Utilization of postnatal care services in a rural area of Nalgonda district, Telangana state, India
Keywords:Maternal health, Postnatal care, Utilization
Background: Promoting women’s health improves not only individual health but also the health of the family, community and the nation. Less attention was given for postnatal period in developing countries; women and their newborns don’t receive postnatal care services from a skilled birth attendant during the first days after childbirth. The objective was to study utilization of postnatal care services by recently delivered mothers, to study the geographical accessibility factors influencing utilization of postnatal care services and to study healthcare provider factors influencing utilization of post natal care services.
Methods: It was a community based cross sectional study conducted in Cherlapally and villages around, which constitute the rural field practice area of Department of SPM, Kamineni Institute of Medical Sciences, Narketpally Telangana from September 2012 to October 2014. A pre-designed and pre-tested questionnaire was used to collect the data. The data was compiled and analyzed using SPSS version 19.
Results: Accordingly, 97.9% of the mothers received postnatal care and 2.7% mothers didn’t receive the postnatal care. In the present study post natal advice was received by 67.8%, 82.2% and 55.1% of mothers regarding family planning, breast feeding and baby care respectively. Majority (79.9%) of mothers travelled greater than 5 kms for delivery and only 20.1% of mothers travelled less than 5 kms for delivery.
Conclusions: Number of institutional deliveries and deliveries assisted by skilled health personnel were more compared to other studies probably because of awareness created during antenatal visits, maternity benefit scheme and role of ASHA workers.
K. Park. Park’s Text book of Preventive and Social Medicine. 22nd edition. Jabalpur: Banarsi das Bhanot Publishers; 2013: 480-562.
Millennium Development Goals India country report 2011. Available at: from: www.mospi.nic.in. Accessed on 28 October 2013.
Health Management Information System (HMIS) Analysis Andhra Pradesh April 11 to September 11 National Health Systems Resource Centre. Available at: www.nhsrcindia.org/index.php. Accessed on 28 October 2013.
Andhra Pradesh April 12 to January 13 - Comparison with last year performance using HMIS data from National Web portal National Health Systems Resource Centre.
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06: India. Volume I. Mumbai: IIPS.
Mrisho M. Factors affecting home delivery in rural Tanzania. Tropical Med Int Health. 2007;12(7):862-72.
Bhattacharyya H, Pala S. Assessment of delivery pattern and factors influencing the place of delivery among women in East Khasi hills District of Meghalaya. J Evol Med Dental Sci. 2012;1(4):391-9.
Khan Z, Mehnaz S, Siddiqui AR, Ansari A, Khalil S, Sachdeva S. All slums are not equal: maternal health conditions among two urban slum dwellers. Indian J Commu Med. 2012;37(1):50-6.
Rudramma. Utilization of antenatal, intranatal and postnatal health care services by mothers in rural field practice area of JNMC, Belgaum. A Cross sectional study. K.L.E. University, India. 2010.
Satishchandra. D. M. A cross sectional study of utilization pattern of reproductive and child health (RCH) services in the primary health center area of Vantamuri. Rajiv Gandhi University, India. 2010.
Agarwal N, Galhotra A, Swami HM. A study on coverage utilization and quality of maternal care services. National J Commu Med. 2011;2(1):32-6.
Singh PK, Rai RK, Alagarajan M, Singh L. Determinants of maternity care services utilization among married adolescents in Rural India. PLoS One. 2012;7(2):e31666.
KAP Survey Regarding Reproductive Health Kabul, Oct 2002/ Ibn Sina, ICRH. Accession no: 12142.
Envuladu EA, Agbo HA, Lassa S, Kigbu JH, Zoakah AI. Factors determining the choice of a place of delivery among pregnant women in Russia village of Jos North, Nigeria: achieving the MDGs 4 and 5. Int J Med Biomed Res. 2013;2(1):23-7.
Dalal K, Dawad S. Non-utilization of public healthcare facilities: examining the reasons through a national study of women in India. Rural Remote Health. 2009;9(3):1178.
Roy MP, Mohan U, Singh SK, Singh VK, Srivastava AK. Factors associated with the preference for delivery at the government hospitals in rural areas of Lucknow district in Uttar Pradesh. Indian J Public Health. 2013;57:268-71.
Thind A, Mohani A, Banerjee K, Hagigi F. Where to deliver? Analysis of choice of delivery location from a national survey in India. BMC Public Health. 2008;8:29.
Digambar A, Chimankar K, Sahoo H. Factors influencing the utilization of maternal health care services in Uttarakhand. Ethno Med. 2011;5(3):209-16.
Agha C. Determinants of institutional delivery in rural Jhang, Pakistan. Int J Equity Health. 2011;10:31.
Amin R, Shah NM, Becker S. Socioeconomic factors differentiating maternal and child health-seeking behavior in Rural Bangladesh: a cross- sectional analysis. Int J Equity Health. 2010;9(9).
Khasholian TK, Oona MR, Campbell. A simple way to increase service use: triggers of women’s uptake of postpartum services. Int J Obst Gynaecol. 2005;112:1315-21.
Elaine SB, Olveña VR. Factors affecting maternal health utilization. Available at: www. googlecode. com/ RRW/ JE/Factors Affecting Maternal Health Utilizationin the Philippines.pdf. Accessed on 28 October 2013.
Chandhiok N, Dhillon BS, Kambo I, Saxena NC. Determinants of antenatal care utilization in rural areas of India: a cross- sectional study from 28 districts. J Obstet Gynecol. 2006;56(1):47-52.
Desai s, Wu l, Joshi BL. Utilization of maternal health care services in India: understanding the regional differences. Social Sci Med. 2002;55(10):1849-69.
Shah R, Bélanger D. Socioeconomic correlates of utilization of maternal health services by tribal women in India. Canad Studies Pop. 2011;38(1):83-98.
Assfaw YT. Determinants of antenatal care, institutional delivery and skilled birth attendant utilization in Samre Saharti District, Tigray, Ethiopia. Umea University, Sweden. 2010.