Study of utilization of postnatal care services in tribal area, Maharashtra

Abstract

Background: The postpartum period, or puerperium, starts about an hour after the delivery of the placenta and includes the following six weeks. Care during the puerperium is often described as the "Cinderella" of maternity care. In developing countries, the need for care and support after birth was, until recently, less well recognized. Despite its importance, this period is generally the most neglected. Aims & Objectives: To study factors influencing utilization of health services in postnatal period in study area. Materials and Methods: It is a community based, cross sectional study, carried out in a primary health center of Thane district, Maharashtra. Data was collected by using standard validated questionnaires, based on District level household survey (DLHS) of Reproductive and child health (RCH) Round II, Phase II, 2004 woman's questionnaire. It was suitably modified to meet objectives of study and was pilot-tested. Results: 28 study subjects received home visit during postnatal period. Out of 28, 4 received 2 postnatal visits. 16 study subjects went to primary health center or sub center for postnatal checkup. 28 mothers didn't feel the need for postnatal checkup. 15 women said that they were not informed by ANM about postnatal care, otherwise they would have gone for it. Conclusion: Working women utilized the postnatal service more. This may be because working women are able to spend for travelling expenses for going to primary health center.

<p>Prevalence and Associated Factors of Early Postnatal Care Service Use Among Mothers Who Had Given Birth Within the Last 12 Months in Adigrat Town, Tigray, Northern Ethiopia, 2018</p>

“…Overall, these findings confirm previous reports 9,12,13,23 that health workers in Africa largely advise mothers to return for postnatal care at 6 weeks, a period when maternal and newborn deaths are lower compared to the first 7 days after delivery. 25 This study can be implicated to the MOH, regional health bureau and other health-care organizations to create opportunities; suggest practical actions to strengthen PNC at the health facility, through outreach, and in the community, during the early postnatal period.…”

“…10 Different Studies point ed out that, education of mother, occupation of mothers, education of husband, place of delivery, the person conducting delivery and level of knowledge of mother about the need of a postnatal check-up, distance, number of antenatal care visit, household income, awareness of early postnatal care service, length of hospitalization after delivery, the experience of PNC utilization, an appointment given for PNC, delivery complication, mode of delivery were the factors that affect the early postnatal care service use. 8,9,[11][12][13][14][15] The health of the mother, newborn, and children are among the priorities placed in Ethiopia's National Health-Care Quality Strategy for 2016-2020 with the motivating goals to reduce the maternal mortality ratio (MMR) from 412 to 199 per 100,000 live births, the neonatal mortality rate (NMR) from 28 to 10 per 1,000 live births and stillbirth rate from 18 to 10 per 1000 births by 2020. 16 Hence, this study's findings, along with other research findings, would contribute to designing effective plans to alleviate determinant factors of postnatal care service utilization.…”

Evaluation of home based postnatal care provided by accredited social health activist worker in a rural community of Haryana: a cross-sectional study

“…Bhaisare et al reported that advice on personal hygiene was given to 31% of mothers. 4 Comparable to the present study a report by Varghese et al mentioned that in Orissa 92% mothers were counselled for rest by ASHA workers during postnatal visits. 5 Chimtembo reported that midwives counselled all postnatal women about personal hygiene and nutrition practices.…”

Assessment of Home Based Newborn Care provided by ASHA worker in a Rural Block of Haryana

“…Fathima et al, [10] and Sinha et al, [6] assessed that the 84% mothers and 95% mothers respectively were advised on immunization by ASHA workers, whereas, Bhaisare et al, [5] revealed only 35% mothers and 37% mothers received advice regarding immunization and initiation of breastfeeding respectively from ASHA workers which was very low as compared to present study. This difference might be because Bhaisare et al, [5] conducted the study in a tribal area of Maharashtra It is seen that if health functionaries imparts better knowledge of immunization to mothers that improve immunization coverage [8,9].…”

“…The present study assessed that weight and temperature of the baby was recorded correctly by ASHA workers in more than 85% and 73% of babies respectively. Similar assessments were assessed by different studies in our country [5,6,7].…”