ABSTRACT
Background: Death registration has been made compulsory under the RBD Act 1969 as it acts as a back bone for planning services and formulates policies. According to CRS 2013, at national level, 70.9% of deaths were registered which is far from magic figure of 100% despite of concerted efforts of government. So this study was conducted to assess the coverage of death registration and its delays. Methods: A cross sectional study was conducted over a period of one year where 332 households(166 each from urban and rural area reporting deaths in last two years were included in study after taking informed written consent. Relevant information was collected using a predesigned and pretested questionnaire by house to house survey. Coverage was calculated with possession of death certificate. Data was compiled and analyzed using EpiInfo07 (CDC, Atlanta, USA). Results: Out of 332 deaths, 245 (74%) out of which only140 (57%) possessed the death certificate. The main cause of death was cardiac diseases. Maximum coverage was seen in the age group 41-60 years. Delay in registration was seen in 48% with significantly higher proportion in rural area (59%) than in urban area (40%). Reasons for delay were time constraints, lack of knowledge and financial constraints. Socio demographic variables like religion, caste, type of family, family size and SES were not found to be associated with delay. Conclusions: The coverage of death registration was comparatively higher than national data and delay was observed in about half of the death registration coverage
ABSTRACT
Background: Health inequity is becoming an emerging issue all over the world. Improving maternal health is one of the UN Millennium Development goals. Pregnant women inhabiting urban slums are a “high risk” group with limited access to health facility. Objective: To study the socio economic profile of the mothers and to study the differentials in utilization of maternal health care by the beneficiaries. Study Design: Descriptive, observational cross-sectional field based study in two purposively selected urban slums of district Dehradun. Results: About 70.9% of mothers belonged to social class II and III and 66% of them belonged to nuclear families. Teenage pregnancy was seen in 8.5%. 93.8% of women received complete antenatal care, majority preferring government hospitals. 93.2% of the women received 100 IFA tablets or more but only 63.7% consumed them for 100 days. Majority of the deliveries were institutional and 79.9% were conducted by trained personnel. About 68.5 % received postnatal care. Conclusion: Although usage of ANC service was high, opportunity to deliver important health services was not fully utilized. Policy and programme to improve the quality and care of antenatal mothers, especially for the poor and under privileged are essential to improve maternal health care. Special interventions should be undertaken on priority basis so as to achieve millennium developmental goals in all population groups.