Epidemiological determinants of pregnancy outcome in urban slums of Jammu city-a prospective study

Bala, Kiran; Sahni, Bhavna; Dewan, Deepika; Kumar, Tejinder; Sangral, Rimpi

doi:10.5455/ijmsph.2018.0824313112017

Cited by 1 publication

(2 citation statements)

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“…According to caste division 79.3% of women belonged to scheduled caste and scheduled tribe which was higher than observed in studies done in slum areas in India (11% to 55%). 6,7 There is close interlink between caste and economic status, with women from lower caste groups often also being poor. A study has highlighted that the health status and health care-seeking behavior of SC and ST provides an indication of both their social exclusion as well as the linkage between poverty and health for this population.…”

Section: Discussionmentioning

confidence: 99%

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Tracking of antenatal services and outcomes using community health information system in a slum population of North India

Faujdar

Dahiya

Jindal

2019

Int J Community Med Public Health

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Background: Despite of improvement of public health service, the reach of these services has remained low in urban slums due to various socio cultural and environmental factors.Methods: An information and communication technology (ICT) based community health information system was installed in a urban primary health centre catering to urban slum populations in North India. The system was used to track all the antenatal cases registered over a period of one and half years for antenatal services, risk factors and antenatal outcome. The system allowed for tracking of antenatal cases for antenatal care (ANC) visits, investigations, high risk factors, delivery and perinatal care. Real-time monitoring of antenatal cases was made possible through dynamic dashboard with indicators.Results: Among 614 women tracked for ANC and outcome, majority were below 30 years of age (78.3%), belonged to lower caste (85.7%) and many were illiterate (42.8%). Out of all antenatal cases 68% got registered in 1st trimester and only 47% completed 4 ANC visit. Majority delivered in government hospitals (95.4%) with 22.8% delivered through caesarean section. Illiteracy was found to have significant association with higher gravida (>2) (p<0.001). The high risk factors were present in 29.5% of antenatal cases and it was found to be significantly associated with increasing age (p=0.02) and preterm deliveries (p<0.001). Twin pregnancy was also found to be significantly associated with increasing age (p<0.001).Conclusions: An ICT based community health information system can be an effective tool for real-time monitoring of health services, identifying the gaps and tracking of antennal cases especially in difficult to reach slum population.

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Section: Discussionmentioning

confidence: 99%

“…The studies on mothers in slum area have found illiteracy to be vary over a wide range from 34% to 81%. 5,7 A study has shown significant association between utilization ANC services and literacy of pregnant women. 9 Level of educations plays a crucial role in maternal and birth outcome.…”

Section: Discussionmentioning

confidence: 99%