period.Conclusions: Increasing trends of institutional deliveries and decreasing trends of home deliveries was observed from 2001 to 2015. Increase in deliveries was seen in both government as well as private hospitals. Institutional deliveries have increased rapidly since the implementation of NRHM with 4.1 times more chance of institutional deliveries in the post-NRHM period. 

scholarly journals Study to access the socio-demographic determinants and the reasons for preference of place of delivery in rural women of Paithan, Aurangabad (Maharashtra)

2017 ◽  
Vol 4 (8) ◽  
pp. 2875 ◽  
Author(s):  
Bina M. Kuril ◽  
Sandeep B. Pund ◽  
Mohan K. Doibale ◽  
Rajendra T. Ankushe ◽  
Purushottam Kumar ◽  
...  
Keyword(s):  
Rural Health ◽  
Rural Women ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Mortality And Morbidity ◽  
Institutional Deliveries ◽  
Education Of Women

Background: Maternal health reflects the overall effectiveness of the health system of any country. One strategy for reducing maternal mortality and morbidity is ensuring that every baby is delivered in an institution. Government of India has launched various health schemes under the umbrella of National Rural Health Mission (NRHM) to promote institutional deliveries. Thus this study was conducted to study the socio-demographic determinants of place of delivery and the reasons for preference of place of delivery by rural women.Methods: A community based cross-sectional study was conducted in the field practice area of rural health training center (RHTC), Paithan, Dist. Aurangabad during the period of 1st October 2015 to 31st March 2016. All the villages under two sub-centers of one PHC under the RHTC were selected for the study. All women above 18 years of age who delivered at least once between 1st January 2001 to 31st December 2015, were interviewed for their place of delivery and their socio-demographic profile.Results: It was observed that 564 (80.46%) women were delivered in a hospital, of which 313 (44.65%) and 251 (35.81) were delivered in private and government institutions respectively, while 137 (19.54%) respondent women were delivered at home. Education of women, occupation of women, type of Family, education of husband, occupation of husband, parity, distance of hospital from the residence and women’s age at marriage were the socio-demographic factors found to be significantly associated with place of delivery by the bivariate analysis. Reasons observed for home delivery were related to lack of knowledge about government healthcare facilities, about need for institutional delivery and inability to reach hospital on time.Conclusions: The proportion of home deliveries in 2001-15 was 13.08% as against 35.80% of government institutional deliveries and 44.65% of private institutional deliveries. Education of women, education and occupation of husband were found to be significantly associated with place of delivery by multivariate analysis.

scholarly journals Comparative Study of Intrathecal Low Dose Bupivacaine and Fentanyl Versus Conventional Dose of Hyperbaric Bupivacaine for Cesarean Section

2018 ◽  
Vol 9 (1) ◽  
pp. 57-62
Author(s):  
Muhammad Sazzad Hossain ◽  
Md Sirajul Islam ◽  
Sharmin Abbasi
Keyword(s):  
Rural Women ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Personal Hygiene ◽  
Antenatal Visit ◽  
Hyperbaric Bupivacaine ◽  
Obstructed Labor ◽  
Cross Sectional ◽  
Mortality And Morbidity

Background: Pregnancy and childbirth related complications are the leading causes of maternal mortality and morbidity in Bangladesh. An estimate shows that about 28,000 mothers die in each year in Bangladesh due to obstetric complications. The aim of this study was to find out the birth practice among rural women in Bangladesh.Material and Methods: This descriptive cross sectional study was carried out among 1220 respondents by purposive sampling technique from July 2016 to June 2017 in different Private Hospital, Dhaka. Data were collected by a structured questionnaire duly pretested through face to face interview. Data were analyzed manually and by using computer.Results: Then study revealed that majority of the respondents 80% were Muslims by religion and about 26% respondents were found within the age 25-29 years with mean age 31±7.59 years. Most of them 86% were literate and only 14% were found illiterate. Among the respondents 75% were Housewives and 11%, 9%, 1% and 4% were involved in Service, Business, Agriculture and others occupation respectively. Moreover, 78% respondents monthly income were less than TK 3000. About 43% & 16% respondents were found to have 2 & 3 children respectively. In this study, about 73% received antenatal visit and among them 57% received 1 to 3 antenatal visits and 74% received TT immunizations. It was found that 69%, 54% and 59% received antenatal advices on healthy diet, personal hygiene, drug use respectively. Home delivery and Hospital delivery practice were found among 44% & 56% respondents respectively. The reasons for home delivery like Feeling comfortable, Family decision and Financial problem were found in 60%, 26% & 42% respondents respectively. The most common complications during last delivery were obstructed labor, found among 39% respondents.Conclusion: Still now women prefer home delivery. Major reasons for home delivery were Feeling comfortable, Family decisions and Financial problems. Delivery conduction by qualified doctors were found only among 47% women. Efforts needed to increase maternal health related knowledge and awareness towards birth practice to facilitate decision in minimizing complications and mortality.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 57-62

scholarly journals Effect of Attending Pregnant Mothers Conference on Birth Preparedness and Complication Readiness Practice among Recently Delivered Women in Rural Libo Kemkem District, North West, Ethiopia: A Community-Based Comparative Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Melash Belachew Asresie ◽  
Dereje Berhanu Abitew ◽  
Habtamu Wondiye Bekele ◽  
Tadesse Dagget Tesfaye
Keyword(s):  
Health Facility ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Pregnant Mother ◽  
Danger Sign ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Place Of Delivery ◽  
Danger Signs

