Maternal and newborn health behaviors in rural Uttar Pradesh: Findings from learning phase baseline survey 2013

Khan, Mohsin; Agrawal, Pranjal; Hazra, Avishek; Dixit, Anvita; Bhatnagar, Isha; Ahmad, Jaleel; Ahmad, Danish

doi:10.31899/rh10.1020

Cited by 5 publications

(10 citation statements)

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“…The selection of districts was based on geographical diversity and duration of the existence of SHGs. A total of 15 blocks were selected with at least two from each of the districts [18]. This study protocol was reviewed and approved by the Institutional Review Board of the Population Council, New York.…”

Section: Methodsmentioning

confidence: 99%

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Utilization of maternal health services and its determinants: a cross-sectional study among women in rural Uttar Pradesh, India

Singh

Neogi

Hazra

et al. 2019

J Health Popul Nutr

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Background Proper utilization of antenatal and postnatal care services plays an important role in reducing the maternal mortality ratio and infant mortality rate. This paper assesses the utilization of health care services during pregnancy, delivery and post-delivery among rural women in Uttar Pradesh (UP) and examines its determinants. Methods Data from a baseline survey of UP Community Mobilization (UPCM) project (2013) was utilized. A cross-sectional sample of currently married women (15 to 49 years) who delivered a baby 15 months prior to the survey was included. Information was collected from 2208 women spread over five districts of UP. Information on socio-demography characteristics, utilization of antenatal care (ANC), delivery and postnatal care (PNC) services was collected. To examine the determinants of utilization of maternal health services, the variables included were three ANC visits, institutional delivery and PNC within 42 days of delivery. Separate multilevel random intercept logistic regressions were used to account for clustering at a block and gram panchayat level after adjusting for covariates. Results Eighty-three percent of women had any ANC. Of them, 61% reported three or more ANC visits. Although 68% of women delivered in a health facility, 29% stayed for at least 48 h. Any PNC within 42 days after delivery was reported by 26% of women. In the adjusted analysis, women with increasing number of contacts with the health worker during the antenatal period, women exposed to mass-media and non-marginalized women were more likely to have at least three ANC visits during pregnancy. Non-marginalized women and women with at least three ANC visits were more likely than their counterparts to deliver in an institution. Contacts with health worker during pregnancy, marginalization, at least three ANC visits and institutional delivery were the strong determinants for utilization of PNC services. Self-help group (SHG) membership had no association with the utilization of maternal health services. Conclusions Utilization of maternal health services was low. Contact with the health worker and marginalization emerged as important factors for utilization of services. Although not associated with the utilization, SHGs can be used for delivering health care messages within and beyond the group.

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Section: Methodsmentioning

confidence: 99%

“…Descriptive statistics were used to present socio-economic, demographic and household characteristics for all households, and also for SHG and non-SHG households separately. Socio-economic status of households, wealth index, was computed through principal component analysis using the variables of household amenities, assets and durables [18].…”

Section: Methodsmentioning

confidence: 99%

Utilization of maternal health services and its determinants: a cross-sectional study among women in rural Uttar Pradesh, India

Singh

Neogi

Hazra

et al. 2019

J Health Popul Nutr

Self Cite

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“…The peer effect in SHG groups other than access to credit, for example, was recently attributed by a study in India that showed increased school enrolment of members children as compared to non-members [48]. This is pertinent in the rural UP context where almost 70 per cent of women lack access to traditional sources of information through the media (television, radio, newspaper) coupled with gaps in the quality of health information provided through the public health system [49]. The membership appeal in SHGs for women and mothers can thus be understood.…”

Section: Maternal Health Indicators and Shg Membership And Durationmentioning

confidence: 99%

Participation in microfinance based Self Help Groups in India: Who becomes a member and for how long?

et al. 2020

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“…As per the Sample Registration Survey 2013 (SRS, 2013), the estimates of MMR and IMR of UP are at 292 per 100,000 live births and 50 per 1000 live births respectively. Current analyses are performed using data from the baseline learning phase of the Uttar Pradesh Community Mobilization (UPCM) Project [ 8 ] (the details of which are described below) to better understand the experiences of integrating FLWs into health systems to improve maternal and newborn outcomes in a setting such as UP.…”

Section: Introductionmentioning

confidence: 99%

Intensity of contact with frontline workers and its influence on maternal and newborn health behaviors: cross-sectional survey in rural Uttar Pradesh, India

Lyngdoh

Neogi

Ahmad

et al. 2018

J Health Popul Nutr

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BackgroundIndia is committed to improving maternal and newborn health in order to achieve the targets for India’s Millennium Development Goal 4. Considering their role as a link between community and health systems, frontline workers (FLWs) can be effectively utilized in strengthening maternal and newborn care. In this paper, we set out to examine the effect of intensity of contact with FLWs on key maternal and newborn health behaviors and to determine if this association varies by status of Self Help Group (SHG) membership.MethodsThis population-based cross-sectional study included 2208 currently married women aged 15–49 years who had delivered a baby during the last 15 months prior to the survey and selected through a multi-stage cluster sampling from rural villages and urban wards. The outcome of interest included variables related to key knowledge and practice of healthy behavior in relation to maternal and newborn health and exposure variable considered was intensity of contact with FLWs.ResultsOf the women interviewed, 1729 (78%) belonged to SHG household. For knowledge on the need for at least 3 antenatal care (ANC) check-ups, two tetanus toxoid (TT) injections and consumption of 100 or more iron-folic acid (IFA) tablets, proportion of those who were aware of these practices increased with increasing number of contacts with FLWs (P value < 0.001). Practice for TT injections showed an increasing trend with increasing number of contacts with FLW. An increase in the odds of delivering in an institution was observed in those who had higher number of contacts as compared to those with no contacts (P value < 0.001). With regard to newborn healthy behavior practice, breastfeeding within 1 h of delivery showed significant association and the odds of this practice improved in those who had ≥ 3 contacts with FLW as compared to those had no contacts. Except for consumption of 100 or more IFA tablets, there was no interaction of these associations by SHG status.ConclusionThere was an overall low prevalence of both knowledge and practice of key maternal and newborn healthy behaviors and only a few of these were associated with frequency of contacts with FLW. Findings not only highlight the urgent need for effectively leveraging FLWs to strengthen maternal and newborn care but also to improve the quality of services provided by them.Electronic supplementary materialThe online version of this article (10.1186/s41043-017-0129-6) contains supplementary material, which is available to authorized users.

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Maternal and newborn health behaviors in rural Uttar Pradesh: Findings from learning phase baseline survey 2013

Cited by 5 publications

References 4 publications

Utilization of maternal health services and its determinants: a cross-sectional study among women in rural Uttar Pradesh, India

Utilization of maternal health services and its determinants: a cross-sectional study among women in rural Uttar Pradesh, India

Participation in microfinance based Self Help Groups in India: Who becomes a member and for how long?

Intensity of contact with frontline workers and its influence on maternal and newborn health behaviors: cross-sectional survey in rural Uttar Pradesh, India

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