Utilization of post natal care in tribal area of Madhya Pradesh, India: A community based cross-sectional study

Abstract

Background: Postnatal period is a vulnerable time, because most maternal and new born deaths occur during this period, especially immediately after childbirth. Postnatal care in the first hours and days after childbirth could prevent the great majority of these deaths. Aims & Objectives: Present study was conducted with the objective to assess the utilization of post natal care and associated factors in tribal area of Madhya Pradesh. Materials and Methods: A community based cross-sectional study carried in tribal area of Madhya Pradesh. A total of 210 mothers who delivered in last one year were selected for study by "30 cluster sampling method" in Nainpur block of Mandla district. Results: Among 210 mothers, 82.4% were 15-24 years of age and 71.9% of mother received post natal checkup within 10 days of delivery. Regarding number of post-natal checkup , 36.6% of mothers received one postnatal checkup , 18.5% two, 14.7% three and only 1.9% received four post natal checkup. The education/occupation of mothers, cast, education of husband, place of delivery, person conducting delivery and level of knowledge of mother about need of postnatal checkup were significantly associated (P<0.001) with utilization of post natal checkup. Conclusion: The present study revealed that role of education, especially of female education in tribal area, is important contributing factor associated with utilization of postnatal care. Female education is related with enhancing the economic status of mothers, female empowerment, awareness of mother, and independent decisions making capacity in them.

An assessment of utilization of postnatal care services in urban area Jabalpur district

“…10 Hence, observations of our study are more or less consistent with that of Kotresh et al and Joshi et al 13,20 While, we found more percentage of mothers availing benefits of post-natal services than those found by other studies. 12,15,17,18 However, Parineeta et al reported more percentage of mothers who completed 3 postnatal visits than present study. 10 The findings depict that advice for contraceptive and family planning is given to 94.26% of mothers.…”

“…17 According to Sharma et al, 67.6% received first postnatal care within 24 hours of delivery. 18 Thus, percentage of mothers receiving immediate postnatal care is far more in present study than that reported by other studies. [16][17][18] In urban area 58.33% mothers received 3 or more postnatal visits, while 3.3% did not receive a single postnatal visit.…”

“…18 Thus, percentage of mothers receiving immediate postnatal care is far more in present study than that reported by other studies. [16][17][18] In urban area 58.33% mothers received 3 or more postnatal visits, while 3.3% did not receive a single postnatal visit. Study of Uppadhaya et al observed that out of 198 mothers, only 71 (35.86%) received 2 or more postnatal care visits within 42 days of delivery while Kotresh et al quoted that 53.3% mothers received postnatal care and 46.7% mothers didn't receive any postnatal care.…”

“…This finding is quite similar of studies done in various part of India and all studies quoted that post-natal services are mainly of counselling of breast feeding, immunization and breast feeding. 11,18,19,22 In this study, education of the mother was significantly related with PNC utilization. Observations of present study corresponds with the study of Khanal et al, Sharma et al and Uppadhyay et al reported significant association between education of mother and PNC services utilization.…”

“…Observations of present study corresponds with the study of Khanal et al, Sharma et al and Uppadhyay et al reported significant association between education of mother and PNC services utilization. [17][18][19] Study conducted by Paudel et al showed that, the level of education of mother were strong explainers of for PNC service. 23 Other studies also reported similar finding with level of education of mother and PNC utilization.…”