Utilization of Safe Motherhood Services in Jhorahat PHC Area of Morang District, Nepal

Rimu Mishra^1, , Nitendra Chaurasia¹ and Asis De²

¹Department of Community Medicine, Nobel Medical College & Teaching Hospital, Biratnagar, Nepal

²Department of Community Medicine, Manipal College of Medical Sciences Pokhara, Nepal

Cite this paper:
Rimu Mishra, Nitendra Chaurasia and Asis De. Utilization of Safe Motherhood Services in Jhorahat PHC Area of Morang District, Nepal. American Journal of Public Health Research. 2015; 3(5A):123-129. doi: 10.12691/ajphr-3-5A-27

Abstract

It is difficult to predict which woman will develop pregnancy-related complications, but all pregnant women should have access to high quality obstetric care throughout their pregnancies. Non-utilization of antenatal and delivery care services and poor socioeconomic conditions of the patient usually is linked with maternal complications and poor perinatal outcome. Undesired outcomes are seen in unbooked than booked patients. Maternal mortality as a health indicator reveals the wide variations between rich and poor, urban and rural areas, within communities and between countries. The objective of the study was to study utilization and factors influencing the utilization of antenatal, intranatal and postnatal health care services by mothers. Community based cross sectional study was carried out from May 2013 to April 2014 in Jhorahat PHC area of Morang District. All pregnant women who had delivered during the one year period from May 2013 to April 2014 were included in the study. Out of 379 mothers majority (82.1%) were of age between 20 to 30years. Majority belonged to middle socioeconomic status family and were multiparous. Seventy percent of mother had completed all four antenatal visits. All mothers had taken TT injections, but only 62.3% completed full two dosage of TT vaccination. Majority (67%) of mothers had institutional delivery and most of the deliveries (70%) were conducted by skilled health personnel. Only 44.6% of mothers had done three postnatal visits.

