Sharma Sandeep, Sarathi Mohanty Partha, Omar Ruchi, Viramgami Ankit P, Sharma Namita
Department of Epidemiology, ICMR-National JALMA Institute of Leprosy and Other Mycobacterial Diseases, Agra, Uttar Pradesh, India.
Department of Clinical Epidemiology, ICMR-National Institute of Occupational Health Ahmedabad, Gujrat, India.
J Family Reprod Health. 2020 Jun;14(2):95-101. doi: 10.18502/jfrh.v14i2.4351.
To assess the status of utilization of Maternal Health Care (MHC) services in slums of an industrialized city and elucidating the various determinants influencing the utilization. A Cross-sectional study using multi stage sampling methodology was conducted in slums of an industrialized city. The study participants were the women who had given a live birth in the last one year before 4 weeks of the study starts. Total one hundred eighty families were interviewed & analysed. The utilization of MHC services was poor as compared to national averages in urban slums. There was no association between age of mother, birth order, educational and occupational status of head of family with utilization of services while education and employment of mother, category and type of family, distance and time to reach health facility, were significantly associated. The reduction of maternal mortality and morbidity mostly depends on the utilization of MHC services. The findings of this study have important implications for improving utilization of maternal health care services.
评估工业化城市贫民窟中孕产妇保健（MHC）服务的利用状况，并阐明影响利用的各种决定因素。采用多阶段抽样方法在一个工业化城市的贫民窟进行了一项横断面研究。研究参与者是在研究开始前4周内最后一年有活产的妇女。共采访并分析了180个家庭。与城市贫民窟的全国平均水平相比，MHC服务的利用率较低。母亲年龄、生育顺序、户主的教育和职业状况与服务利用之间没有关联，而母亲的教育和就业情况、家庭类别和类型、到达医疗机构的距离和时间与服务利用显著相关。孕产妇死亡率和发病率的降低主要取决于MHC服务的利用。本研究结果对提高孕产妇保健服务的利用率具有重要意义。
