A Cross-sectional Study on Factors Influencing Utilization of Antenatal Care Services among Rural Women

H S Ravish, M P Ramya, . Nitu Kumari, Jithin Surendran, Nidhi Fotedar


Background: The essential package of antenatal services needed for averting maternal mortality is well known; the challenge lies in ensuring its delivery and utilization. The community-based monitoring of health services utilization is a key strategy to ensure that these services, has reached all the women, and helps in promoting community led action. Objectives: The objectives of the study were (1) to assess the pattern of utilization of antenatal services among rural women and (2) to study the factors influencing utilization of antenatal services. Methodology: A cross-sectional study was conducted in the 3 Primary Health Centers, namely, Sulikere and Kumbalgodu, which belongs to field practice area of Kempegowda Institute of Medical Sciences (KIMS), Bengaluru. Two hundred and ten women who had delivered a child within past 1 year were selected using cluster sampling technique. Details regarding the utilization of antenatal services and reasons for non-utilization of antenatal services were taken. All the obtained data were analyzed using descriptive statistics. Results: Out of 210 mothers, 129 (61.4%) had registered for antenatal care during first trimester. One hundred and sixty-three (77.6%) of them had received at least four antenatal check-ups and 201 (95.7%) have received two doses/booster dose of T.T; whereas only 136 (64.8%) had consumed ≥100 iron-folic acid tablets. The utilization of antenatal services was found to be significantly higher among higher socio-economic class, better literacy status, and among primiparous women. Conclusions: The antenatal services were incompletely utilized by the rural women. There is a need for improving community awareness on importance of antenatal care.

Key words: Antenatal services, factors, rural area, utilization, women

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