scholarly journals Utilization of antenatal care services in rural population of north India: a cross sectional study

Author(s):  
Pankaj Kumar Pathak ◽  
Neha Chaudhary ◽  
Shradha Mishra ◽  
Arshad Ayub

Background: Antenatal care (ANC) is an opportunity to encourage a positive pregnancy experience and improved maternal and child survival. Care in the antenatal period is also essential for supporting the long-term growth and development of the child. ANC visits are vital for providing counselling to mothers about the care they should take during pregnancy and in preparation for childbirth. The principal objective of the study was to evaluate the utilization of antenatal care services in rural population of North India.Methods: The present community based cross-sectional study was conducted among 200 mothers over a period of Eight months. A semi structured, pre-tested questionnaire was used for data collection, the statistical data was recorded and analysed using by the SPSS Software.Results: In present study all the pregnancies had ANC registration and 20.5% of them had ≥4 ANC visits. 91% of the mothers received Iron and Folic Acid supplementation while 95% of mothers immunized with adequate dose of Tetanus Toxoid. With regards to the type of delivery 87.5% were normal vaginal deliveries and 75.5% were occurred at health facility. The length of stay in the hospital was less than 2 days in 55% of deliveries and 52% of the mothers received cash assistance for institutional delivery by the government under Janani Suraksha Yojana (JSY) scheme.Conclusions: The present study showed low utilization of full antenatal care services and JSY Scheme among the mothers. There is need to educate and council the mother and their family by health personnel regarding significance of utilization of antenatal services.

2021 ◽  
Vol 17 ◽  
Author(s):  
Md Mosharaf Hossain ◽  
Ruhani Mat Min ◽  
Madihah Mohd

Background: Maternal and neonatal mortality rates still pose a global challenge. Objectives: The present study aimed to identify the socio-demographic characteristics of mobile users trying to access antenatal care services, transportation to facilities, and postnatal care for mothers and newborns. Methods: This was a cross-sectional study that used data collected from the Bangladesh Demographic and Health Survey (BDHS) 2014. Data were gathered using a questionnaire. Participants comprised 4,494 mothers aged between 14 and 49. Models of logistic regression were used to determine associations. Results: The overall sample size was 4494, with only 22.23% of women using mobile phones. Among these, 29.9% used their mobile phones to obtain health services or advice and 70.1% did not. Women with mobile phones who had a higher level of education used them to receive more health care (secondary and higher: OR = 1.922, 95%CI = 1.225−3.014; primary: OR = 1.982, 95% CI = 1.738−2.654); they were of higher socio-economic status (rich: OR = 1.228, 95% CI = 1.009&−1.494; middle income: OR = 1.691, 95% CI = 1.256−2.333); they accessed more prenatal care (yes: OR = 1.993, 95% CI = 1.425−1.987) and antenatal care (yes: OR = 1.951, 95% CI = 1.765−1.998); they checked their health status after delivery (yes: OR = 1.966, 95% CI = 1.639−2.357). Conclusion: The results of the present study showed that young women who had a higher level of education and income and resided in urban areas were more likely to use a mobile phone to receive health care facilities in Bangladesh. Intervention studies are essential in recognising that mobile phone-based facilities improve maternal health care.


2001 ◽  
Vol 9 (6) ◽  
pp. 327-333 ◽  
Author(s):  
Birgitte Bruun Nielsen ◽  
Jerker Liljestrand ◽  
Shakuntala Haraksingh Thilsted ◽  
Abraham Joseph ◽  
Morten Hedegaard

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e018894 ◽  
Author(s):  
Sumit Malhotra ◽  
Praveen Vashist ◽  
Mani Kalaivani ◽  
Noopur Gupta ◽  
Suraj Singh Senjam ◽  
...  

ObjectivesTo determine the prevalence, causes and associated factors for visual impairment (VI) in rural population of Jhajjar district, Haryana, north India.MethodsA community-based, cross-sectional study was conducted in two blocks of Jhajjar district. A total of 34 villages were selected using probability proportionate to size sampling method. Adults aged 50 years and above were selected using compact segment cluster sampling approach. Presenting visual acuity using LogMAR E chart was measured along with collection of other demographic details as part of the house-to-house survey. Subjective refraction and torch light examination were performed at a clinic site within the village to ascertain VI and its cause. VI was considered when presenting visual acuity was less than 6/18 in the better eye. Common causes of VI viz uncorrected refractive errors, cataract, central corneal opacity and others were noted by optometrists. Descriptive analysis was undertaken. Multivariate logistic regression analysis was performed for determining associated factors with VI.ResultsOut of 2025 enumerated adults, 1690 (83.5%) were examined at the household level and 1575 (78%) completed all study procedures. The prevalence of VI was found to be 24.5% (95% CI 21.1 to 26.3) and blindness was 5% (95% CI 3.9 to 6.1). The most common causes of VI were uncorrected refractive errors (50%) and cataract (37%). The VI in study participants was found to be associated with age, gender, marital and educational status.ConclusionsVI is still a public health problem in rural population of Jhajjar district, Haryana. Provision of spectacles and cataract surgical services are simple interventions to address this issue.


Author(s):  
Priyanka D. Jogia ◽  
Kaushik K. Lodhiya

Background: Low birth weight is a major public health problem in India. Amongst several factors affecting birth weight, the two crucial factors are demographic characteristics of mothers and utilisation of antenatal care services. Identification of these bottlenecks will help in forming suitable strategies to mitigate the problem of low birth weight in developing countries.Methods: This was a cross-sectional study conducted in a medical college hospital of Gujarat. All the mothers admitted in maternity ward for delivery during July 2017 and had given informed consent, were involved in the study. Interview consisted of demographic characteristic of mothers, utilisation of antenatal services and records of pregnancy outcome. Data were entered in excel 2010 and analysed using Epi info 7.2. Strength of association between LBW and risk factors was obtained using odds ratio test.Results: Majority of the mothers had registered for antenatal care within the first trimester (78%) and had taken minimum of four ANC visits (93%). One fifth (18%) of the mothers had babies weighing less than 2.5 kgs. Lower education status of mothers, multigravida, and mothers with less than four ANC visits, preterm births and female foetus were significantly at higher risk of low birth weight as compared to their counterparts.Conclusions: The factors determining LBW were lower education status of mothers, multigravidity, inadequate ANC visits, preterm births and female sex of foetus. We recommend that increasing the education status of masses, particularly of females and ensuring adequate ANC utilisation will reduce the problem of LBW. 


2014 ◽  
Vol 04 (14) ◽  
pp. 846-856 ◽  
Author(s):  
Gregory Edie Halle-Ekane ◽  
Thomas Egbe Obinchemti ◽  
Jeffrey-Lewis Nnomzo’o Nzang ◽  
Ngoe Morike Mokube ◽  
Martin Mafany Njie ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document