The quality of antenatal care services in Shivrajpur block of district Kanpur: a community based survey

Abstract

Background: India is amongst the top five countries in terms of absolute numbers of maternal deaths. In Uttar Pradesh MMR is even higher than national average. In spite of better utilisation of antenatal services, pregnancy outcome is not significantly improving. Reason behind it is that worrying gaps in quality of antenatal care exist which lead to poor effectiveness of ANC in practice. Methods: In the present study quality of antenatal care services utilised by 286 recently delivered women (RDWs) in last one year in Shivrajpur block of district Kanpur was conducted from August 2012 to July 2013. A predesigned questionnaire was used for data collection. Information regarding age, parity, and detailed history of antenatal care & place of antenatal care were collected after taking verbal consent. Results: Majority (76.1%) of women were within 20 to 30 year of age who had delivered in last one year while 13.6% of women were within 20 year of age. In present study we find 91.9% coverage of antenatal care which was based on receiving at least one antenatal checkup. Majority (73.1%) of women received antenatal care from public facility (SC/PHC/CHC/Govt. Hospital). Out of 263 RDWs who received ANC, three-fourths had weight measurement (74.9%), their abdomen examined (76.4%) and hemoglobin estimation (69.6%) done. Less than two-thirds had height (60.8%) and blood pressure measured (66.2%). Nearly one of the two RDWs had urine examination (50.2%) and told about pregnancy complications & danger signs. Only 14.8% RDWs consumed 100 IFA tablet. TT injection was received by 79.5% of RDWs. Full ANC was taken by only 16.3% RDWs. Conclusion: Poor qualities of antenatal have a limited potential to affect maternal mortality. High-risk screening during antenatal care, as a means of identifying women for facility-based intra-partum care, is not effective for women who subsequently failed to obtain complete package of antenatal care.

Utilization of antenatal services under Pradhan Mantri Surakshit Matritva Abhiyan in rural area of North Karnataka: a cross-sectional study

“…Hb estimation was done for 69.6% and urine examination for 50.2% of patients as compared to 100% and 86.5% respectively as reported in our study. 10 A study in Manguluru by C.S.Vishnu et al on the utilization of antenatal services and supplementary nutrition during pregnancy reported similar findings for antenatal registration, weight and BP measurement and TT injection. 95% and 65% of patients had received advice on nutrition and birth preparedness as compared to 94.2% and 90.4% respectively in our study.…”

“…The popularity of antenatal care services in the rural community has been encouraging. 3 With the implementation of Janani Suraksha Yojana and Janani Shishu Suraksha Karyakaram, within a short span of time significant progress was observed in the maternal health care service indicators like institutional deliveries and antenatal care coverage. As per latest data of the Rapid Survey on Children (2013-14), the institutional deliveries in India are 78.7%.…”

Evaluation of maternal care at different level of health care facilities and referral scenario in Northern Madhya Pradesh and its effect on fetomaternal outcome

“…They documented poor quality of antenatal services at primary and community health centre. 10 Appropriate ANC improves pregnancy outcomes. The primary care facilities include sub centres, PHC and CHC, in ascending order of level of obstetric care provided.…”

A study on utilization of maternal and infant health services in rural area of district Kanpur Nagar

“…12 Despite of having appropriate maternal and child healthcare policies in place the country faces significant regional inequities in reproductive health. 13 These inequities strongly determines the healthcare service utilization. 14 The present study will assess the utilization of health care services during pregnancy, delivery and post-delivery and infant diseases among rural women in Kanpur and examine its determinants.…”