Correlates of antenatal care services utilization at health centres in Chandigarh Tricity, India
Corresponding Author(s) : Anupama Dhiman
anupama.dhiman1@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 4 No. 2 (2016): 2016 Volume 4- Issue -2
Abstract
Background and Aims
Adequate and good quality antenatal care (ANC) can ensure a favourable pregnancy outcome, but the coverage of ANC in India remains inadequate. To assess the correlates of antenatal care services utilization at various health centres in Chandigarh Tricity.
Method and Results
A cross sectional study was done from April 2012 to September 2013 at randomly selected 18 health centres in Tricity of Chandigarh, Northern India with an objective to assess the correlates of antenatal care services utilization at health centres. The data was obtained from 345 pregnant women using interview technique, and supplemented by record checking. Mean age (± S.D.) of participants was 24.51 (± 3.64) years. Majority of participants registered during first trimester (71.3%), received Iron-Folic acid tablets (84.6%) and Injection Tetanus Toxoid (96.0%). Maximum numbers of participants (78.0%) were anaemic.
Conclusion
The use of IFA tablets could be increased by their regular supply and counselling of pregnant women. There should be provision for improvement of competence, confidence & motivation of health workers to ensure full utilization of Maternal & Child Health services.
Keywords
Antenatal Care Services
Utilization, Health Centres
India.
1.
Anupama Dhiman. Correlates of antenatal care services utilization at health centres in Chandigarh Tricity, India. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2020 Aug. 5 [cited 2025 Nov. 12];4(2):324-31. Available from: https://ijamscr.com/ijamscr/article/view/275
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References
-
Park K. Preventive medicine in Obstetric, Pediatrics and Geriatrics. In: Park’s Text book of Preventive and Social Medicine. 22th ed. Jabalpur: Bhanot publishers; 2013:480.
[2]. Obermeyer CM, Potter JE. Maternal health care utilization in Jordan: a study of patterns and determinants. Stud FamPlann. 22, 1991, 177-87.
[3]. Bhatia J, Cleland J. Determinant of maternal care in a region of South Asia. Health Transition Review. 5, 1995, 127-42.
[4]. Stephenson R, Tsui AO. Contextual influences on reproductive health service use in Uttar Pradesh, India. Stud FamPlann. 33, 2002, 309-20.
[5]. Poula G, Stephenson R. Understanding users’ perspectives of barriers to maternal health care use in Maharastra. Indian J Biosocial Sciences. 33, 2001, 339-59.
[6]. International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06: India Mumbai:IIPS.
[7]. J. Kishore. Reproductive and Child Health Program-II, National Health Programs of India. 5thed. New Delhi: Century Publications; 2005, 21-78.
Anupama D et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-4(2) 2016 [324-331]
331
[8]. Gupta M, Thakur JS, Kumar R. Reproductive and Child Health Inequities in Chandigarh Union Territory of India. J Urban Health. 85(2), 2008, 291-9.
[9]. Parasuramalu BG, Shakila N, Masthi RNR. A Study on Teenage Pregnant Mothers attending Primary Health Centres of Kempegowda Institute of Medical Sciences, Bangalore. Indian J Public Health. 54(4), 2010, 205-7.
[10]. Dasgupta U, Naskar S, Haldar A, Mallik S. Antenatal care service utilization and social correlates of beneficiaries: an experience from a teaching hospital of a metropolitan city. Indian J Matern Child Health. 14(2), 2012, 1-9.
[11]. Gupta A, Chhabra P, Kannan AT, Sharma G. Determinants of Utilization pattern of Antenatal and Delivery Services in an urbanized village of East Delhi. Indian J PrevSoc Med. 41(3,4), 2010, 240-5.
[12]. Panja TK, Mukhopadhyay DK, Sinha N, Saren AB, Sinhababu A, Biswas AB. Are Institutional Deliveries Promoted by Janani Suraksha Yojna in a District of West Bengal, India? Indian J Public Health. 56 (1), 2012, 69-72.
[13]. Bajpai RC, Shweta, Arora P, Singh GP. Assessment of Utilization of Antenatal Care Services and Their Associated Factors in Slums of Varanasi. Indian J Matern Child Health. 14(1), 2012, 2-8.
[14]. Patel A, Kumar P, Godara N, Desai VK. Infant Deaths- Data disparity and use of ante, intra and post- natal services utilization: An experience from Tribal areas of Gujarat. Indian J Community Med. 38(3), 2013, 152-6.
