National Journal of Community Medicine (Jun 2015)
Utilization Of Maternal Care Services in Urban Area: Still an Issue of Modern World
Abstract
Introduction: Inspite of ongoing efforts of the government, home deliveries are still reported in urban area where finance and dis- tance play minor role. The aim is to study the reasons regarding the barriers of health facility delivery system in Surat city of India. Methodology: Out of 1004 community based service providing centre of Surat 30 centres were selected by using cluster sampling design. In selected 30 Maternal and Child Day Care Centres, Sec- ond phase of sampling was done where household was sampling unit. A household survey was conducted to assess maternal and child healthcare status. Results: Among 322 surveyed mothers, 42 mothers delivered at home. Among the home delivered mother 93% was registered for antenatal care, however only 68% had completed 3 Ante natal visits. The most common reason cited by mothers for home deliv- ery was lack of time (45%) followed by family pressure or social custom; unfelt need for hospital delivery and lack of faith in hos- pital. Conclusion: Though the overall rate of home delivery was less, most of the reasons cited for the home delivery are avoidable, es- pecially when most mothers came into contact of health care sys- tem at least once.
