scholarly journals Barriers to utilization of anganwadi services by pregnant women and lactating mothers: a hospital based cross sectional study in rural South Karnataka

Author(s):  
Maria Jessy Jose ◽  
Avita Rose Johnson ◽  
Anupa Thomas ◽  
Delfi Mendez ◽  
Cristeena Sebastian

Background: Antenatal care and supplementary nutrition are evidence-based strategies to improve neonatal outcomes and birth weight, and are currently provided free of cost by the government in every village through the ICDS. This study aims to assess the utilization of Anganwadi services by pregnant and lactating mothers in a rural area and the various barriers to utilization of Anganwadi services.Methods: A hospital-based, cross-sectional study was conducted among pregnant women (more than 28 weeks gestation) and lactating mothers (up to 6 months after delivery) availing maternal and child health services at a maternity hospital in a rural area of Ramnagara district in South Karnataka, using a pre-tested questionnaire.Results: Awareness regarding Anganwadi services available for pregnant and lactating mothers like IFA, calcium and deworming tablets, TT and health check-ups was found to be poor. While more than half of the women had received health education from Anganwadi teacher, important topics like dangers signs, birth preparedness and essential antenatal care were not discussed.Conclusions: Utilization of health care services at the Anganwadi was poor among the subjects. Supplementary nutrition was not utilized by 54% of pregnant women and 43% of lactating mothers. Those who had been visited by Anganwadi teacher at home and those who received nutrition education by the Anganwadi teacher had significantly higher consumption of supplementary nutrition. The common barriers to utilization were lack of awareness of services and perception of poor quality and hygiene of the supplementary nutrition.

2019 ◽  
Vol 2019 ◽  
pp. 1-12
Author(s):  
Bizuayehu Bogale ◽  
Ayalew Astatkie ◽  
Negash Wakgari

Background. Pregnant mothers’ forum is the innovative intervention strategy being implemented in Ethiopia to facilitate birth preparedness and complication readiness practice. However, its effect on birth preparedness and complication readiness has not been investigated. Objective. This study assessed the association of participation in pregnant mothers’ forum with birth preparedness and complication readiness plan among pregnant women in Dale District. Methods. A community-based comparative cross-sectional study was conducted among 604 pregnant women (302 who were forum members [exposed] and 302 who were forum nonmembers [unexposed]). Multistage sampling technique was used to select respondents. Data were collected door to door using a pretested and structured questionnaire through face-to-face interview. Data were entered and analyzed using SPSS version-20. Multiple logistic regression analysis was used to identify the effect of pregnant mothers’ forum membership on birth preparedness and complication readiness adjusting for other variables. Results. About 22.5% of pregnant women were well prepared for birth. A quarter (25.8%) of the women was prepared for the anticipated complications of whom 20.7% were the forum members. Being pregnant mother’s forum member (AOR=2.86, 95% CI=1.50,5.44), having focused counseling (AOR=3.73, 95% CI=1.17,11.83), monthly income (AOR=2.55, 95% CI=1.44,4.51), having antenatal care (AOR=3.73,95% CI=1.05,13.21), and institutional delivery during last birth (AOR=2.41, 95% CI=1.38,4.22) were significantly associated with birth preparedness. Similarly, being forum members (AOR=3.55, 95%CI=2.18, 5.78) and having antenatal care attendance before or at four months of gestational age (AOR=3.16, 95%CI=2.04, 4.91) were found to be predictors of complication readiness. Conclusion. In this study, birth preparedness and complication readiness is found to be low. However, it was significantly higher among forum members compared to forum nonmembers. Hence, efforts should be targeted to strengthen the pregnant mothers’ forum and enroll the pregnant women to antenatal care service at early stage of the pregnancy.


Author(s):  
Namita Deshmukh ◽  
Avinash Borkar ◽  
Mrityunjay Rathore

Background: Neonatal and maternal mortality are the major concerns in the country mainly due to the “three delays” in seeking, reaching, and obtaining appropriate care. Birth preparedness and complication readiness (BPACR) is one of the most important tools to assess these delays. BPACR is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The current study was undertaken to assess the status of BPACR among pregnant women in rural area of Kharsiya block in Raigarh district.Methods: A community-based, cross-sectional study was conducted among 110 pregnant women in rural area of Kharsiya during January-June 2017. All the pregnant females were interviewed using a pretested and structured questionnaire. Knowledge about danger signs, planning for transport, place and delivery by skilled birth attendant, financial management were assessed. BPACR index was also calculated.Results: The BPACR index was found to be very low (27.79%). About 73.65% women identified a skilled birth attendant for delivery but, only 10% women saved money and only 2.7% women had identified a blood donor for emergency. Nearly 74.54% women had no knowledge about danger or warning signs during pregnancy while 89.09% were unaware of complications during labour and 97.27% women did not know about puerperal complications.Conclusions: BPACR index in this rural area was very low. Vast majority of women were not knowledgeable about birth preparedness and complication readiness.


PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0209076 ◽  
Author(s):  
Jesmin Pervin ◽  
U. Tin Nu ◽  
A. M. Q. Rahman ◽  
Mahabubur Rahman ◽  
Borhan Uddin ◽  
...  

Author(s):  
Pragya Sinha ◽  
Praveena R. Gunagi ◽  
R. G. Viveki ◽  
Manjunath Kamble ◽  
Sunanda Halki

Background: Antenatal care (ANC) is the care given to pregnant women for safe pregnancy and healthy babies. It is the most effective health intervention for preventing maternal morbidity and mortality. Health knowledge is an important element which enables women to be aware of their health status and promotes service utilization which further improves the health of the beneficiaries. This study was conducted among mothers of rural area of Belagavi with an objective to determine the level of knowledge related to ANC and the factors associated with the same.Methods: A cross-sectional study was carried out in February-April 2018 among mothers who had delivered within one year from date of study and who had registered and availed antenatal services in field practice area of Department of Community Medicine, BIMS, Belagavi. Sample size was calculated as 161. Mothers were selected using systematic sampling. Data was collected after obtaining an informed, written consent from the participants and was compiled, tabulated and analysed in MS Excel. The results are presented as percentage and proportions and chi square test has been applied.Results: 50% participants had fair knowledge regarding ANC. The level of knowledge was found to be statistically significant with employment status and BPL status.Conclusions: The study found adequate knowledge among majority of mothers. 


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