Abstrakt: |
Introduction: Under the National Population Policy-2000, National Health Policy-2002, 10th Five-Year Plan, and Reproductive and Child Health-2 Programme, the maternal and child health (MCH) services of the urban poor have been recognized as an important thrust area for the country's development. Objective: The objective is to assess the MCH services coverage and utilization provided by the government. Methods: A cross-sectional study was conducted during October 2015-November 2016 in the eight urban poor localities falling under the urban field practice area of the medical college in Bengaluru. Using the probability proportional to population size, a total of 2540 beneficiaries meeting the inclusion and exclusion criteria were included in the study. Data were collected using pretested semistructured pro forma by interview method and analyzed using appropriate inferential and descriptive statistics. Results: Around 83.3% of subjects had registered their pregnancy within 12 weeks. Majority (83.1%) of women delivered in the government hospital and 7.2% had complications following delivery. Around 56.8% of women had practiced one of the family planning methods (couple protection rate of 56.8%). Most of the women 67% had utilized MCH services in the past 6 months and 74.5% utilized services from the government health facility. The utilization of MCH services was mainly by subjects of the Muslim religion, nuclear families, literates, and unemployed and on applying Z-test this difference was statistically significant. Conclusion: Coverage of MCH services was not satisfactory. There is a statistically significant difference in the utilization based on religion, type of family, literacy, and employment. [ABSTRACT FROM AUTHOR] |