Résumé
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.
Résumé
Abstracts: Background: Cost studies are paramount for demonstrating how resources have been spent and identifying opportunities for more efficient use of resources. The aim of this study was to determine the unit cost of maternal and child health (MCH) programme provided at Primary Health Centers (PHCs) and to examine the variation in unit cost in different PHCs. Methodology: The present study was carried out in three PHCs of Ahmedabad district namely Sanathal, Nandej, and Uperdal, between 1 April, 2006 and 31 March, 2007. For estimating the cost of a health program, information on all the physical and human resources that were basic inputs to the PHC services were collected and grouped into two categories, non-recurrent (capital resources vehicles, buildings, etc.) and recurrent resources (salaries, drugs, vaccines, contraceptives, maintenance, etc.). To generate the required data, two types of schedules were developed, daily time schedule and PHC/SC (Subcenter) information schedule. Results: Unit cost for each contact of MCH beneficiaries was Rs. 54.87 at Sanathal PHC, Rs. 87.63 at Nandej PHC and Rs. 70.01 at Uperdal PHC. Conclusion: Even though maternal and child health services are free, utilization of these services at the health centres were low, particularly for delivery, leading to high unit costs.