FACTORS AFFECTING UTILIZATION OF ANTENATAL SERVICES IN RURAL BENGALURU
Main Article Content
Abstract
Background: Booking early for antenatal care (ANC) and regular follow-up provides opportunities that can significantly improve the health of the mother and her baby. The aim of this study was to determine the socio demographic factors influencing utilization of ANC services.
Methods: This prospective, cross sectional study of 100 women, was conducted at MVJ Medical College in Rural Bengaluru, Karnataka. Women who were referred from a peripheral medical facility (MF) for pregnancy related complication, in their third trimester, or for neonatal care, were included in this study. A validated semi-structured questionnaire was administered during an interactive session with the participants.
Results: Younger age and education were strong determinants of 1st trimester ANC booking in our study. Parity and education were strong factors determining the total number of ANC contacts. The distance of MF from the place of residence was inversely related to the total number of ANC contacts (p=.03). Perception of the respondents, of the quality of services provided in their nearest MF was a statistically significant determinant of the timing of 1st ANC contact and the total number of ANC contacts. Early registration of ANC resulted in statistically lower perinatal morbidity and mortality. Less ANC contacts were associated with increased perinatal morbidity and mortality.
Conclusion: MF located at a distance of more than 5 km from the place of residence and the negative perception of the pregnant women, regarding the services offered at the medical facility are important barriers to utilization of ANC.