Background. Birth preparedness and complication readiness strategies aimed to promote the timely utilization of skilled maternal health care. Pregnant mother conference is viewed as one of the needed interventions to reduce delays, by promoting obstetric danger sign awareness, family support, and decision-making power on a choice of place of delivery and the use of maternal health service. Objective. To compare the effect of attending a pregnant mother conference on birth preparedness and complication readiness practice among recently delivered women. Method. A community-based comparative cross-sectional study was conducted from February 15 to March 26, 2017, among mothers who gave birth in the past 12 months. Multistage simple random sampling method was implemented and 896 participants were contacted through a face-to-face interview. Descriptive, binary, and multiple logistic regression analysis was done. Results. Well-preparedness for birth and its complication among women who attended and did not attend the pregnant mother conference were 38.9% and 25.7%, respectively. Among the mothers who did not attend the conference, those who had four or more antenatal care visits (AOR=6.8, 95%CI 1.6, 29.8) and knew two or more danger signs of pregnancy (AOR=4.7, 95%CI:1.4, 15.6) were more likely being well-prepared for birth and its complication readiness, whereas among mothers who attended the conference, those who knew two or more danger signs of pregnancy (AOR=2.1, 95%CI:1.1, 4.3), those who had discussion with partners/families about place of delivery (AOR=11.4, 95%CI:3.1, 42.2), those who had previous delivery at health facility (AOR=2.4, 95%CI:1.2, 4.8), women who lived within one-hour walk to the nearest health facility (AOR=3.6, 95%CI:1.9, 6.9), and age of women within 19-34 years (AOR=6.8, 95%CI:1.7, 26.6) were significantly associated with birth preparedness and its complication readiness. Conclusion. Birth preparedness and complication readiness practice were higher among pregnant mother conference attendant women as compared to nonattendants. The health facility has to ensure encouraging women to participate in pregnant mother conference, promoting the utilization of antenatal care service, and counselling on obstetric danger sign. Moreover, the concerned bodies should promote interventions targeting the predisposing and reinforcing behavioral factors affecting the practice of birth preparedness and its complication readiness.

scholarly journals A cross sectional study of the knowledge, attitude and practice of asha workers in implementation of Janani Suraksha Yojana in Tadikonda Mandal, Guntur, Andhra Pradesh, India

2017 ◽  
Vol 5 (2) ◽  
pp. 551 ◽  
Author(s):  
Pavan Datta Syam Kumar Valiveti ◽  
Brahma Naidu Vinjam ◽  
Tharun Bandarupalli ◽  
Nageswara Rao Rachamadugu
Keyword(s):  
Mortality Rate ◽  
Andhra Pradesh ◽  
Cross Sectional Study ◽  
Infant Mortality Rate ◽  
Community Based ◽  
Cross Sectional ◽  
Medicine Department ◽  
Janani Suraksha Yojana ◽  
Medical College ◽  
Institutional Deliveries

Background: Janani Suraksha Yojana (JSY) was evolved to reduce the maternal and neonatal mortality in India which is being implemented in Andhra Pradesh state also through ASHA workers by promoting 100% institutional deliveries to poor pregnant women. Study was undertaken to evaluate the knowledge, attitude and practices of ASHA workers in delivering the JSY services.Methods: A cross sectional community based observational study conducted in the field practice area i.e. Tadikonada Mandal of Community Medicine Department, Guntur Medical College, Guntur, Andhra Pradesh. Study sample was 50% of Tadikonda Mandal ASHA workers for 3 months (December 2012 to February 2013) with pre designed pilot tested semi structured questionnaire, Microsoft Excel.Results: Study revealed that there was 90 % of institutional deliveries, Infant Mortality Rate (IMR) was reduced to 20 per 1000 live births and Maternal Mortality Rate(MMR) was also reduced to 190 per 1,00,000 live births.Conclusions: Based on the results found in our study we came to a conclusion that in implementing the JSY services the ASHA workers are found as a back bone to reduce the IMR, MMR by promoting institutional deliveries.

scholarly journals A study of awareness on cervical cancer and prevalence of pathological leucorrhoea among women in rural Chennai

2018 ◽  
Vol 5 (5) ◽  
pp. 2118
Author(s):  
R. Tamilarasi ◽  
Latha Maheshwari ◽  
Raghul Siddharth ◽  
Sanjeev .
Keyword(s):  
Cervical Cancer ◽  
Rural Women ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
The Public ◽  
Inadequate Knowledge ◽  
Women In India

