Utilization of antenatal care in Madhya Pradesh, India
Document type: mthesis
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Abstract:
INTRODUCTION: Improving the utilization of antenatal care services is a global challenge for the health system in low and middle income countries. Antenatal care is one of preventive health care to diagnose early the morbidity during the pregnancy and plan to avert any complication to mother and new born during delivery. During the pregnancy it is very essential and important to have antenatal care consultation as soon as possible. OBJECTIVE: To describe the factors affecting the utilization of antenatal care services in the state of Madhya Pradesh and recommend appropriate measures to improve the utilization. METHODOLOGY: Review of literature. The conceptual framework for this analysis using the health seeking behaviour model; the Five ‘A’s Model, Availability, Accessibility, Affordability, Acceptability/Accommodation. RESULTS & DISCUSSION: The literacy of women is found to be important factor in utilizing the antenatal care. The distance to health facility and the time taken to reaching the facility are important determinants in seeking the antenatal care. The acceptability of the provider services depends on the satisfaction of the service and this is a major factor in utilization of health service in general. The religion, caste have important role in utilization of antenatal care. Muslim women tend to use less likely due to privacy. Lack of women autonomy is another barrier for no utilization or low utilization of antenatal care in several Asian studies and in African studies. CONCLUSION: The health seeking for antenatal care is influenced by education of the women, Place of residence (Urban/Rural), transportation difficulties in rural areas, perception of problems during pregnancy in multi-para and high birth order women. RECOMMENDATIONS: More emphasis on socioeconomic inequities, Implementation and evaluation of interventions, Strengthen antenatal care as recommended by WHO, Strengthening of ongoing female education.
Authors:
Dolla, C.K.
Country:
India
Category:
Research
Department:
Development Policy & Practice
Institute:
KIT (Royal Tropical Institute)
Keywords:
health services
,
women
,
reproductive health
Language:
eng
Organization:
KIT - Royal Tropical Institute
PAGE:
47
Year:
2008
Region:
South Asia
Right:
© 2008 Dolla
Subject:
Health and Nutrition
Title:
Utilization of antenatal care in Madhya Pradesh, India
Training:
Master of Public Health / International Course in Health Development (ICHD)