Maternal health disparities in district Jhansi, Uttar Pradesh: a time series analysis using health management information system records




Maternal health, HMIS, MMR, Antenatal care, Institutional deliveries


This study focused on investigating the status of maternal health in Jhansi District, Uttar Pradesh, India. A comprehensive analysis of data obtained from the health management information system (HMIS) spanning the period from 2010 to 2020. The findings of this study indicate notable fluctuations in the percentage of first-trimester ANC registrations, accompanied by an overall improvement in compliance with the recommended number of ANC checkups. In addition, the study identifies a growing inclination towards institutional deliveries and increased utilization of cesarean section (C-section) procedures. This study emphasizes the urgent and continued implementation of measures to enhance timely access to ANC services and to ensure the presence of skilled birth attendants during all childbirths. These insights are of substantial significance to policymakers and healthcare providers in their efforts to advance maternal healthcare services, diminish maternal mortality rates, and enhance women’s overall well-being in Jhansi District, Uttar Pradesh, India. The study recommends reinforcing ANC services, promoting collaborative initiatives to improve maternal health outcomes, and establishing clear guidelines and regular quality audits to ensure the appropriate utilization of C-sections.


Maternal health care service utilization among young married women in India, 1992–2016: trends and determinants-PMC. Available at: Accessed on 21 June, 2023.

Health Information System in India: Issues of Data Availability and Quality 1. Available at: Accessed on 21 June, 2023.

Maternal health. UNICEF India. Available at: Accessed on 23 June, 2023.

Goli S, Puri P, Salve PS, Pallikadavath S, James KS. Estimates and correlates of district-level maternal mortality ratio in India. PLOS Glob Publ Heal. 2022;2(7):e0000441.

HMIS-Health Management Information System. Available at:!/aboutus. Accessed on 24 June, 2023.

Optimizing the Health Management Information System in Uttar Pradesh, India: Implementation Insights and Key Learnings-PMC. Available at: Accessed on 24 June, 2023.

Uttar Pradesh Monitoring Report- Q1 2013-14.pdf. Available at: Accessed on 24 June, 2023.

Matsungo TM, Mudzuri S, Chopera P. Early registration for antenatal care was associated with improved birth outcomes in a low-income community in Harare. In Review; 2020. Available at: Accessed on 29 June, 2023.

Kamal SMM. Preference for Institutional Delivery and Caesarean Sections in Bangladesh. J Health Popul Nutr. 2013;31(1):96-109.

Bukar M, Jauro YS. Home births and postnatal practices in Madagali, north-eastern Nigeria. Niger J Clin Pract. 2013;16(2):232-7.

Mishra PS, Sinha D, Kumar P, Srivastava S. Spatial inequalities in skilled birth attendance in India: a spatial-regional model approach. BMC Publ Heal. 2022;22:79.

Chatterjee P, Gupta A, Subramanian SV. Can administrative health data be used to estimate population level birth and child mortality estimates? A comparison of India’s Health Information Management System data with nationally representative survey data. SSM-Popul Health. 2022;19:101148.




How to Cite

Gupta, A., & Raj, U. (2023). Maternal health disparities in district Jhansi, Uttar Pradesh: a time series analysis using health management information system records. International Journal Of Community Medicine And Public Health, 10(10), 3947–3951.



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