DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20220708

Factors influencing the utilization of antenatal and postnatal care services by women of reproductive age group: a cross-sectional study in rural community of Maharashtra

Pratiksha Santosh Bhansali, Shubhada Sunil Avachat, Gaurav Vijayrao Deshmukh

Abstract


Background: Antenatal care (ANC) and postnatal care (PNC) care services intended to secure and improve maternal health are utilized only to a limited extent. Therefore, this study was conducted to assess various barriers and association of various sociodemographic factors like age, education, economic status and religion with the utilization of services. This revealed the reasons which avert the ladies from utilising the services adequately.

Methods: 150 women residents of Uruli Kanchan, a village in Pune district of Maharashtra, having at least 1 child below the age of five years were selected by simple random sampling technique. The data was collected by house-to-house survey and interview technique.

Results: In the present study, better utilization of ANC services was observed (99.234%) as compared to PNC services (65.33%). Education, good socioeconomic conditions and religion were the factors which greatly influenced the utilization of PNC services. Lack of desire and awareness of PNC visits (in 55% women) was an important factor for underutilization of PNC services. Lack of trust towards government services (by 34.02%) women was observed.70% of women showed satisfaction towards the maternal and child health care (MCH) services provided by the government.

Conclusions: Women showed high level of utilization of ANC services as compared to PNC services which still need a lot of attention and awareness. Women show lack of trust in the government facility.


Keywords


ANC, Postnatal care, Utilization

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References


Stokowski LA. Make every mother and child count-World Health Day. Adv Neonatal Care. 2005;5(3):124.

Mahapatro SR. Utilization of maternal and child health care services in India: Does women s autonomy matter? J Fam Welf. 2012;58(1):22-33.

United Nations. 1994. Summary Report of the program of Action of the International Conference on Population and development. United Nations, New York. CRS Report: 94-533-Population and Development: the 1994 Cairo Conference-NLE (unt.edu).

Negandhi PH, Neogi SB, Chopra S, Phogat A, Sahota R, Gupta R et al. Improving reporting of infant deaths, maternal deaths and stillbirths in Haryana, India. Bull World Health Org. 2016;94(5):370.

Roy S, Sahoo A, Sarangi L. Factors Affecting Utilization of Maternal Health Care Services in Urban area of Bhubnaneswar, India. J Pharmacy Practice Community Med. 2017;3(3):138-44.

Kumar N. Postpartum hemorrhage; a major killer of woman: review of current scenario. Obstetr Gynecol Int J. 2016;4(4):00116.

Joshi P, Mahalingam G, Sorte DY. Factors influencing utilization of maternal and child health services among the postnatal mothers in hilly region. International Journal of Research in Medical Sciences. 2017;4(6):2170-6.

Banke-Thomas OE, Banke-Thomas AO, Ameh CA. Factors influencing utilisation of maternal health services by adolescent mothers in Low-and middle-income countries: a systematic review. BMC pregnancy childbirth. 2017;17(1):65.

International Institute for Population Sciences (IIPS). District Level Household and Facility Survey (DLHS-3), 2007-08: India. Available at: Microsoft Word-INDIA REPORT###02.07.10DLHS-3.doc (rchiips.org). Accessed on 10 Jan, 2021.

Neeta PN, Sameena AR, Suresh CM, Goud G, Bharat SS. Assessment of utilization of maternal health care services in rural field practice areas of VIMS, Ballari. Int J Community Med Public Health. 2018;5:170-6.

Paudel M, Khanal V, Acharya B, Adhikari M. Determinants of postnatal service utilization in a western district of Nepal: community based cross sectional study. J Women’s Health Care. 2013;2(126):2167-420.

Abebo TA, Tesfaye DJ. Postnatal care utilization and associated factors women among of reproductive age Group in Halaba Kulito Town, Southern Ethiopia. Arch Public Health. 2018;76(1):9.