Utilization of health services and its perceived barriers regarding infant care among tribal mothers in selected areas of West Bengal
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20220852Keywords:
Utilization of health services, Perceived barriers, Infant care, Tribal mothersAbstract
Background: The tribal infant mortality rate in India was highest in the world among the indigenous populations. Utilization of child health services is poor in the tribal areas, due to presence of several barriers. The objective of the study was to assess the utilization of health services for infant, determining the perceived barriers of utilization of health services and finding the association between utilization of health services and selected socio-demographic characteristics.
Methods: 100 mothers were selected by using purposive sampling technique. Self-developed tool was used for data collection after establishing validity and reliability. Data regarding participants’ profile was collected using a semi-structured interview schedule. To assess the utilization of health services, data were collected using record analysis proforma and semi structured interview schedule. A structured interview schedule was used to determine the perceived barriers of utilization of health services.
Results: All mothers under the study utilized Institutional delivery and Immunization service for their children according to age. 65% of the mothers’ fully utilized health check-up service for their child during postnatal visit. Most of mothers (96%) received education for exclusive breast feeding for 6 months. Integrated Child Development Service was fully utilized by 74% mothers. Maximum (51%) of them fully utilized free treatment service for their children under JSSK. 63.46% mothers’ fully utilized Referral services. The study findings also show the presence of barriers among them like lack of awareness, lack of support person, financial barrier etc.
Conclusions: Resolving the barriers to increase utilization of health services among tribal mothers is needed through improvement of their awareness.
References
World Health Organization, Universal Health Coverage; Geneva; WHO; 2018. Available at: https://www.who.int/healthsystems/universal_health_coverage. Accessed on 14 January 2021
Ministry of Tribal Affairs. Statistical Profile of Scheduled Tribes in India 2013. Government of India; 2014. Available at: https://www.tribal.nic.in/ST/StatisticalProfileofSTs2013. Accessed on 20 March 2021.
World Health Organization. Newborn Health; Geneva: WHO; 2018. Available at: https://www.who.int/health-topics/new. Accessed on 02 February 2021.
International Institute of Population Sciences. National family health survey (NFHS-4) 2015-16. Mumbai: IIPS; 2017. Available at: http://rchiips.org/NFHS/NFHS-4Reports/India.pdf, Accessed on 14 December 2020.
Narain JP. Health of tribal populations in India: How long can we afford to neglect? Indian J Med Res. 2019;149:313-6.
Sarkar S, Kumar S, Kar S, Jose J. Utilization of maternal health-care services by tribal women in Kerala. Journal of Natural Science, Biology and Medicine. 2014;5(1):144-7.
Pandey N. Perceived Barriers to Utilization of Maternal Health and Child Health Services: Qualitative Insights from Rural Uttar Pradesh, International Institute for Population Sciences, India 2010; 1-15.
Categorical Frequency Data [Internet]. Vassarstats.net. Available at: http://vassarstats.net/vsfreq.html. Accessed on 4 April 2021.
Bhattacherjee S, Datta S, Saha J, Chakraborty M. Maternal health care services utilization in tea gardens of Darjeeling, India. Journal of Basic and Clinical Reproductive Sciences. 2013;2(2):77-84.
Mukhtar M, Nelofar M, Quansar R, Khan S M, Bashir H. Factors influencing the choice of place of delivery among recently delivered women in tribal areas of district Srinagar: A cross sectional study. Journal of Medical Science and clinical Research. 2018; 6(6):356-61.
Sharma A, Thakur P, Kasar P, Tiwari R, Sharma R. Utilization of post natal care in tribal area of Madhya Pradesh, India: A community based cross-sectional study. International Journal of Medical Science and Public Health 2014;3(10):1266-71.
Chandwani H, Pandor J. Healthcare-Seeking Behaviors of Mothers regarding their Childrenin a Tribal Community of Gujarat, India. Electron Physician. 2011;7(1):990-7.
Vachhani P, Bhimani N, Sutaria N, Kartha G. Utilization pattern of child health care services in the rural area of Surendranagar district: a community based cross sectional study. International Journal of Research in Medical Sciences. 2017;5(11):4903-10.
Mondal T, Sarkar A, Shivam S, Thakur R. Assessment of infant and young child feeding practice among tribal women in Bhatar block of Burdwan district in West Bengal, India. International Journal of Medical Science and Public Health. 2014;3(3):324-6.
Rajpal S, Joe W, Subramanyam M A, Sankar R, Sharma S, Kumar A, et al. Utilization of Integrated Child Development Services in India: Programmatic Insights from National Family Health Survey. International Journal of Environmental Research and Public Health. 2020;17(3197):1-16.
Baruah K, Baruah R, Saikia A. Awareness and Utilization of Village Health and Nutrition Day (VHND) services ‘A Community Based Study’. 2015;01:64-9.
Nath S P, Babu C, Devi J M. A Descriptive Survey to Assess the Knowledge and Utilization of Janani Shishu Suraksha Karyakaram (JSSK) among Postnatal Mothers in a selected Government Hospital of Delhi. International Journal of Science and Research. 2019;8(4):915-9.
Sule SS, Ijadunola KT, Onayade AA, Fatusi AO, Soetan RO, Connell FA. Utilization of primary health care facilities: Lessons from a rural community in Southwest Nigeria. Nigeria Journal of Medicine. 2008;17(1):98-106.
Arora M, Koshy G, Gangadharan V. Determinants of utilization of health services. International Journal Of Community Medicine And Public Health. 2019;6(12):5206-10.
Riaz A, Zaidi S, Khowaja A. Perceived barriers to utilizing maternal and neonatal health services in contracted-out versus government-managed health facilities in the rural districts of Pakistan. International Journal of Health Policy and Management. 2015;4(5):279-84.
Kim ET, Singh K, Speizer IS. Availability of health facilities and utilization of maternal and newborn postnatal care in rural Malawi. BMC Pregnancy Childbirth. 201;19:503.
Yangala M, Patan SK, Deepthi S, Chaudhuri S, Duddu P, Narapureddy BR, et al. Utilization of Janani Shishu Suraksha Karyakram and estimation of out of pocket expenditure: A prospective follow-up study among mothers and newborns in Chittoor. J Family Med Prim Care. 2020;9:5752-8.