Utilization Of Maternal Care Services in Urban Area: Still an Issue of Modern World

• Main Authors: Neha Bavarva (Author), Prakash Patel (Author), R K Bansal (Author)
• Format: Book
• Published: Medsci Publications, 2015-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 0976-3325; 2229-6816
• Keywords: Maternal care; JSY; urban; obstetric services; home delivery; Public aspects of medicine; RA1-1270
• Source: National Journal of Community Medicine, Vol 6, Iss 02 (2015)

Introduction: Inspite of ongoing efforts of the government, home deliveries are still reported in urban area where finance and dis- tance play minor role. The aim is to study the reasons regarding the barriers of health facility delivery system in Surat city of India. Methodology: Out of 1004 community based service providing centre of Surat 30 centres were selected by using cluster sampling design. In selected 30 Maternal and Child Day Care Centres, Sec- ond phase of sampling was done where household was sampling unit. A household survey was conducted to assess maternal and child healthcare status. Results: Among 322 surveyed mothers, 42 mothers delivered at home. Among the home delivered mother 93% was registered for antenatal care, however only 68% had completed 3 Ante natal visits. The most common reason cited by mothers for home deliv- ery was lack of time (45%) followed by family pressure or social custom; unfelt need for hospital delivery and lack of faith in hos- pital. Conclusion: Though the overall rate of home delivery was less, most of the reasons cited for the home delivery are avoidable, es- pecially when most mothers came into contact of health care sys- tem at least once.