Dr Parul Sharma


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Dr Parul Sharma

  1. 1. Effect of various socio-demographic determinants on the utilization of ANC services under Janani Suraksha Yojana amongst married women(15-49 years) in our field practice area of Dehradun.<br />Parul Sharma ,Surekha Kishore,Jayanti Semwal<br />Assistant Professor,Subharti Medical College,Meerut <br />
  2. 2. INTRODUCTION<br />Maternal health is a key barometer of functional health system. There are however,constraints to provide comprehensive obstretic services for mother and newborn.<br />Maternal mortality continues to be high in developing countries. A WHO,UNICEF and UNFPA had reported an estimate of 536,000 Maternal deaths worldwide in 2005 out of which 99% were from developing countries.<br />Maternal mortality in resource-poor nations has been attributed to the “3 delays”.<br />
  3. 3. To combat this JSYwas launched on 12th April 2005, under the umbrella of NRHM with the main objective of reducing maternal,neo-natal mortality and promoting institutional delivery.<br />It was implemented in all states and UTs with special focus on 10 low performing states (LPS).<br />Uttarakhand is one of the LPS and JSY was implemented here in Sept.2005.<br />There are however various socio-demographic factors that effect the utilization of ANC services and this study was an attempt to study these factors. <br />
  4. 4. AIMS AND OBJECTIVES<br /> “To study the effect of socio-demographic factors on utilization of ANC services under JSY ”.<br />
  5. 5. MATERIAL & METHODS<br />Study Area:Rural health training centre (8 villages) & Urban health training centre(two slums) of department of Community Medicine, HIMS, Swami Ram Nagar, Dehradun. <br />Study population:Married Women (15-49 years age group) with children <2 years of age who delivered in government hospital and gave consent. <br />Study Design:Cross sectional study<br />Period of Study: The study was carried out over a period of 12 months (15May-08 to 14th May-09)<br />
  6. 6. METHODOLOGY<br />Verbal consent was taken from married <br /> women (15-49 years).<br />All married women (15-49 years),one from each alternate house of eight villages of RHTC and two slums of UHTC were enlisted with the help of ANM/AWW//MSW (N=2273).<br />During the study 52 women were dropped out due to incomplete information on their questionnaire,so the final sample size for analysis was restricted to N=2221. <br />Out of these (N=2221),530 women had children <2 years but JSY utilizers were only 227 women,who had delivered within last two years in government hospital.<br />These were interviewed by means of a self-designed and pre-tested questionnaire for utilization of JSY services and socio-demographic factors.<br />
  7. 7. RESULTS<br />Distribution of married women (15-49yrs) according to place of delivery of last child<br />x2=47.37, df=1, p<0.00004<br />
  8. 8. Distribution of married women (15-49 years) according to registration with health personnel and their religion.<br />x2=12.78, df=2, p<0.01<br />
  9. 9. Distribution of married women (15-49 years) according to registration with health personnel and soci-economic status<br />(178)<br />x2=10.44, df=4, p<0.05<br />
  10. 10. Distribution of married women (15-49 years) according to number of ANC visits and their educational status<br />x2=4.75, df=6, p<0.05<br />
  11. 11. Distribution of married women (15-49 years) according to number of ANC visits and socio-economic status<br />x2=17.29, df=4, p<0.01<br />
  12. 12. Distribution of married women (15-49 years) according to number of IFA tablets consumed and educational status<br />x2=30.21, df=6, p<0.01<br />
  13. 13. CONCLUSION<br /><ul><li>JSY users were found to be 227 (42.83%),majority of which belonged to urban areas i.e 139(61.23%). </li></ul>Majority (78.42%) of the women were registered with some health personal.Only 29.21% women went for ≥ 3 ANC visits and 48.31% women consumed hundred IFA tablets whereas TT immunization was 100%. <br />Majority (82%) of hindu women and women (91.49%) from upper lower class registered themselves with health personnel.<br />More percentage (80.95%) of women who were illiterates and women of belonging to upper lower class i.e 93.02%, went for ≥ 3 ANC visits.<br />Majority(76.19 %) of the illiterate women consumed hundred IFA tablets.<br />