Barriers in Utilization of Reproductive and Child Health Services in Slums of Delhi, India: an Observational Study

Verma, A.K.; Ranjan, Prakash; Bhushan, Rabi; Tiwari, V. K.

doi:10.36347/sjams.2020.v08i11.012

Cited by 1 publication

(2 citation statements)

References 9 publications

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“…Long distance to health facilities [ 1 , 5 , 9 , 10 , 12 , 13 , 15 , 17 , 28 , 29 , 33 , 35 , 47 , 65 , 50 , 64 ] and lack of transportation facilities [ 11 , 14 , 16 , 26 , 28 , 32 , 33 , 47 , 48 , 50 , 58 , 63 ] were major logistical barriers to accessing OCS. Such barriers were frequently reported from rural and geographically-isolated regions of India [ 10 , 11 , 35 ] and were a significant contributor to the underutilization of OCS services in the remote locations of India [ 10 , 58 , 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…A few studies identified little or no involvement of the husband and lack of family support in obtaining OCS as important interpersonal barriers. A study revealed that many times, women with no additional barriers at the logistical or structural levels failed to complete OCS because of the unavailability of a suitable accompanying person [ 11 – 13 , 15 , 16 , 35 , 50 , 67 , 54 ]. In contrast, some studies highlighted that social and emotional support from the husband, family, or peer groups had the potential to influence OCS use [ 25 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

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Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review

Singh,

Rajak

2024

BMC Pregnancy Childbirth

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Background Despite the reduction in the maternal mortality ratio, barriers in obstetric care services (OCS) remain a significant risk factor for adverse maternal and perinatal outcomes in India. This review covers the ‘continuum of care’ (ANC, child delivery, and PNC services) and identifies multiple barriers in provisioning as well as utilization of OCS in India. We conducted a systematic review to understand the barriers using a mixed-methods approach. Methods PubMed, Scopus, Web of Science, Google Scholar, and Science Direct databases were searched from 1 January 2000 to 30 June 2022. The methodological quality of the included studies was assessed using appropriate tools. After a full-text review of 164 studies, total of 56 studies (33 quantitative, 18 qualitative, and 5 mixed-methods studies) were finally included in the review. All the barriers were classified into five major themes: (i) individual and interpersonal barriers, (ii) social and cultural barriers, (iii) structural barriers, (iv) logistical barriers, and (v) organizational barriers. A thematic synthesis approach was used to present the findings of the included studies. Results Lack of knowledge and awareness and less family support in availing the required OCS were key individual and interpersonal barriers. Negative social and cultural practices, such as belief in traditional herbs/healers, dietary restrictions, and discarding colostrum were frequently reported barriers, especially in rural settings. Poor economic status and high health service costs were the most often cited barriers to low institutional delivery and delayed ANC services. Long distances to health facilities and poor road conditions were the most frequently reported logistical barriers. On the provisioning side, poor quality of treatment, shortage of drugs and equipment, and non-cooperative attitude of health professionals were the most significant barriers. Conclusion This review identified several important barriers ranging from individual and cultural to structural, logistical, and organizational, which are prevalent in India. To mitigate the barriers, the governments need to develop strategies at the individual and organizational levels. Innovative interventions and program implementation at the community and village levels could also be contributory steps towards improving OCS utilization in India.

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