ABSTRACT
Background: This study was done to report on adequate antenatal care services owing to the impact of IEC intervention among deprived Baiga tribal women. Methods: Intervention study of 367 tribal women having a reproductive age of 15 to 49 year of 24 villages from district-Dindori. Pre-tested, administered intervention tools were implemented in intervention groups (12 villages) to enhance women's knowledge for the use of ANC services (phase-I) and in phase-II impact evaluation survey of mother’s antenatal care utilization and related details were collected from mothers of both intervention and control group. Based on baseline indicators, a carry forward IEC-intervention study was taken considering the case-control design. Logistic regression analysis was used to identify the associated factors. Results: Use of ANC services 82.3% was found to have increased by 10.3% from baseline (72%); it was found significantly higher (88%) in the intervention group while lower (76.1%) in the control group. As regards 60% women received more than 3 ANC check-ups remarkably higher by 13% in the intervention group. Health institution child births 44.8% were found meaningfully improved by 36.8% from baseline (8%); also, it was revealed higher (49.7%) in the intervention group than lower (40%) in the control group. Women’s education and exposure of previous pregnancy has found strong association with adequate antenatal care in intervention groups. Conclusions: A comparatively high proportion of the use of ANC services and institutional child birth were found in the intervention group. Improving the access to more quality health services in other tribal communities may necessitate the intervention research.
ABSTRACT
Background: In India, 17 per cent or nearly 50,000 of 2.89 lakh women died as result of complication due to pregnancy in 2013. In past decade, many studies have revealed low utilization of health services by different segments of society for varying reasons. This study was conducted to assess the utilization pattern of ANC services by the pregnant women in a rural area. The objectives of the study were to assess the pattern of utilization of ANC services by pregnant and recently delivered women; to study the association between socio-demographic factors and utilization pattern among recently delivered women.Methods: A community based cross-sectional study conducted at the rural health training centre in Kancheepuram district, Tamil Nadu among pregnant women and recently delivered women using pre-designed and pre-tested questionnaire. The entire registered pregnant mothers were included for the study and survey was done through house to house visit and the analysis was done using SPSS 21.Results: Out of 170 study participants, majority 132 (77.6%) of them had their antenatal check-up at primary health centre, 138 (81.2%) have received the IFA tablets and 139 (81.8%) had early antenatal registration. And most of the study participants 108 (63.5%) did not utilize anganwadi for health education and supplementary nutrition. Number of IFA tablets consumption by mothers was significantly associated with literacy and socio-economic status of the mother with p value of 0.03 and 0.002 respectively.Conclusions: Our study results showed that better ANC services utilization pattern in our study area except anganwadi utilization.