A Study on Utilization of Maternal Health Services and Factors Influencing the Utilization in Urban Slums of Lucknow

Chopra, Deepak; Jauhari, Nidhi; Dhungana, Hom Nath

doi:10.5530/ijmedph.2018.2.17

Cited by 18 publications

(20 citation statements)

References 23 publications

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“…This informed the implementation of programmes promoting maternal health on radio and television. Parity is another factor which is significantly related to adequate utilization of antenatal care [34][35][36]. Women with 1 parity are more likely to utilize antenatal care adequately than women with 5 or more parity.…”

Section: Discussionmentioning

confidence: 99%

Correlates of antenatal care utilization among women of reproductive age in sub-Saharan Africa: evidence from multinomial analysis of demographic and health surveys (2010–2018) from 31 countries

Adedokun

Yaya

2020

Arch Public Health

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Background Despite a global reduction of about 38% in maternal mortality rate between 2000 and 2017, sub-Saharan Africa is still experiencing high mortality among women. Access to high quality care before, during and after childbirth has been described as one of the effective means of reducing such mortality. In the sub-region, only 52% of women receive at least four antenatal visits. This study examined the factors influencing antenatal care utilization in sub-Saharan Africa. Methods Data from Demographic and Health Surveys (DHS) of 31 countries involving 235,207 women age 15–49 years who had given birth to children within 5 years of the surveys were used in the study. Multinomial logistic regression model was applied in the analysis. Results About 13% of women in sub-Saharan Africa did not utilize antenatal care while 35 and 53% respectively partially and adequately utilized the service. Adequate utilization of antenatal care was highest among women age 25–34 years (53.9%), with secondary or higher education (71.3%) and from the richest households (54.4%). The odds of adequate antenatal care utilization increased for women who are educated up to secondary or higher education level, from richest households, working, living in urban areas, exposed to media and did not experience problem getting to health facility or obtaining permission to visit health facility. Conclusions This study has revealed information not only on women who did not utilize antenatal care but also on women who partially and adequately utilized the service. The study concluded that the correlates of antenatal care utilization in sub-Saharan Africa include socioeconomic and demographic factors, getting permission to visit health facility, unwillingness to visit health facility alone and problem encountered in reaching the health facility.

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Section: Discussionmentioning

confidence: 99%

Correlates of antenatal care utilization among women of reproductive age in sub-Saharan Africa: evidence from multinomial analysis of demographic and health surveys (2010–2018) from 31 countries

Adedokun

Yaya

2020

Arch Public Health

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“…The factors which determine the utilization of PNC services differ from place to place, from individual to community which is affected by the culture and belief of women [18][19][20][21][22][23][24]. Even though the factors for PNC service utilization were from different levels, those previous studies conducted in Ethiopia simple regression model of analysis and the sample sizes were covering only specific or local areas [25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with postnatal care utilization among postpartum women in Ethiopia: a multi-level analysis of the 2016 Ethiopia demographic and health survey

et al. 2020

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Background: Most postpartum women and newborns do not utilize postnatal care due to less emphasis given especially in developing countries. Understanding individual and community-level factors associated with postnatal care will help to design appropriate strategies and policies for improving service utilization. Therefore, this study aimed to assess individual and community-level factors associated with postnatal care utilization in Ethiopia.Method: This study used the Ethiopian Demographic and Health Survey (EDHS) data of 2016. A total of 4489 women who gave birth 2 years before the survey were included. Two-stage stratified cluster sampling technique was used. The analysis was done using Stata version 14.0 after checking for basic assumptions of multilevel logistic regression. Multilevel mixed-effects logistic regression was used to identify determinants of postnatal care utilization. An adjusted odds ratio with a 95% confidence interval was used to show the strength and direction of the association. Results: Husband with secondary education [AOR = 0.17, 95% CI = (0.04, 0.68)], four or more antenatal care visit [AOR = 10.77, 95% CI = (2.65, 43.70)], middle wealth quintile [AOR = 3.10, 95% CI = (1.12, 8.58)] were individual level factors. Community level education [AOR = 2.53, 95% CI = (1.06, 6.06)] and community level of health service utilization [AOR = 2.32, 95% CI = (1.14, 4.73)] were the predictors at community level.Conclusion: Wealth index, number of antenatal care visits, husband education, community level of education and health service utilization were significantly associated with PNC service utilization. Provision of quality antenatal care, improvement of the educational status of women and husband involvement in PNC are important strategies to increase PNC service utilization.

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“…facility, consumption of IFA (more than 100 tablets), at least one dose of tetanus toxoid is found to be better in our study in comparison to annual health survey (2nd update 2012-13). 32 Number of registration of pregnant women was almost equal among all years of registration, by far seasonal distribution is concerned majority of women of pregnancy less than 12 weeks reported in summer season of year 2016-17 and majority of women more than 12 weeks of pregnancy reported in rainy and summer season of year 2013-14. Patel et al found only 20% entered ANC before 12 weeks of gestation.…”

Section: Discussionmentioning

confidence: 91%

“…31 Studies have proven the more the women is educated, the more they are aware about their health, know more about availability of maternal health care services and use this awareness and information in accessing and availing the health care services. 32 Among all reported pregnant women majority of doses of TT 1 st dose received in summer season of year 2016-17 followed by rainy season of year 2013-14. Majority of second dose of TT have been received in rainy season of year 2016-17 where majority of boosters doses were given in summer season of year 2013-14.…”

Section: Discussionmentioning

confidence: 97%

An observational study to assess obstetric services trends among pregnant women registered at a health centre of Chandigarh city

Sharma¹,

Gour²,

Thakare³

et al. 2018

Int J Community Med Public Health

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Background: Maternal and child healthcare services are very important for the health outcomes of the mother and that of the child by ensuring that both maternal and child deaths are prevented. Present study has been planned to study the trend of utilization of antenatal care services among women registered at field practice area of Government Medical College & Hospital, Chandigarh.Methods: Secondary data of pregnant women registered at field practice area of Government Medical College & Hospital, Chandigarh has been collected from records of respective health set up. Data has been analyzed to find out trend of different ANC service indicators like year of registration, season of registration, TT immunization, Parity, his risk behavior of pregnancy, JSY registration, MTP (medical termination of pregnancy), hemoglobin level etc.Results: Out of all registration trend of registration of new pregnancy was almost similar during all four years (2013-2017). Although after careful analysis of data it more in rainy season (10.1%) in year 2013-14 whereas summer season reported more new pregnancies (10.4%) in the year 2016-17. out of total doses received of TT 1st dose among all reported pregnant women majority of doses (11.9%) received in summer season of year 2016-17 followed by 9.2% in rainy season of year 2013-14. Number of registration of pregnant women was almost equal among all years of registration.Conclusions: It provides future direction to conduct more such studies to find out trend considering some public health related correlates. Simultaneously it also urges researchers to find out reasons of such trends in a bid to make results more applicable.

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A Study on Utilization of Maternal Health Services and Factors Influencing the Utilization in Urban Slums of Lucknow

Cited by 18 publications

References 23 publications

Correlates of antenatal care utilization among women of reproductive age in sub-Saharan Africa: evidence from multinomial analysis of demographic and health surveys (2010–2018) from 31 countries

Correlates of antenatal care utilization among women of reproductive age in sub-Saharan Africa: evidence from multinomial analysis of demographic and health surveys (2010–2018) from 31 countries

Factors associated with postnatal care utilization among postpartum women in Ethiopia: a multi-level analysis of the 2016 Ethiopia demographic and health survey

An observational study to assess obstetric services trends among pregnant women registered at a health centre of Chandigarh city

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