Utilization of maternal health care services and their determinants in Karnataka State, India

Vidler, Marianne; Ramadurg, Umesh Y; Charantimath, Umesh; Katageri, Geetanjali; Karadiguddi, Chandrashekhar; Sawchuck, Diane; Qureshi, Rahat; Dharamsi, Shafik; Joshi, Anjali; Dadelszen, Peter von; Derman, Richard J.; Bellad, Mrutyunjaya; Goudar, Shivaprasad S.; Mallapur, Ashalata

doi:10.1186/s12978-016-0138-8

Cited by 69 publications

(85 citation statements)

References 14 publications

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“…Space constrained labour-rooms and obstructions caused by the use of curtain in attending to multiple women simultaneously have been cited as potential reasons that providers do not use curtains for privacy [11,52–54]. Facility cleanliness in terms of clean linen in the wards, with frequent cleaning of the wards and toilets was a significant determinant of women’s overall satisfaction of services, which often are irregular and disorganised [55–59]. Management of complications as necessary, in addition to good health of the mother and child, are the most desirable aspect of care expressed by the women in this study as well as others,, as these elements affect their health and survival [27,37,41].…”

Section: Discussionmentioning

confidence: 99%

Do women’s perspectives of quality of care during childbirth match with those of providers? A qualitative study in Uttar Pradesh, India

Bhattacharyya

Srivastava

Saxena

et al. 2018

Global Health Action

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Background: Persistently high maternal mortality levels are a concern in developing countries. In India, monetary incentive schemes have increased institutional delivery rates appreciably, but have not been equally successful in reducing maternal mortality. Maternal outcomes are affected by quality of obstetric care and socio-cultural norms. In this light there is need to examine the quality of care provided to women delivering in institutions. Objective: This study aimed to examine pregnant women’s expectations of high-quality care in public health facilities in Uttar Pradesh, India, and to contrast this with provider’s perceptions of the same, as well as the barriers that limit their ability to provide high-quality care. Methods: A qualitative descriptive analysis was conducted on data from two studies – focus group discussions with rural women in their last trimester of pregnancy (conducted in 2014) to understand women’s experience and satisfaction with maternal care services, and in-depth interviews with care providers (conducted in 2016–17) to understand provision of person-centred care. Provider perspectives were matched with themes of women’s perspectives on quality of childbirth care in facilities. Results: Major themes of care prioritised by women included availability of doctors at the facility; availability of medicines; food; ambulance services; maintenance of cleanliness and hygiene; privacy; good and safe delivery with no complications; client-provider interaction; financial cost of care. Many women also voiced no expectation of care, indicating disillusionment from the existing system. Providers concurred with women on all themes of care except availability of doctors, as they felt that trained nurses were proficient in conducting deliveries. Conclusions: This study shows that women have clear expectations of quality care from facilities where they go to deliver. Understanding their expectations and matching them with providers’ perspectives of care is critical for efforts to improve the quality of care and thereby impact maternal outcomes.

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Section: Discussionmentioning

confidence: 99%

Do women’s perspectives of quality of care during childbirth match with those of providers? A qualitative study in Uttar Pradesh, India

Bhattacharyya

Srivastava

Saxena

et al. 2018

Global Health Action

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show abstract

“…[1][2][3][20][21][22][23][24][25][26] A study done in Rohilkhand region by Srivastava, A et al in 2014 also identified a number of demographic and socio-economic factors such as education, religion etc. to be the major causes of poor utilization of primary health care services.…”

Section: Acknowledgementmentioning

confidence: 99%

“…The finding was supported by other studies and the association of parity with the ANC utilization of maternal health care services was found to be statistically significant. [2][3]21,17 The reason could be mothers with lesser number of child (esp. with the first child) are more cautious and concerned about pregnancy and thus likely to undertook healthcare visits.…”

Section: Acknowledgementmentioning

confidence: 99%

A Study on Utilization of Maternal Health Services and Factors Influencing the Utilization in Urban Slums of Lucknow

Chopra¹,

Jauhari²,

Dhungana³

2018

IJMEDPH

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“…But women in most countries dropout before completing the full component of maternity continuum of care [3].In many countries, there is a significant dropout among women who had ANC visitbefore getting other subsequent maternal health care services [5,6]. This dropout or failure to access skilled birth attendants and postnatal care results for compromised health and wellbeing of both the mother and newborn [7].…”

Section: Introductionmentioning

confidence: 99%

Dropout from maternity continuum of care and associated factors among women in Debre Markos town, Northwest Ethiopia

Amare

Araya

Asaye

2019

Preprint

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Introduction: Maternity continuum of care is the continuity of maternity health care services that a woman uses antenatal care, skill birth attendant, and postnatal care. This Continuum of care in maternal health has become one of the government concern and program for planning and evaluating strategies within currently existing maternal health system of Ethiopia. It is an important intervention in reducing maternal and neonatal morbidity and mortality. However, there is no clear information on the proportion of dropout from maternity continuum of care in Ethiopia. Objective:The aim of this study was to assess proportion and associated factors of dropout from maternity continuum of care among mothers who gave birth in the last 12 months in Debre Markos town, Northwest Ethiopia, 2018. Methods:A community-based cross-sectional study with cluster sampling technique was conducted among 605 mothers who gave birth in the last 12 months in Debre Markos town. The data were collected from August 1-30/ 2018 by face to face interview through pretested and semi-structured questionnaire. Binary logistic regressions (Bivariable and Multivariable) logistic regression model were done. In multivariable analysis variables with P-value < 0.05 in 95% confidence interval for Adjusted odds ratio (AOR) was used to determine factors associated with dropout from maternity continuum of care. Results:The proportion of drop out from maternity continuum of care was found to be 32.2 %( 95%CI: 28.4-36.2). Have not exposure to media (AOR= 2.62, CI: 1.465-4.675), women who heard about PNC (AOR= 0.07, 95%CI: 0.035-0.154), unplanned pregnancy (AOR= 3.40, CI: 1.114-10.389), and having<4 ANC follow up (AOR = 3.0 3, CI: 1.963-4.685) were statistically significant variable with the dropout from maternity continuum of care. Conclusion and recommendationsIn this study, the proportion of dropout from maternity continuum of care is found to be high. The greatest gap and predictors for dropout was observed at postnatal care level, to reduce this drop out interventions on specified associated factors need to be implemented.

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Utilization of maternal health care services and their determinants in Karnataka State, India

Cited by 69 publications

References 14 publications

Do women’s perspectives of quality of care during childbirth match with those of providers? A qualitative study in Uttar Pradesh, India

Do women’s perspectives of quality of care during childbirth match with those of providers? A qualitative study in Uttar Pradesh, India

A Study on Utilization of Maternal Health Services and Factors Influencing the Utilization in Urban Slums of Lucknow

Dropout from maternity continuum of care and associated factors among women in Debre Markos town, Northwest Ethiopia

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