DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20205178

Utilization of antenatal care services in rural population of north India: a cross sectional study

Pankaj Kumar Pathak, Neha Chaudhary, Shradha Mishra, Arshad Ayub

Abstract


Background: Antenatal care (ANC) is an opportunity to encourage a positive pregnancy experience and improved maternal and child survival. Care in the antenatal period is also essential for supporting the long-term growth and development of the child. ANC visits are vital for providing counselling to mothers about the care they should take during pregnancy and in preparation for childbirth. The principal objective of the study was to evaluate the utilization of antenatal care services in rural population of North India.

Methods: The present community based cross-sectional study was conducted among 200 mothers over a period of Eight months. A semi structured, pre-tested questionnaire was used for data collection, the statistical data was recorded and analysed using by the SPSS Software.

Results: In present study all the pregnancies had ANC registration and 20.5% of them had ≥4 ANC visits. 91% of the mothers received Iron and Folic Acid supplementation while 95% of mothers immunized with adequate dose of Tetanus Toxoid. With regards to the type of delivery 87.5% were normal vaginal deliveries and 75.5% were occurred at health facility. The length of stay in the hospital was less than 2 days in 55% of deliveries and 52% of the mothers received cash assistance for institutional delivery by the government under Janani Suraksha Yojana (JSY) scheme.

Conclusions: The present study showed low utilization of full antenatal care services and JSY Scheme among the mothers. There is need to educate and council the mother and their family by health personnel regarding significance of utilization of antenatal services.


Keywords


Antenatal care, Iron folic acid supplementation, Janani Suraksha Yojana, Tetanus toxoid

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References


Barker D, Barker M, Fleming T. Developmental biology: support mothers to secure future public health. Nature. 2013;504:209-10.

Kumar G, Choudhary TS, Srivastava A. Utilisation, equity and determinants of full antenatal care in India: analysis from the National Family Health Survey 4. BMC Pregnancy Childbirth. 2019;19:327.

Antenatal care - UNICEF Data Available at https:// data.unicef.org/topic/maternal-health/antenatal-care/. Accessed on 19 August 2020.

WHO. WHO recommendations on antenatal care for a positive pregnancy experience. WHO. Available at http://www.who.int/reproductivehealth/publications/ maternal perinatal health/anc-positive- pregnancy-experience/en/. Accessed on 21 January 2019.

Maternal Health Division. Guidelines for antenatal care and skilled attendance at birth by ANMs and LHVs. New Delhi: Maternal health division, Department of Family Welfare, Ministry of Health and Family Welfare, Government of India.

India-key indicators. International Institute for Population Sciences. Available at http:// www. rchiips.org/nfhshttp://www.iipsindia.org. Available at 20 August 2020.

Gupta SK, Pal DK, Tiwari R, Garg R, Shrivastava AK, Sarawagi R, et al. Impact of Janani Suraksha Yojana on institutional delivery rate and maternal morbidity and mortality: an observational study in India. J Health Popul Nutr. 2012;30(4):464-71.

Kumar V, Misra SK, Kaushal SK, Gupta SC, Khan AM. A study on the effect of Janani Suraksha Yojana on antenatal registration and institutional deliveries in the Agra district of Uttar Pradesh. Indian J Public Health. 2015;59:54-7.

Baqui A, Williams E, Darmstadt G, Kumar V, Kiran T, Panwar D, et al. Newborn care in rural Uttar Pradesh. Indian J Pediatric. 2007;74:241-7.

Chaudhary J, Dhungana GP, Ghimire H. Original research article factors affecting newborn care practices among tharu mothers in selected village development committees of Chitwan District. J Chitwan Med Coll. 2013;3(3):42-5.

Mahmood SE, Srivastava A, Shrotriya V, Mishra P. Infant feeding practices in the rural population of north India. J Fam Community Med. 2012;19(2):130-5.

Bhatt B, Malik JS, Jindal H, Sahoo S, Sangwan K. A study to assess cord care practices among mothers of new borns in urban areas of Rohtak Haryana. Int J Basic Applied Med Sci. 2015;5(1):5-60.

Uppadhaya SK, Agrawal N, Bhansali S. Utilization of antenatal health care services and its impact on birth weight of newborn in rural area of Western Rajasthan, India. Int J Community Med Public Health. 2017;4(3):680-5.

Singh A, Arora AK. The changing profile of pregnant women and quality of antenatal care in rural north India. Indian J Community Med. 2007;32(2):135-6.

Singh JP, Kariwal P, Gupta SB. Utilization of antenatal care services in a rural area of Bareilly. Int J Healthcare Biomed Res. 2014;2(3):120-6.

Kapil U, Kapil R, Gupta A. National iron plus initiative: current status and future strategy. Indian J Med Res. 2019;6:239-47.

Gupta A, Khanna A, Sachan R, Singh VK, Singh OP. Antenatal, intranatal and postnatal care: a tertiary centre study of North India. Int J Community Med Public Health. 2018;5:2500-5.

Gandhi S, Godara N, Modi A, Kantharia S. Newborn care practices of mothers in rural areas of Navsari district. Int J Med Sci Public Health. 2014;3(7):1.

Annual health survey 2012-2013 fact sheet Uttar Pradesh. Available at https:// www. censusindia. gov.in/vital_statistics/AHSBulletins/AHS_Factsheets_2012-13/FACTSHEET-UTTAR_PRADESH.pdf. Accessed on 19 August 2020.

Sahni B, Sobti S. Utilization of antenatal care among pregnant females registered at sub centre level in a rural area of Jammu in India. Int J Healthcare Biomed Res. 2013;1(4):269-78.

Madhu K, Chowdary S, Masthi R. Breast feeding practices and newborn care in rural areas: a descriptive cross-sectional study. Indian J Community Med. 2009;34:243-6.

Samina A, Mohan J, Nandkishor K. Prevalent neonatal care practices in rural area of central India : The truth revealed. J Health Popul Nutr. 2014;4(2):43-6.

Priya N, Khan S, Khan Z. Determinants of utilization of Janani Suraksha Yojana among mothers in selected communities of Aligarh: a population-based cross-sectional study. Int J Sci Stud. 2016;4(1):97-102.

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.

Gupta P, Malhotra S, Singh DK, Dua T. Length of postnatal stay in healthy newborns and re-hospitalization following their early discharge. Indian J Pediatr. 2006;73(10):897-900.

Sidney K, Diwan V, El-Khatib Z, Costa A. India’s JSY cash transfer program for maternal health: Who participates and who doesn’t - a report from Ujjain district. Reprod Health. 2012;9:2.

Santhya KG, Jejeebhoy SJ, Acharya R, Zavier AJ. Effects of Janani Suraksha Yojna on maternal and new born care practices: women’s experience in Rajasthan. New Delhi. Population Council. 2011;65:54-9.

Varma DS, Khan ME, Hazra A. Increasing institutional delivery and access to emergency obstetric care services in rural Uttar Pradesh. J Fam Welf. 2010;56:23-30.