Factors Affecting Utilization of Maternal Health Care Services in Urban area of Bhubnaneswar, India

Abstract

Objective: To assess perception of beneficiaries in terms of satisfaction with the utilised maternal health care services, to find out different socio-demographic factors affecting the utilisation of services and determine proportion of mothers who have access to health care settings.Methodology: A community based cross-sectional study design that employed quantitative data collection method was carried out to assess factors affecting utilization of maternal health care services in June 2016 in Khurdah district, Eastern Bhubaneswar Zone. Results: A total of 495 women were included in this study to investigate the factors that influence utilization of maternal health care services. The majority of respondents were illiterate (71.9%) and primary level educated constituted 26.3%. 86.1% had at least one ANC visit. 61.7% of mothers had less than four visits and 46.2% of mothers started attending ANC in the second trimester. About 38.3% of mothers made four and more ANC visits which is higher than the national level in 2011 in which only 19% of mothers made four and more ANC visits. Conclusion: The study findings reveal that the study community had high level of utilization of selected components of maternal health care and high level of satisfaction with the utilized services and most of them are utilized from government run health system. Keeping in mind the possible good delivery and good utilization of maternal health care in the study community, few areas still need to be addressed.

Utilization of Maternity Services and Associated Factors among Women Living in Addis Ababa Ethiopia Nifas Silk Lafto Sub-city, Woreda 1

“…Here in this study 72.1% reported they had at least four follow up visits during their pregnancy, 13.4% started when they were 1-3 months, 45% started when they were 4-6 months and 37.6% did not start follow up until they were 7-9months in to their pregnancy. This figure is greater than a study conducted in India where only 38.3% of the mothers had four or more visits (33).and similar with the study conducted in Ghana where 76% of the women have the recommended number of visits educational status of women is found to have an impact on the number of follow up (34)…”

Factors Influencing Utilization of Maternal Health Services by Adolescent Young Mothers Aged 15-19 Years in Kiryandongo General Hospital

“…In addition, maternal age of 15-17 years (p=0.003), husband education level (p=0.000), husband income (p=0.012), age at first birth (0.040), knowledge (p=0.008) and perceive risk (p=0.002) significantly influenced utilization of MHS. In a related study, the bivariate analysis of factors affecting attendance of ANC indicated that age of women, education of women, health education on maternity, presence of health facility in the area and means of transport to the nearest health facility, among others, were found to be significant predictors of ANC utilization (Roy, Sahoo and Sarangi, 2017). Controlling the effect of other variables, the predictive power of women's educational level, wealth index was positively associated with antenatal care and also delivery care (Chimankar, 2017).…”

“…The distance to health facility and waiting time for health care provider to attend to them did not influence utilization of MHS. Another study discovered that health education, presence of health facility and means of transport influenced MHS utilization (Roy, Sahoo and Sarangi, 2017). Spouses support (p=0.024) and traditional beliefs in culture about women who are pregnant (p=0.008) significantly influenced MHS utilization.…”

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

“…These findings however contrast the results obtained by a study carried out in Bhubaneshwar by Roy et al which revealed high level of utilization and satisfaction from government run health systems. 5…”

“…4 WHO also stated that, during the process of reproduction, more than half a million women lose their lives worldwide every year, and these deaths comprise 99% women from developing countries. 5 Despite various programmes upheld by the union and state governments, thousands of women succumb to avoidable and manageable pregnancy related complications, such as,38% maternal deaths occur due to postpartum haemorrhage, 11% due to sepsis, 8% due to unsafe abortion, 5% because of hypertensive disorders, 5% because of obstructed labour and 34% due to various other indirect causes. 6 These untoward consequences and deaths are preventable, and can even be completely avoided, if women during and after pregnancy gain proper access to all health related facilities.…”