Maternal health-care utilization among women in an urban slum in Delhi

Agarwal, Paras; Singh, M. M.; Garg, Suneela

doi:10.4103/0970-0218.36829

Cited by 38 publications

(17 citation statements)

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“…The findings of our study also revealed that the likelihood of receiving PNC in literate women is significantly higher as compare to illiterate women, which again is in concordance with other studies showing that women from communities with higher level of education were more likely to receive PNC [14, 15]. Interventions to increase the use of postnatal services should target the uneducated, and those women who live in disadvantaged communities [16, 17]. …”

Section: Discussionsupporting

confidence: 91%

Low utilization of postnatal care: searching the window of opportunity to save mothers and newborns lives in Islamabad capital territory, Pakistan

Sultana¹,

Shaikh²

2015

BMC Res Notes

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BackgroundEach year an estimated 289,000 maternal deaths occur worldwide; of which 50 % of maternal deaths occur around labor, delivery and immediate postpartum period. Postnatal care (PNC) is crucial but relatively neglected component in the continuum of care, and hence a missing link toward safe motherhood. Despite the significant improvement in child health and safe motherhood interventions, maternal mortality ratio, perinatal mortality and neonatal mortality still remain a challenge in achieving the Millennium Development Goals 4 and 5 in Pakistan.MethodsThis was a descriptive cross sectional study carried out in the four union councils of Islamabad capital territory, to understand the determinants of postnatal health care seeking. The study sample comprised 225 postpartum women with a child 0 to 1 month of age, and the health care providers from both public and private sector. A pre-tested semi-structured questionnaire was used for data collection. One focus group discussion with health care providers was conducted, using open ended questions guide.ResultsOnly 30 % women received PNC; amongst which 68 % went to a government health facility. According to the health service providers, 90 % women are not interested in PNC, and that is because they lack awareness, face mobility and transportation issues, and cannot afford the cost of health care. Besides many other determinants, women’s education was significantly associated with the PNC utilization.ConclusionMore robust and culturally sensitive campaign on importance of PNC must be thought out by the national MNCH program to inform the less literate and peri urban inhabitants of Islamabad. Health providers ought to be sensitized and trained for promoting PNC to save maternal and newborn lives.

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Section: Discussionsupporting

confidence: 91%

Low utilization of postnatal care: searching the window of opportunity to save mothers and newborns lives in Islamabad capital territory, Pakistan

Sultana¹,

Shaikh²

2015

BMC Res Notes

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“…Women who had antenatal follow up were 1.72 times more likely to be aware than women who did not have antenatal follow up. Similar studies in India show that mothers who attend antenatal care (64.4 %) were more aware than women who did not have (33.3 %) antenatal care [22]. It’s also similar to studies conducted in Indonesia, Nepal and Uganda [7, 17, 23].…”

Section: Discussionsupporting

confidence: 73%

“…The participants in FGDs also raised these issues and stated that they affected the utilization of the service. Other studies on postpartum mothers revealed matching factors that have consequences for PNC utilization [17, 18, 22, 25–27]. …”

Section: Discussionmentioning

confidence: 99%

Knowledge, Perception and Utilization of Postnatal Care of Mothers in Gondar Zuria District, Ethiopia: A Cross-Sectional Study

Tesfahun¹,

Worku

Mazengiya

et al. 2014

Matern Child Health J

107

111

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Mothers and their newborns are vulnerable to illnesses and deaths during the postnatal period. More than half a million women each year die of causes related to pregnancy and childbirth. The majority of deaths occur in less developed countries. Utilization of postnatal care (PNC) service in Ethiopia is low due to various factors. These problems problem significantly hold back the goal of decreasing maternal and child mortality. To assess mothers’ knowledge, perception and utilization of PNC in the Gondar Zuria District, Ethiopia. Our study is a community-based, cross-sectional study supported by a qualitative study conducted among 15–49 years mothers who gave birth during the last year. A multistage sampling technique was used to selected participants; structured questionnaires and focus group discussions were used to collect data. Data were entered into EPI info version 3.5.1 and exported into SPSS version 16.0 for the quantitative study and thematic framework analysis was applied to the qualitative portion. The majority of the women (84.39 %) were aware and considered PNC necessary (74.27 %); however, only 66.83 % of women obtained PNC. The most frequent reasons for not obtaining PNC were lack of time (30.47 %), long distance to a provider (19.25 %), lack of guardians for children care (16.07 %), and lack of service (8.60 %). Based on the multivariate analysis, place of residence (AOR 2.68; 95 % CI 1.45–4.98), distance from a health institution (AOR 2.21; 95 % CI 1.39–3.51), antenatal care visit (AOR 2.60; 95 % CI 1.40–5.06), and having decision-making authority for utilization (AOR 1.86; 95 % CI 1.30–2.65) were factors found to be significantly associated with PNC utilization. Mothers in the study area had a high level of awareness and perception about the necessity of PNC. Urban women and those who displayed higher levels of autonomy were more likely to use postnatal health services.

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“…We also did not find any significant indirect effect through exposure to IYCF information for workload except for a small effect with early initiation. Research related to health‐seeking behaviour or healthcare utilization in India, Vietnam and Ethiopia show that heavy workload and time constraints limit a woman's ability to seek care (Duong et al, ; Garg, Agarwal, & Singh, ; Kabir & Maitrot, ). Future research can help our understanding of specific aspects of women's time allocation for care practices that may relate most to IYCF practices.…”

Section: Discussionmentioning

confidence: 99%

Women's bargaining power and child feeding in Nepal: Linkages through nutrition information

Kulkarni

Frongillo

Cunningham

et al. 2019

Maternal & Child Nutrition

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Women's intra-household bargaining power is an important determinant of child nutritional status, but there is limited evidence on how it relates to infant and young child feeding (IYCF) practices. We conducted a cross-sectional analysis using 2012 baseline data from the impact evaluation of Suaahara, a multisectoral programme in Nepal, focusing on households with children 0-23 months (n = 1787). We examined if women's bargaining power was related to exposure to IYCF information and if exposure to IYCF information was in turn associated with improved IYCF practices: early initiation of breastfeeding, exclusive breastfeeding, minimum meal frequency and dietary diversity. Bargaining power consisted of four domains: (i) ownership and control of assets; (ii) social participation; (iii) workload; and (iv) household decision-making control and were primarily measured using additive scales. We used generalized structural equation modelling to examine if exposure to IYCF information mediated the relationship between the bargaining domains and the four IYCF practices, separately. Social participation was positively associated with exposure to IYCF information (β = 0.266, P < .001), which in turn was related to early initiation (β = 0.241, P = .001). We obtained similar results for the relationship between social participation and dietary diversity. Decision-making control was directly associated with exclusive breastfeeding (β = 0.350, P = .036). No domains were associated with minimum meal frequency. Different domains of women's bargaining power may relate to exposure to nutrition information and IYCF behaviours. Understanding specific domains of bargaining power is critical to developing interventions that can effectively address gender-related issues that underlie child nutrition outcomes.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Maternal health-care utilization among women in an urban slum in Delhi

Cited by 38 publications

References 0 publications

Low utilization of postnatal care: searching the window of opportunity to save mothers and newborns lives in Islamabad capital territory, Pakistan

Low utilization of postnatal care: searching the window of opportunity to save mothers and newborns lives in Islamabad capital territory, Pakistan

Knowledge, Perception and Utilization of Postnatal Care of Mothers in Gondar Zuria District, Ethiopia: A Cross-Sectional Study

Women's bargaining power and child feeding in Nepal: Linkages through nutrition information

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