Socio economic differentials in utilization of maternal health care services: A study in urban slums of District Dehradun

Authors

  • Ashok Kumar Srivastava Himalayan Institute of Medical Science, Swami Rama Himalayan University, Swami Rama Nagar, Doiwala, Dehradun
  • Surekha Kishore All India Institute of Medical Sciences, Rishikesh
  • Preeti Padda Guru Gobind Singh Medical College & Hospital, Faridkot

DOI:

https://doi.org/10.3329/bjms.v14i3.18478

Keywords:

urban slums, antenatal care, skilled delivery care, institutional deliveries

Abstract

Background: Health inequity is becoming an emerging issue all over the world. Improving maternal health is one of the UN Millennium Development goals. Pregnant women inhabiting urban slums are a high risk group with limited access to health facility.

Objective: To study the socio economic profile of the mothers and to study the differentials in utilization of maternal health care by the beneficiaries.

Study Design: Descriptive, observational cross-sectional field based study in two purposively selected urban slums of district Dehradun.

Results: About 70.9% of mothers belonged to social class II and III and 66% of them belonged to nuclear families. Teenage pregnancy was seen in 8.5%. 93.8% of women received complete antenatal care, majority preferring government hospitals. 93.2% of the women received 100 IFA tablets or more but only 63.7% consumed them for 100 days. Majority of the deliveries were institutional and 79.9% were conducted by trained personnel. About 68.5 % received postnatal care.

Conclusion: Although usage of ANC service was high, opportunity to deliver important health services was not fully utilized. Policy and programme to improve the quality and care of antenatal mothers, especially for the poor and under privileged are essential to improve maternal health care. Special interventions should be undertaken on priority basis so as to achieve millennium developmental goals in all population groups.

Bangladesh Journal of Medical Science Vol.14(3) 2015 p.280-285

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Author Biographies

Ashok Kumar Srivastava, Himalayan Institute of Medical Science, Swami Rama Himalayan University, Swami Rama Nagar, Doiwala, Dehradun

Professor, Department of Community Medicine

Surekha Kishore, All India Institute of Medical Sciences, Rishikesh

Professor, Department of Community Medicine

Preeti Padda, Guru Gobind Singh Medical College & Hospital, Faridkot

Associate Professor, Department of Community Medicine

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Published

2015-06-20

How to Cite

Srivastava, A. K., Kishore, S., & Padda, P. (2015). Socio economic differentials in utilization of maternal health care services: A study in urban slums of District Dehradun. Bangladesh Journal of Medical Science, 14(3), 280–285. https://doi.org/10.3329/bjms.v14i3.18478

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Section

Original Articles