community based knowledge, attitudes and practice [KAP] study on the non or improper utilization of maternity services by Pakistani mothers

ABSTRACT

This survey was conducted to figure out the reasons and barriers being responsible for the non or under utilization of the existing facilities by the pregnant women and to propose solutions based on the analysis of the results obtained. For the stated purpose women residing in a slum area of Lahore were interviewed to examine their knowledge, attitudes, belief and practices related to pregnancy and delivery associated complications and towards maternity establishments. Of the 930 married women who were in active phase of reproductive life, 450 were selected randomly for interviewing. Responses of 432 were included for final analysis. About90% respondents were aware of the existence of nearby maternity services but 58% regarded them useless. Of the 432 interviewed, 53% had no knowledge of pregnancy related complications and attributed all mishaps to superstitious beliefs. About 73% women did not know or understand the importance of antenatal care. Home delivery by dais in squatting position in the presence of relatives was considered to be on ideal situation by 79% respondents. Resentment towards institutional births was shown due to lack of privacy, overwhelming hospital atmosphere, fear of operative delivery and lying position during birth. Most of the women were unaware of postpartum complications. Conclusions: From the responses obtained, causes of inadequate and improper utilization of available and accessible services were formulated and solutions proposed accordingly