Status of the Utilisation of Maternal Health Care Services In Rural Arunachal Pradesh A case Study of Mebo Sub-Division
The status of health care services is one of the critical measures particularly mother’s health. It is important to the communities, families and the nation due to its immediate effects on the health of the mother and survival of the new born.Maternal health care includes antenatal care (ANC), Safe Delivery and Postnatal Care (PNC). Timely Investigation of the health of the mother is essential in order to prevent and diagnosis the likely complications and problems that may develop in the process of child birth. Despite the various interventions of the government to provide better health care services to the pregnant woman, access to these services remain low particularly in rural areas. This paper is an attempt to study status of the utilisation of maternal health care services and the various factors associated with the utilisation of it in rural Arunachal Pradesh.
Methods: The Study is descriptive in nature and cross sectional in design. Sample size was determined by the number of households in a particular village. From each selected villages 15 percent of the households were covered. The total number of households surveyed was 279. As the sampling was Purposive in nature only those households in which women had at least one delivery in the last five years preceding the survey, were selected for interview. The purposiveness of sampling was further disaggregated to snow balling techniques. Snowballing is a purposive sampling approach, where one participant gives the researcher the name of another subject, who in turn provides the name of another, and so on. It works as a chain sequence of recommendation or introduction from one respondent to another.
Main Results: It is found that the utilisation of maternal health care services in the Mebo sub- division is far above the state average. About 69.2 percent of women who had at least one delivery in the last five years preceding the survey had received ANC. As far as institutional delivery is concern, it is lower than the state average at 33.3 percent. Further only 17.2 percent of the women and new born received post-natal care. The home delivery (66.7 percent) is found to be twice that of the institutional delivery (33.3 percent). Response to Post-natal care is very low as 82.8 percent of the women did not access it. Age, Educational status, occupation, previous history of pregnancy of the mother and distance from the health facility influence the utilisation of health care services.
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