Determinants and Utilization of Maternal Health Care Services in Urban Slums of an Industrialized City, in Western India

  • Sandeep Sharma Mail Department of Epidemiology, ICMR-National JALMA Institute of Leprosy and Other Mycobacterial Diseases, Agra, Uttar Pradesh, India
  • Partha Sarathi Mohanty Department of Epidemiology, ICMR-National JALMA Institute of Leprosy and Other Mycobacterial Diseases, Agra, Uttar Pradesh, India
  • Ruchi Omar Department of Epidemiology, ICMR-National JALMA Institute of Leprosy and Other Mycobacterial Diseases, Agra, Uttar Pradesh, India
  • Ankit P Viramgami Department of Clinical Epidemiology, ICMR-National Institute of Occupational Health Ahmedabad, Gujrat, India
  • Namita Sharma Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India
Keywords:
Antenatal Care, Determinants; Utilization, Maternal Health Services, Urban Slums

Abstract

Objective: To assess the status of utilization of Maternal Health Care (MHC) services in slums of an industrialized city and elucidating the various determinants influencing the utilization.
Materials and methods: A Cross-sectional study using multi stage sampling methodology was conducted in slums of an industrialized city. The study participants were the women who had given a live birth in the last one year before 4 weeks of the study starts. Total one hundred eighty families were interviewed & analysed. Results: The utilization of MHC services was poor as compared to national averages in urban slums. There was no association between age of mother, birth order, educational and occupational status of head of family with utilization of services while education and employment of mother, category and type of family, distance and time to reach health facility, were significantly associated.
Conclusion: The reduction of maternal mortality and morbidity mostly depends on the utilization of MHC services. The findings of this study have important implications for improving utilization of maternal health care service

References

1. Government of India. Office of the Registrar General and Census Commissioner, India, Ministry of Home Affairs 2011.
2. Park K. Park's textbook of preventive and social medicine. 23st ed. Jabalpur: Banarsidas Bhanot 2015.
3. Unicef Data, Maternal Mortality. Maternal mortality declined by 38 per cent between 2000 and 2017.2019.
4. Kishore J. National Health Programs of India. 9th edition. New Delhi: Century publications; 2011.
5. Graham W, Wood S, Byass P, fillip V, Gon G, Virgo S, et al. Diversity and divergence: the dynamic burden of poor maternal health. Lancet 2016; 388: 2164–75.
6. Nino FS. Sustainable development goals- United Nations. United Nations Sustainable Development. 2019.
7. Tolefac PN, Tamambang RF, Yeika E, Mbuagbaw L, Egbe TO. Ten years analysis of stillbirth in a tertiary hospital in sub-Sahara Africa: A case control study. BMC Research Notes 2017; 10: 447.
8. Leroy JL, Habicht JP, Pelto G, Bertozzi SM. Current priorities in health research funding and lack of impact on the number of child deaths per year. Am J Public
Health 2007; 97: 219–23.
9. Wani RT. Socioeconomic status scales-modified Kuppuswamy and Udai Pareekh's scale updated for 2019. J Family Med Prim Care 2019; 8: 1846-9.
10. International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), 2015-16. Mumbai: IIPS; 2017.
11. Gopalakrishnan S, Eashwar VM, Muthulakshmi M. Health-seeking behaviour among antenatal and postnatal rural women in Kancheepuram District of Tamil Nadu: A cross-sectional Study. J Family Med Prim Care 2019; 8: 1035-42.
12. Siekmans K, Roche M, Kung'u JK, Desrochers RE,
De-Regil LM. Barriers and enablers for iron folic acid (IFA) supplementation in pregnant women. Matern Child Nutr 2018;14 Suppl 5: e12532.
13. Vellakkal S, Reddy H, Gupta A, Chandran A, Fledderjohann J, Stuckler DA. A qualitative study of factors impacting accessing of institutional delivery care in the context of India's cash incentive program. Soc Sci Med 2017; 178: 55–65.
14. Babalola S, Fatusi A. Determinants of use of maternal health services in Nigeria - looking beyond individual and household factors. BMC Pregnancy Childbirth 2009; 9: 43.
15. Yaya S, Uthman OA, Amouzou A, Ekholuenetale M, Bishwajit G. Inequalities in maternal health care utilization in Benin: a population based cross-sectional study. BMC Pregnancy Childbirth 2018; 18: 194.
16. Gertler P, Rahman O, Feifer C, Ashley D. Determinants of pregnancy outcomes and targeting of maternal health services in Jamica. Soc Sci Med 1993; 37: 199-211.
17. McCaw-Binns A, La Grenade J, Ashley D. Under-users
of antenatal care: a comparison of non-attenders and late attenders for antenatal care with early attenders. Soc Sci Med 1995; 40: 1003-12.
18. Nwosu CO, Ataguba JE. Socioeconomic inequalities in maternal health service utilisation: a case of antenatal care in Nigeria using a decomposition approach. BMC Public Health 2019; 19: 1493.
19. Rurangirwa AA, Mogren I, Nyirazinyoye L, Ntaganira J, Krantz G. Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population based study. BMC Pregnancy Childbirth 2017; 17: 142.
20. Kesterton AJ, Cleland J, Sloggett A, Ronsmans C. Institutional delivery in rural India: the relative importance of accessibility and economic status. BMC Pregnancy Childbirth 2010; 10: 30.
21. Kowalewski M, Mujinja P, Jahn A. Can mothers afford maternal health care costs? User costs of maternity services in rural Tanzania. Afr J Reprod Health 2002; 6: 65-73.
22. Sharma S, Verma PB, Viramgami AP, Vala MC, Lodhiya KK. Analysis of Out-of-Pocket Expenditure in Utilization of Maternity Care Services in Urban Slums of Rajkot City, Gujarat. Indian J Community Med 2018; 43: 215-19.
Published
2020-10-18
How to Cite
1.
Sharma S, Mohanty P, Omar R, Viramgami A, Sharma N. Determinants and Utilization of Maternal Health Care Services in Urban Slums of an Industrialized City, in Western India. J Fam Reprod Health. 14(2):95-101.
Section
Original Articles