Community Medicine, Institute of Medical Sciences, BHU, Varanasi.
Indian J Public Health. 2009 Jul-Sep;53(3):183-9.
To assess the various factors influencing utilization and non-utilization of RCH services and extent of client satisfaction.
A cross-sectional study was conducted during October to December 2008 at two selected blocks of Varanasi district, Uttar Pradesh. Principal study subjects were 509 women having children less than 12 months old, selected through a multistage sampling technique. Data were collected through in-depth interview and Focus Group Discussions conducted among the beneficiaries of the services.
The study revealed that utilisation of the RCH services in the government facilities was higher among the backward classes than the general category; higher the level of education the lower was the utilisation of government services. Over all, 16% of the respondents were not satisfied with government facilities. 25% of the SC category was not satisfied with the services in spite of being the main users. Among RCH services utilization was highest (89%) for antenatal care services (ANC). 41.6% respondents did not receive any Post Natal Care (PNC) after their most recent birth. About 30% deliveries were at home out of which only 10% received PNC whereas out of 70% institutional deliveries about 80% received PNC. Overall 16.3 % of the respondents were not satisfied with the services provided by government health facilities. Around 16% and 14% were not satisfied with the behavior of medical officer and the health workers respectively and non-satisfaction was highest among SC category.
All health facilities need to be made functional according to Indian Public Health Standards (IPHS) of NRHM.
评估影响 RCH 服务利用和未利用的各种因素以及客户满意度的程度。
2008 年 10 月至 12 月在北方邦瓦拉纳西县的两个选定街区进行了一项横断面研究。主要研究对象是 509 名年龄在 12 个月以下的儿童的妇女，通过多级抽样技术选择。通过对服务受益人的深入访谈和焦点小组讨论收集数据。
研究表明，在政府设施中，RCH 服务的利用在落后阶层中高于一般阶层；教育水平越高，政府服务的利用率越低。总体而言，16%的受访者对政府设施不满意。尽管是主要使用者，但 25%的 SC 类别对服务不满意。在 RCH 服务的利用中，产前护理服务（ANC）最高（89%）。41.6%的受访者在最近一次分娩后没有接受任何产后护理（PNC）。约有 30%的分娩是在家里进行的，其中只有 10%接受了 PNC，而在 70%的机构分娩中，约有 80%接受了 PNC。总体而言，16.3%的受访者对政府卫生设施提供的服务不满意。约 16%和 14%的受访者对医生和卫生工作者的行为不满意，SC 类别最不满意。
所有卫生设施都需要按照国家农村卫生使命的印度公共卫生标准（IPHS）进行运作。
