DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20191486

Pattern of utilization of antenatal care services in a rural area of Tamil Nadu: a community based cross-sectional study

Arun Sugumaran, Rajkumar Subramanian, Muthukumar Tharumaraj, Saravanan Vaithiyalingam

Abstract


Background: In India, 17 per cent or nearly 50,000 of 2.89 lakh women died as result of complication due to pregnancy in 2013. In past decade, many studies have revealed low utilization of health services by different segments of society for varying reasons. This study was conducted to assess the utilization pattern of ANC services by the pregnant women in a rural area. The objectives of the study were to assess the pattern of utilization of ANC services by pregnant and recently delivered women; to study the association between socio-demographic factors and utilization pattern among recently delivered women.

Methods: A community based cross-sectional study conducted at the rural health training centre in Kancheepuram district, Tamil Nadu among pregnant women and recently delivered women using pre-designed and pre-tested questionnaire. The entire registered pregnant mothers were included for the study and survey was done through house to house visit and the analysis was done using SPSS 21.

Results: Out of 170 study participants, majority 132 (77.6%) of them had their antenatal check-up at primary health centre, 138 (81.2%) have received the IFA tablets and 139 (81.8%) had early antenatal registration. And most of the study participants 108 (63.5%) did not utilize anganwadi for health education and supplementary nutrition. Number of IFA tablets consumption by mothers was significantly associated with literacy and socio-economic status of the mother with p value of 0.03 and 0.002 respectively.

Conclusions: Our study results showed that better ANC services utilization pattern in our study area except anganwadi utilization.


Keywords


ANC services, Utilization, Recently delivered women

Full Text:

PDF

References


World Health Organization. Maternal mortality. Geneva: World Health Organization; 2010. Available at: www.who.int/mediacentre/factsheets/ fs348/en/. Accessed on 30 January 2019.

Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462–74.

Panda. Practices related to delivery and antenatal care among females in rural block of Haryana, India. Available at: http://www.mjmsr.net/article. asp?issn=0975727;year=2014;volume=5;issue=1;spage=39;epage=42;aulast=Panda. Accessed on 25 March 2019.

World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization; 2016. Available at: http://apps. who.int/iris/bitstream/10665/250796/1/9789241549912-eng.pdf?ua=1 Accessed on 30 January 2019.

Jani YK, Shukla AA, Bala D. Practices Related to pregnancy and child birth: a cross sectional study among women of Ahmedabad district. Parity. 2013;30:10.

National Rural Health Mission. SBA Trainers Guide for ANMs LHVs and SNs. 2010. Available at: http://nrhm.gov.in/nrhm-components/rmnch-a/maternal-health/background.html. Accessed on 30 January 2019.

Ministry of Health and Family Welfare. National Family Health Survey-4. 2016. Available at http://rchiips.org/nfhs/pdf/NFHS4/TN_FactSheet.pdf. Accessed on 30 January 2019.

Metgud C, Katti S, Mallapur M, Wantamutte A. Utilization patterns of antenatal services among pregnant women: A longitudinal study in rural area of north Karnataka. Al Ameen J Med Sci. 2009;2:58-62.

Mumbare SS, Rege R. Ante natal care services utilization, delivery practices and factors affecting them in tribal area of North Maharashtra. Indian J Community Med. 2011;36:287.

Raigan Das A, Pradesh WU. Utilization and coverage of services by women of Jawan block in Aligarh. Indian J Community Med. 2001;26(2):94.

Ansari MA, Khan Z. Antenatal care services in rural areas of Aligarh, India: A cross-sectional study. J Public Health Epidemiol. 2011;3:210-6.

Javali R, Wantamutte A, Mallapur M. Socio-demographic factors influencing utilization of Antenatal Health Care Services in a rural area-A cross sectional study. Int J Med Sci Public Health. 2014;3:308-12.

Yadav R, Singh P. Immunisation status of children and mothers in the state of Madhya Pradesh. Indian J Community Med. 2004;29:5.

Sahu D, Kushwah S. Factors influencing maternal health in Rewa town. Indian Community Med. 2007;32:148.

Agarwal P, Singh M, Garg S. Maternal health-care utilization among women in an urban slum in Delhi. Indian J Community Med. 2007;32:203.