Background: Cancers are the leading cause of mortality and morbidity due to non-communicable diseases second only to diabetes. Cervical cancer is the second most important cancer in women. In India nearly 75,000 women die of cervical cancer every year. In Tamil Nadu, cervical cancer is the second most common cancer to affect women especially in the rural areas. Aims of the study were to study about the level of awareness on cervical cancer and prevalence of pathological leucorrhoea among women residing in rural Chennai.Methods: This cross sectional study was carried out among randomly selected 295 females aged 15 years and above residing at Alamadhi village and nearby villages in Chennai from March 2016 to September 2016. Pre-tested semi-structured questionnaire was used to collect data.Results: Among the participants most of the women (55.6%) were belonged to 15-30 years age group. Of all the participants involved in the study about 66.8% (197/295) had No awareness on cervical cancer and among the rest, 27.6% (27/98) had good knowledge and 72.4% (71/98) had inadequate knowledge on cervical cancer. Prevalence of Pathological leucorrhoea is 27.5%.Conclusions: Though cervical cancer is the leading cancer among women, our study shows a large percentage of rural women are completely ignorant about this disease which when detected in early stages is completely curable. Hence, extensive health education to the public is needed to improve their knowledge with an emphasis on the fact that periodic screening is the new standard in prevention of cervical cancer.

scholarly journals Socio Demographic Determinants of Delivery Practice in Rural Women of Bangladesh

2013 ◽  
Vol 1 (2) ◽  
pp. 42-45 ◽  
Author(s):  
Meherunnessa Begum ◽  
Khondoker Bulbul Sarwar ◽  
Nasreen Akther ◽  
Rokshana Sabnom ◽  
Asma Begum ◽  
...  
Keyword(s):  
Maternal Health ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
At Home

Background: Every year, world wide, 200 million women become pregnant. The development of urban areas allowed women to receive more care and treatment. However, in rural areas such measures are not available to every woman. Data on delivery practice of rural woman may help the social and public health planners and decision makers to minimize and prevent maternal mortality and morbidity ensuring safe motherhood.Objective: The aim of the study was to observe the delivery practice of rural women of Bangladesh. Materials and method: A cross-sectional study was conducted and data were collected from Dhamrai upazila, Dhaka, Bangladesh in April 2008. Total 159 women of reproductive age group at least having one child were selected purposively to elicit information on various demographic, socioeconomic, cultural and selected programmatic variables including maternal health care and delivery practices. Results: Among the respondents about 55% were literate. Majority (80%) of the respondents delivered at home and most of the them (71%) felt that home delivery was comfortable where as about 29% of the respondents were compelled to deliver at home due to family decision and financial constraint. Among the deliveries about 82% occurred normally and 18.2% were by cesarean section. A considerable percentage of deliveries (49%) were attended by traditional birth attendants. Blade was used for cutting umbilical cord in majority of the cases (74%) who delivered at home. Most of the respondents (90%) took ante natal check up and about 74% were vaccinated by tetanus toxoid. Conclusion: The results of the study suggest that a lot of work is still to do for the policy makers and health planners to target, plan, develop and deliver maternal health services to the rural women of Bangladesh. DOI: http://dx.doi.org/10.3329/dmcj.v1i2.15917 Delta Med Col J. Jul 2013;1(2):42-45

Unintended pregnancy: its proportion and associated factors among rural women in Bench Maji zone south west Ethiopia: Community based cross sectional study

2021 ◽  
Author(s):  
Mulugeta Feyisa ◽  
Tariku Regea ◽  
Tadesse Nigussie ◽  
Adane Asefa ◽  
Lemi Abebe ◽  
...  
Keyword(s):  
Unintended Pregnancy ◽  
Rural Women ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Associated ◽  
South West ◽  
Post Natal Care ◽  
South West Ethiopia

Abstract Background: Globally, unintended pregnancy affects life of thousands of women annually. It harms the health of both the mother and baby. By avoiding unwanted pregnancies, it is possible to save thousands of mothers from premature pregnancy-related deaths. Objectives: to assess level of unintended pregnancy and associated factors among rural women in Bench Maji zone south west Ethiopia.Methods: A community-based cross-sectional study was conducted among 829 pregnant women from March to June 2018 in the Bench Maji Zone, southwest Ethiopia. A multistage sampling technique was used to select study participants. The data were collected by trained data collectors using a structured and pre-tested questionnaire. Data were entered into the epi data manager version 4.0.2.101, and then exported to SPSS version 21 for analysis. Multivariable binary logistic regression was done and variables with a p-value < 0.05 were factors associated with unintended pregnancy. Results: Of the 829 interviewed women, 109 (13.1%) of them became pregnant without their intention. Factors associated with unintended pregnancy were having exposure to media (radio) [AOR=5.06: 95% CI: 1.89-13.53], having 3 and more children [AOR=2.34: 95CI:1.19-4.64], place of recent delivery [AOR=2.07, 95%CI: 1.12-3.84], and having post-natal care utilization for recent delivery AOR=4.03, 95% CI: 2.09-7.79].Conclusion: The magnitude of unintended pregnancy was significant in number in the study area. Interventions have to take based on exposure to media (radio), number of born children, place of recent delivery, and post-natal care utilization for recent delivery of the women.

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