Factors associated with the utilization of antenatal care services in rural areas of Assam, India

Rana Kakati; Kabita Barua; Madhur Borah

doi:10.18203/2394-6040.ijcmph20163364

Authors

Rana Kakati Department of Community Medicine, Jorhat Medical College, Jorhat, Assam, India
Kabita Barua Department of Community Medicine, Jorhat Medical College, Jorhat, Assam, India
Madhur Borah Department of Community Medicine, Jorhat Medical College, Jorhat, Assam, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20163364

Keywords:

Antenatal care, Factor, Healthcare, Maternal mortality, Utilization

Abstract

Background: Utilization of antenatal care services is very essential for reducing maternal mortality in a country like India which is experiencing high maternal mortality especially in the state of Assam being at the top position. Almost 90% of the maternal deaths can be prevented by timely medical interventions. However, adequate utilization of antenatal care (ANC) services is far away from WHO recommendations. The objective is to assess the utilization of antenatal care services and also to determine the underlying factors influencing the utilization of antenatal care services in rural areas of Assam.

Methods: A cross sectional study was conducted from September-December 2015. Eight villages were selected randomly and sample size was calculated as 300.All currently married women having children of less than one year of age comprised of study population.

Results: Out of 300 women all were registered during antenatal period and among them 53% were registered during first trimester. Among them 68.7% women had more than three antenatal visits, 90% were immunized with TT and 71.6% had consumed 100 or more IFA tablets. The utilization of antenatal care services were found to be significantly associated with the age of the women , religion, caste, socioeconomic class, place of delivery, mode of delivery, parity (P<0.05).

Conclusions: The present study revealed that factors like age, religion, caste, socioeconomic status, place of delivery, parity were associated with utilization of antenatal care services. Government should make effort to increase the level of awareness and knowledge among the women about the adequate utilization of antenatal care services.

Metrics

Metrics Loading ...

References

World Health Organization Antenatal Care. 2015. [Accessed December 15, 2015]. Available from: http://www.who.int/gho/maternal_health/reproductive_health/antenatal_care_text/en/

Roy MP, Mohan U, Singh SK. Determinants of utilization of antenatal care services in rural areas of Lucknow, India. J Family Med Primary care. 2013;2(1):55-9.

Elo IT. Utilization of maternal health-care services in Peru: The role of women's education. Health Transit Rev. 1992;2:49-69.

Fosu GB. Childhood morbidity and health services utilization: Cross-national comparisons of user-related factors from DHS data. Soc Sci Med. 1994;38:1209-20.

Vol. 1. Deonar, Mumbai, India: International Institute for population Sciences (IIPS) and Macro International; 2007. International Institute for Population Sciences. National Family Health Survey (NFHS-3).

Govt. of India (2013), Special Bulletin on Maternal Mortality in India 2010-12,SRS, Dec. 2013,Office of the Registrar General of India.

District Level Household and Facility survey -3 (DLHS-3) Fact Sheet Assam.

Zaman S, Begum A. Maternal Mortality at a rural Medical college of Assam: A retrospective study. J Obstetrics & Gynaecology, Barpeta, 2014 March;1(1):46-51.

District Level Household and Facility survey -3 (DLHS-3) Fact Sheet Assam.

Labour Bureau. All India General Index. Available at URL:http:/labourbureaunew.gov.in.Accessed on 14 Jun 2016.

Gupta A, Chhabra P, Kannan AT, Sharma G. Determinants of Utilization Pattern of Antenatal and Delivery Services in an urbanized village of East Delhi. Indian J Prev Soc Med. 2010:41:3-4.

Srivastava A, Mahmood SE, Mishra P, Shrotriya VP. Correlates of Maternal Health Care Utilization in Rohilkhand Region, India. Ann Med Health Sci Res. 2014;4(3):417-25.

Coverage Evaluation Survey Report, Assam, 2012-13, Regional Resource Centre for Northeastern States, Ministry of Health & Family Welfare, Government of India.

Saraswathy G, Mathews Z, Shanti M, Kiharu A. Antenatal care seeking and morbidity in rural Karnataka India. Asia-Pacific population J. 2001;16(2):11-28.

Ansari MA, Jhan Z. Antenatal care services in rural areas off Aligarh, India. J Public Health and Epidemiologyy. 2011;3(5):210-6.

Bui TT Ha, Pham V Tac, Duong M Duc, Doan TT Duong, Le M Thi. Factors associated with four or more antenatal care services among pregnant women: a cross-sectional survey in eight South Central Coast provinces of Vietnam. Int J Womens Health. 2015;7:699-706.

Khatib N. Predictors for Antenatal Services and Pregnancy Outcome in a Rural Area: A Prospective Study in Wardha District, India. Indian J Med Sci. 2009;63(10):436 -44.

Shidhaye PR. Study of Utilization of Maternal Health Care Services by Rural Women in Tertiary Care Teaching Hospital. Indian Medical Gazette — February. 2014.

Leslie J, Gupta GR. Washington, D.C: International Centre for Research on Women; 1989. Utilization of formal services for maternal nutrition and health care.

Sharma SK, Vong-Ek P. Contextual influences on obstetric morbidity and related care seeking behaviour in Thailand. J Health Psychol. 2009;14:108–23.

Pol G, Louis G, Thomas RK. New York: Plenum Press; 1992. The Demography of Health and Health Care.

Verma D, Rathore AM. Inadequate antenatal care in women attending tertiary care hospital for delivery: Causes and consequences; International Journal of Biomedical Research. 2014;05;09 .

Singh RK. Differentials in the Utilization of Antenatal Care Services in EAG states of India. Int Res J Soc Sci. 2013:2(11):28-32.