Morbidity pattern and health seeking behavior of women in reproductive age in slums of Amritsar city (Punjab), India
Keywords:
Behaviour, Health seeking, Morbidity, SlumsAbstract
Background:Though India has made efforts to increase access to reproductive health care, the progress has been uneven and inequitable. There are a large number of women who still lack access to maternal and reproductive health care. The study was hence conducted with the objective of observing morbidity pattern and health seeking behavior of women in reproductive age in slums of Amritsar city.
Methods:By adopting convenience sampling, 50 clusters of married women in 15-45 year of age, from different slums of Amritsar city were included in the study. They were interviewed by using pre-designed, pre-tested proforma. Data was compiled and analyzed.
Results:It was observed that 53.1% women had one or more health problems. Pregnant women were 1.68 times more likely to have health problems in comparison to non-pregnant women (OR=1.68, CI = 1.07-2.65, P = 0.03) and the difference was statistically significant. But, only 25.2% women sought treatment for their health problems and 19.3% women took treatment from qualified health practitioner. Availability of ration card for their identity, their caste, type of family, literacy status of women and their socioeconomic status were significant factors affecting treatment seeking behavior of women.
Conclusions:Though a large number of women in reproductive age had one or more health problems, only few of them took treatment from qualified practitioners. Attention needs to be paid to significant factors affecting their health seeking behavior so that health of women could be improved.
References
Scanneving L, Trygg N, Saxena D, Mavalankar D, Thomsen S. Inequity in India: the case of maternal and reproductive health. Glob Health Action. 2013 Apr;6:19145.
Culyer AJ. Equity some theory and its policy implications. J Med Ethics. 2001;27:275-83.
Census of India. Primary census data highlights India. Executive summary. New Delhi: Census of India; 2011. Available at: http://www.censusindia.gov.in/2011census/PCA/PCA_Highlights/pca_highlights_file/India/4Executive_Summary.pdf2. Accessed 5 December 2014.
UHRC. Maternal and new-born care practices among the urban poor in Indore. In: UHRC, eds. Gaps, Reasons and Potential Program Options. New Delhi, India: Urban Health Resource Centre; 2007.
World Health Organization. Training for mid-level managers (MLM). The EPI coverage survey. In: WHO, eds. Immunization, Vaccines and Biologicals. Geneva 27, Switzerland: WHO; 2008.
Pareek U, Trivedi G. Manual of socio-economic scale (rural). In: Pareek U, Trivedi G, eds. A Manual. New Delhi: Manasayan Publishers; 1979.
Pandit D, Prabha R, Shanbhag S, Mayekar R. Morbidity pattern of women attending screening program in an urban slum in Mumbai. Indian J Community Med. 2005;30(4):134-5.
UHRC. Maternal health scenario in slums of Meerut, Uttar Pradesh. In: UHRC, eds. Implication for Program and Policy. UP, India: Urban Health Resource Centre; 2008.
Das NP, Shah U. Understanding women’s reproductive health needs in urban slums in India: a rapid assessment. In: Das NP, Shah U, eds. Population Research Centre, Faculty of Science. Baroda, India: M.S. University of Baroda; 2001.
Ray SK, Biswas R, Kumar S, Chatterjee T, Mishra R, Lahiri SK. Reproductive health needs and care seeking behaviour of pavement dwellers of Calcutta. J Indian Med Assoc. 2001;99(3):143-5.
Bhanderi MN, Kannan S. Untreated reproductive morbidities among ever married women of slums of Rajkot city, Gujarat: the role of class, distance, provider attitude and perceived quality of care. J Urban Health. 2010 Mar;87(2):254-63.
Ravi RP, Kulasekaran RA. Care seeking behaviour and barriers to accessing services for sexual health problems among women in rural areas of Tamil Nadu state in India. J Sex Transmit Dis. 2014;2014:292157.