Keywords:
Utilization Safe Motherhood Services Nepal

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Nagral K. Concept of safe motherhood in Ayurved. J FamWelf 1997;43(2):53-57.
[2]	“Trends in Maternal Mortality: 1990 to 2008. Estimates developed by WHO, UNICEF, UNFPA and The World Bank. WHO Library Cataloguing-in-Publication Data,” World Health Organization, 2010, http://whqlibdoc.who.int/publications/2010/9789241500265_eng.pdf.
[3]	OwolabiA. T., FatusiA. O., KutiO., AdeyemiA.,. FaturotiS. O, and ObiajuwaP. O., “Maternal complications and perinatal outcomes in booked and unbooked Nigerian mothers,” Singapore Medical Journal, vol. 49, no. 7, pp. 526–531, 2008. View at Scopus.
[4]	World Health Organization: Global Health Observatory data, Maternal and reproductive health. [http://www.who.int/gho/maternal_health/en/].
[5]	World Health Organization; Maternal Mortality,updated May 2014. http://www.who.int/mediacentre/factsheets/fs348/en/].
[6]	World Health Organization: Far more pregnant women getting antenatal care. [http://www.who.int/mediacentre/news/releases/2004/pr22/en/ webcite].
[7]	Ministry of Health and Population: Annual report 2009/2010. Kathmandu: Department of Health Services, Ministry of Health and Population, Nepal; 2010.
[8]	Ghosh R, Sharma AK: Intra- and inter-household differences in antenatal care, delivery practices and postnatal ca:Alternative versus standard packages of antenatal care for low-risk pregnancy re between last neonatal deaths and last surviving children in a peri-urban area of India. Journal of biosocial science 2010, 42: 511-530.
[9]	Jat TR, Ng N, San Sebastian M: Factors affecting the use of maternal health services in Madhya Pradesh state of India: a multilevel analysis. Int J Equity Health 2011, 10:59.
[10]	Dowswell T, Carroli G, Duley L, Gates S, Gulmezoglu AM, Khan-Neelofur D, Piaggio GG. Cochrane database of systematic reviews (Online) 2010, 10:CD000934.
[11]	Nwaru BI, Wu Z, Hemminki E: Determinants of the use of prenatal care in rural China: the role of care content.Maternal and child health journal 2012, 16(1):235-241.
[12]	Kyei NNA, Chansa C, Gabrysch S: Quality of antenatal care in Zambia: a national assessment.BMC Pregnancy & Childbirth 2012; 12.
[13]	Rani M, Bonu S, Harvey S: Differentials in the quality of antenatal care in India. Int J Qual Health Care 2008, 20:6271.
[14]	Annual report -DOHS, Ministry of Health and Population, Nepal. (2069/2070)
[15]	Park K. Textbook of Preventive and Social Medicine. 22nd Ed. Jabalpur: BanarasidasBhanot Publishers; 2013.
[16]	WenjuanW, Alva S, Wang S, and Fort A. 2011. Levels and Trends in the Use of Maternal Health Services in Developing Countries. DHS Comparative Reports No. 26. Calverton, Maryland, USA:ICF Macro.
[17]	World Health Organization: Global Health Observatory data, Antenatal care. [http://www.who.int/gho/maternal_health/reproductive_health/antenatal_care_text/en/]
[18]	WHO, UNICEF. Antenatal Care in Developing Countries: Promises, Achievements and Missed Opportunities: An Analysis of Trends, Levels, and Differentials: 1990-2001 Geneva and New York; 2003.
[19]	NDHS. Ministry of Health and Population Government of Nepal, New ERA Kathmandu Nepal and Macro International Inc. USA; 2006.
[20]	Kongsri, S., et al., Equity of access to and utilization of reproductive health services in Thailand: national Reproductive ve Health Survey data, 2006 and 2009. Reprod Health Matt ers, 2011; 19(37):86-97.
[21]	Gupta MC, Mahajan BK. Textbook of Preventive and Social medicine. 3rd Ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2003.
[22]	Baral YR, Lyons K, Skinner J, van Teijlingen E. Maternal health services utilisation in Nepal: Progress in the new millennium, HEALTH SCIENCE JOURNAL® Volume 6, Issue 4 (October – December 2012
[23]	PoudelR.Utilization of Maternal Health Care Services AmongDalitWomen of Palpa District. [http://www.academia.edu/7897959/Utilization_of_Maternal_Health_Care_Services_Among_Dalit_ Women_of_Palpa_District]
[24]	Kulkarni AP, Barde JP. Text book of community medicine. 2nd Ed. Mumbai:Vora Medical Publishers; 1998.
[25]	Javali R, Wantamutte A, Mallapur MD. Socio-demographic factors influencing utilization of antenatal health care services in a rural area-A cross sectional study. Int J Med Sci Public Health 2014; 3: 308-12.
[26]	Roy MP, Mohan U, Singh SK, Singh VK, Srivastava AK. Determinants of utilization of antenatal care services in rural Lucknow, India. J Family Med Prim Care 2013;2: 55-9.
[27]	Khanam N et al.,A Longitudinal Study to Assess the Utilization of Maternal and Child Health Care in Different Areas of Wardha District, India. International Journal of Health Sciences & Research 2012 April;2(1):75-81.
[28]	Sahu D, Kushwah SS. Factors influencing maternal health in Rewa town. Indian J Community Med 2007;32(2):148.
[29]	Gyawali et al: Knowledge and practices on maternal health care among mothers: a cross sectional study from rural areas of mid-western development region, Nepal. Journal of the Scientific Society 2013:40(1):9-13.
[30]	Ram BB, Bimala et al. Utilization of maternal health care services in Belbari VDC of Eastern region of Nepal. Journal of Nobel Medical College 2011:1:53-58.
[31]	Pradhan PMS, Bhattarai S, Paudel IS, Gaurav K, Pokharel PK. Factors Contributing to Antenatal Care and Delivery Practices in Village Development Committees of Ilam District, Nepal. Kathmandu Univ Med J 2013;41(1):60-65.
[32]	Sahni b, Sobti S. Utilization of antenatal care among pregnant females registered at sub centre level in a rural area of Jammu in India. International J. of Healthcare and Biomedical Research 2013:1(4):269-278.
[33]	Singh P, Yadav RJ. Antenatal care of pregnant women in India. Indian J Community Med 2000;25(3):112-117.
[34]	Sathishchandra DM. A cross sectional study of utilization pattern of reproductive and child health services in the primary health centre area of Vantamuri[ Unpublished MD Dissertation RGUHS,Karnataka 2008].
[35]	Srilatha S, Remadevi S, Itty L, Vijayakumar K. Assessing the quality of antenatal care in Thiruvananthapuram district. Project report: KRPLLD-6/99; Jan 2002. Available from: http://www.krpcds.org/report/Sreelatha.pdfaccessed on 23-9-08.
[36]	Metgud CS. Health status of pregnant women in rural field practice area: A longitudinal study (Unpublished MD Dissertation RGUHS, Karnataka 2004).
[37]	Dasgupta S, Das P, Mandal NK, Karmakar RP, Ray RP, Mandal AK. A study on intranatal care practices in a district of West Bengal. Indian J Public Health 2006;50(1):5-18.
[38]	Venkatesh RR, Umakanth AG, Yuvaraj J. Safe motherhood status in the urban slums of Davangere City. Indian J Community Med 2005;30(1):6-8.
[39]	Lal S, Kapoor S, Vashisht BM, Punia MS. Coverage and quality of maternal and child health services at subcentre level. Indian J Community Med 2001;26(1):16-20.
[40]	Agarwal M, Idris MZ, Mohan U. Quality of reproductive health care at primary level. Indian J Community Med 2001;26(3):119-128.