Do the pregnant mothers utilize supplementary nutrition along with other antenatal services? A cross sectional study from Mangaluru, Karnataka state, India

C. S. Vishnu, Abhay Subhashrao Nirgude, Annie Rajarathnam, N. Navya, K. M. Akshaya


Background: Antenatal care services including supplementary nutrition services are the essential services for reducing maternal mortality. As per National Family Health Survey (NFHS) 4 data, 62% pregnant mothers received supplementary nutrition in Karnataka state and only 49.4% received health and nutrition education. Study was conducted to assess utilization of antenatal services with special reference to supplementary nutrition and advice on nutrition.

Methods: A cross sectional study was conducted among the mothers admitted in obstetrics and gynecology department of Yenepoya Medical College Hospital. All the 140 mothers admitted during August and September 2017 for safe confinement of pregnancy were enrolled in this study and data was collected using semi-structured questionnaire. SPSS software version 22 was used for data analysis. Descriptive statistics was expressed in terms of frequencies and percentages. Chi square test was used to study the factors association with utilization of antenatal services.

Results: Of the 140 participants, most of them i.e. 38.6% were in 25-30 years age group. The mean age was 46 years. Only 86 mothers (61.42%) received supplementary nutrition of whom only 53 (37.85%) had consumed it. Utilization of antenatal services was 100% with respect to minimum antenatal visits, routine laboratory investigations and TT immunization. Awareness about Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) was very poor (5%). Educational status of mother was found to be associated with utilization of supplementary nutrition (p=0.026).

Conclusions: Utilization of routine antenatal services was reported to be very good. Efforts should be made to improve utilization about supplementary nutrition and awareness about nutrition education.


Antenatal care, Supplementary nutrition, Postnatal mothers, IFA tablets

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International Institute for Population Sciences. India National Family Health Survey (NFHS-4), 2015-16. Available at: /India.pdf. Accessed on 20 January 2019.

World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization; 2016.

WHO (2012). World Health Organization. Global Health Observatory, antenatal care. Available at: text /en/index.html. Accessed on 20 January 2019.

World Health Organization. New guidelines on antenatal care for a positive pregnancy experience. Sexual and reproductive health. World Health Organization; 2016.

Nayar D, Kapil U, Saxena N. Nutrient intake and consumption of supplementary nutrition by pregnant mothers in ICDS and non-ICDS areas-a pilot study. Indian Pediatr. 1998;35(3):287-9.

Mundodan JM, Metgud CS. Utilisation of supplementary nutritional services through anganwadicentres in an urban area of North Karnataka. J Res Prev Social Med. 2016;2(2):1-4.

Chudasama RK, Patel UV, Kadri AM, Mitra A, Thakkar D, Oza J. Evaluation of integrated Child Development Services program in Gujarat, India for the years 2012 to 2015. Indian J Public Health. 2016;60:124-30.

Kosec K, Avula R, Holtemeyer B, Tyagi P, Hausladen S, Menon P. Predictors of essential health and nutrition service delivery in bihar, india: results from household and frontline worker surveys. Glob Health SciPract. 2015;3(2):255–73.

Office of the Registrar General and Census Commissioner, Ministry of Home Affairs, Government of India. Census of India 2011. Chapter-3. Literates and Literacy Rates. Available at: PCA /PCA_Highlights/pca_highlights_file/karnataka/Chapter-III.pdf. Accessed on 6 January 2019.

Manna PK, De D GD. Knowledge, attitude and practices for antenatal care and delivery of the mothers of tea garden in Jalpaiguri and Darjeeling districts, West Bengal. Nat J Community Med. 2011;2(1):4-8.

Sruthi MV, Raphael B. A cross-sectional study on utilization and content of antenatal services among pregnant women in a coastal area of Thrissur district. International J Community Med Public Health. 2017;4(6):2094-100.

Srilatha S, Remadevi S, Itty L, Vijayakumar K. Assessing the quality of antenatal care in Thiruvananthapuram district. Project Report: KRPLLD-6/99. 2002;1-39.

Kutty VR. Why Low Birth Weight (LBW) is Still a Problem in Kerala: A Preliminary Exploration. Kerala Research Programme on Local Level Development, Centre for Development Studies; 2004.

Bhagat VM. Availability and Utilization of Anganwadi services in an adopted urban area of Wardha. Online J Health Allied Sci. 2016;14(4).

Jha RK, Gopalakrishnan S, Ajitha K, Kuberan D, Rana MM. Utilization of maternal health care services in Kancheepuram District Tamil Nadu. Indian J Maternal Child Health. 2010;12(4):7.

Government launches Mathru Poorna schem. Available at: /bangalore/government-launches-mathru-poorna-scheme/article19786881.ece. Accessed on 21 January 2019.