DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200987

A cross sectional study to determine the reasons for non-utilization of reproductive and child health services in district Etawah

Vaibhav Singh, Dhiraj Kumar Srivastava, Pankaj Kumar Jain, Sandip Kumar, Sushil Kumar Shukla, Nishant Singh, Harshita Baranwal

Abstract


Background: The utilization of social services, including health services, has never been equitably distributed in the society. Cost, distance, attitude of health providers, and other factors put the secondary care and private sector facilities out of reach of most of the poor residents. The socioeconomic factors also have a complex relationship with some of the supply factors, and often in the scarcity of good data, it is very difficult to explain the poor utilization of reproductive and child health (RCH) services.

Methods: A cross sectional study conducted on 80 recently delivered women at home in the villages covered under the selected subcentre to interview all recently delivered women to find out the reasons for non-utilization of RCH services. The data was collected by using pre designed semi-structured questionnaire.

Results: Most of the participants belong to age group of 20 to 24 (55%) and joint family (51.3%). Main reason for not having institutional delivery was found to be long waiting time in hospital/lack of proper facilities (50%) followed by non-cooperative hospital staff (36.2%). The study showed that most common reason for not getting money under JSY was found to be non-issuance of JSY card (33.3%) and non-cooperative hospital staff (33.3%). It was found that non utilisation of contraceptive services was mainly due to objection by husband (45.5%).

Conclusions: This study revealed lack of knowledge, no felt need and financial constraints as the most common reason for not utilizing the different RCH services.


Keywords


Cross sectional study, RCH services, Utilization

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References


Worley R, del Carmen M. Class, alienation, familism and utilization of health-care facilities: A Mexican sample. Texas :University of Texas, 1978. Available at: https://ttu-ir.tdl.org/ bitstream/ handle/ 2346/22283/31295002083789.pdf?sequence=1& isAllowed=y. Accepted on 19 October 2019.

Owolabi AT, Fatusi AO, Kuti O, Adeyemi A, Faturoti SO, Obiajuwa PO. Maternal complications and perinatal outcomes in booked and unbooked Nigerian mothers. Singapore Med J. 2008;49(7):526-31.

Maternal mortality. Fact Sheet 348, Media centre, World health organisation, 2010. Available at http:// www. who. int/ mediacentre/ factsheets /fs348 /en/index.html. Accessed on 8th Nov 2019.

Maternal Health. National Family Health Survey 2005-06, Ministry of Health and Family Welfare Government of India. Chapter 8.

Yadav K, Nikhil SV, Pandav CS. Urbanization and health challenges: need to fast track launch of the national urban health mission. Indian J Commu Med. 2010;36(1):3-7.

Singh A, Arora AK. The changing profile of pregnant women and quality of antenatal care in rural North India. Indian J Commu Med. 2007;32:135-6.

Kushwaha P, Mehnaz S, Ansari M, Khalil S. Utilization of antenatal care services in periurban area of Aligarh. Int J Med Sci Public Health. 2016;5(10):2004.

Srivastava AK, Kishore S, Padda P. Socio economic differentials in utilization of maternal health care services: A study in urban slums of District Dehradun. Bangladesh J Med Sci. 2015;14(3):1-6.

Prinja S, Verma R. Over reporting of RCH services coverage and operational problems in health management information system at the sub-center level. Indian J Community Med. 2007;32(3):185.

Mukesh S, Monica A, Imchen T, Rehman HM, Yadav K, Singh S. Utilization of maternal health care services in slums of Lucknow, capital of Uttar Pradesh. Int J Interdiscip Multidiscip Stud. 2015;2:23-7.

Pahwa P, Sood A. Existing practices and barriers to access of MCH services a case study of residential urban slums of district Mohali, Punjab, India. Global J Med Public Health. 2013;2(4):8.

Agarwal N, Galhotra A, Swami HM. A study on coverage utilization and quality of maternal care services. National J Commu Med. 2011;2(1):5.

Mahajan H, Sharma B. Utilization of maternal and child health care services by primigravida females in urban and rural areas of India. Int Scholarly Res Notices. 2015;2015:1-11.

Banerjee B. A qualitative analysis of maternal and child health services of an urban health centre, by assessing client perception in terms of awareness, satisfaction and service utilization. Indian J Community Med. 2003;28(4):153-6.

Karkada S. A study on the awareness of utilization of reproductive and child health (RCH) services in the selected villages of Udupi District, Karnataka. Int J Nursing Edu. 2010;2(2):6.

Shidhaye PR. Study of utilization of maternal health care services by rural women in tertiary care teaching hospital. Indian Medical Gazette. 2014;5:1-4.

Kotresh M, Kumar P. Determinants of use of maternal health services in rural field practice area of Basaveshwara Medical College, Chitradurga: a cross sectional study. J Preventive Med Holistic Health. 2015;1(2):59-66.