Are we really making motherhood safe? A study of provision of iron supplements and emergency obstetric care in rural Maharashtra.

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dc.contributor.authorChaturvedi, Sarikaen_US
dc.contributor.authorRanadive, Bharaten_US
dc.date.accessioned2007-11-14en_US
dc.date.accessioned2009-06-03T05:27:31Z
dc.date.available2007-11-14en_US
dc.date.available2009-06-03T05:27:31Z
dc.date.issued2007-11-14en_US
dc.description.abstractBACKGROUND: The Government of India launched the National Rural Health Mission (NRHM) in 2005 to improve healthcare delivery and strengthen the public health system. Prevention and management of anaemia during pregnancy and access to quality emergency obstetric care services are important factors in reducing maternal mortality, which is a priority goal in the NRHM. We studied the ground realities specific to the availability of maternity services in the public health system of Maharashtra. METHODS: The study was done in the rural areas of Ahmednagar district in Maharashtra in 2006. Data regarding the number and place of deliveries, and details regarding iron supplements received and used were collected from 14 primary health centres selected by a stratified random method. Data regarding the number of caesarean section operations conducted in 3 selected rural hospitals and the availability of iron supplements at the district headquarters were also obtained. Three questionnaires were used in the format prescribed under the Right to Information Act of the Government of India, 2005. RESULTS: No iron supplement was available during the entire year in 21% of primary health centres. Iron supplements were available for 1-4 months, 5-8 months and 9-11 months, in 4, 3 and 4 primary health centres, respectively. The district headquarters did not receive supplies of iron supplements during the year from higher authorities. No caesarean sections were done in any of the selected rural hospitals during 2006. The proportion of deliveries that took place in primary health centres and subcentres, at home, and at private healthcare facilities was 1:1.5:5. CONCLUSION: Essential supplies such as iron supplements are in short supply and emergency obstetric care services are nonexistent in the public health system in our study area. The NRHM needs to address the ground realities to make motherhood safe.en_US
dc.description.affiliationFoundation for Research in Community Health, At/p Relegan Siddhi, Taluka Parner, Ahmednagar, Maharashtra, India. sarika_bharat@rediffmail.comen_US
dc.identifier.citationChaturvedi S, Ranadive B. Are we really making motherhood safe? A study of provision of iron supplements and emergency obstetric care in rural Maharashtra. National Medical Journal of India. 2007 Nov-Dec; 20(6): 294-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/118381
dc.language.isoengen_US
dc.source.urihttps://www.nmji.inen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshDelivery, Obstetricen_US
dc.subject.meshDietary Supplementsen_US
dc.subject.meshEmergency Medical Services --utilizationen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Services Accessibilityen_US
dc.subject.meshHealth Statusen_US
dc.subject.meshHealth Surveysen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshIron Compounds --therapeutic useen_US
dc.subject.meshMaternal Health Services --utilizationen_US
dc.subject.meshMaternal Welfareen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPublic Healthen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshRural Populationen_US
dc.subject.meshSafetyen_US
dc.titleAre we really making motherhood safe? A study of provision of iron supplements and emergency obstetric care in rural Maharashtra.en_US
dc.typeJournal Articleen_US
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