Utilization of maternal and neonatal care services in rural Lucknow: a community bases cross sectional study.
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Date
2016
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Abstract
Introduction: In India, report says that we failed to achieve the Millennium Development Goals. The maternal
mortality rate and infant mortality rate in developing regions are approximately 15 times higher than developed
countries. Hence safe delivery and essential newborn care, besides neonatal care in domestic setting and timely
referral for cases unmanageable are important areas to be addressed. This study was aimed to assess the current
pattern of utilization of maternal and neonatal care services in rural areas of Lucknow.
Material and Method: This community based cross sectional study was conducted in between August 2014 to
July 2015. Study site was rural area of Lucknow. The study unit was a recently delivered woman, defined as a
woman who gave live birth in last one year. A multi stage random sampling technique was used. We uses SPSS
version 17 for our statistical analysis.
Results: We interviewed 368 RDWs and found that 10.6 % of RDWs did not visit even once to health care
facility and almost 62% of registered RDWs were registered early. About 70% RDWs completed at least three
ANC visits, 67.7% received complete course of tetanus toxoid and 79.1% received at least one hundred of iron
and folic acid (IFA) tablets. Approximately 90% deliveries were conducted by qualified physicians in government
institution. There was a clear reduction in facilitating services by health care workers before and after delivery.
We found that age less than 30 years, higher socioeconomic strata, educational level higher than matriculation of
RDWs were likely to complete their ANC cares and these associations were statistically significant.
Conclusion: We are still far away from health for all. To achieve SDG, a multi prong approach is need of hour.
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Keywords
Antenatal care (ANC), recently delivered woman (RDW), rural Lucknow, sustainable development goals (SDG)
Citation
Yadav Arun Kumar, Gupta Pratibha, Shrivastava Mrinal Ranjan, Prakash Daya, Yadav Krishna Kumar, Srivastav Sushil. Utilization of maternal and neonatal care services in rural Lucknow: a community bases cross sectional study. National Journal of Medical and Allied Sciences. 2016; 5(2): 84-90.