[15]. Das NP, Misra K V, Saha PK. Does Community Access Affect the Use of Health and Family Welfare Services in Rural India? NFHS Subject Reports, International Institute of Population Sciences, Mumbai: 2001, 18.
[16]. Utilization of Maternal and Child Health Services. [cited on 2013 Aug 22]. Available from: http://www.shodhganga.inflibnet.ac.in/bitstream/10603/1390/15/15_chapter%208.pdf
[17]. Khan Z, Mehnaz S, Khalique N, Ansari MA, Siddiqui AR. Poor Perinatal Care Practices in Urban Slums: Possible Role of Social Mobilization Networks. Indian J Community Med. 34(2), 2009, 102-7.
[18]. Agarwal N, GalhotraA, Swami HM. A study on Coverage Utilization and Quality of Maternal Care services. National J Community Med. 2(1), 2011, 32-36.
[19]. Sharma P, Kishore S, Gupta SK, Semwal J. Effects of Janani Suraksha Yojna Up-on the Utilization of Antenatal Care Services in Rural & Urban-slum Communities of Dehradun. National J Commun Med. 3(1), 2012, 129-37.
[20]. Singh P, Yadav RJ. Antenatal care of pregnant women in India. Indian J Community Med. 25(3), 2000, 112-117.
[21]. Jha RK, Gopalakrishnan S, Ajitha K, Kuberan D, Rana MM. Utilization of Maternal Health Care Services in Kancheepuram District, Tamil Nadu. Indian J Matern Child Health. 12(4), 2010, 1-7.
[22]. Babalola S, Fatusi A. Determinants of use of maternal health services in Nigeria- looking beyond individual and household factors; BMC Pregnancy Childbirth. 2009, 9:43.
[23]. Jain A, Gupta SC, Misra SK. Quality of Antenatal Services in District Agra. Indian J PrevSoc Med. 42(1), 2011, 9-13.
[24]. Chhabra P, Sharma G, Kannan AT. Pattern of Maternal Health Care among Working Women in Delhi. Indian J Matern Child Health 13(4), 2011, 1-9
[25]. Sumithra S, Aswathy S, Sandeep S, Shobha P, Johnson AJ, Valsala LS, Lohidas V. Maternal and Child Health Services Utilization in Married Women of age 15-45 years. J Commun Dis. 38(1), 2006, 102-5.
References
Park K. Preventive medicine in Obstetric, Pediatrics and Geriatrics. In: Park’s Text book of Preventive and Social Medicine. 22th ed. Jabalpur: Bhanot publishers; 2013:480.
[2]. Obermeyer CM, Potter JE. Maternal health care utilization in Jordan: a study of patterns and determinants. Stud FamPlann. 22, 1991, 177-87.
[3]. Bhatia J, Cleland J. Determinant of maternal care in a region of South Asia. Health Transition Review. 5, 1995, 127-42.
[4]. Stephenson R, Tsui AO. Contextual influences on reproductive health service use in Uttar Pradesh, India. Stud FamPlann. 33, 2002, 309-20.
[5]. Poula G, Stephenson R. Understanding users’ perspectives of barriers to maternal health care use in Maharastra. Indian J Biosocial Sciences. 33, 2001, 339-59.
[6]. International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06: India Mumbai:IIPS.
[7]. J. Kishore. Reproductive and Child Health Program-II, National Health Programs of India. 5thed. New Delhi: Century Publications; 2005, 21-78.
Anupama D et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-4(2) 2016 [324-331]
331
[8]. Gupta M, Thakur JS, Kumar R. Reproductive and Child Health Inequities in Chandigarh Union Territory of India. J Urban Health. 85(2), 2008, 291-9.
[9]. Parasuramalu BG, Shakila N, Masthi RNR. A Study on Teenage Pregnant Mothers attending Primary Health Centres of Kempegowda Institute of Medical Sciences, Bangalore. Indian J Public Health. 54(4), 2010, 205-7.
[10]. Dasgupta U, Naskar S, Haldar A, Mallik S. Antenatal care service utilization and social correlates of beneficiaries: an experience from a teaching hospital of a metropolitan city. Indian J Matern Child Health. 14(2), 2012, 1-9.
[11]. Gupta A, Chhabra P, Kannan AT, Sharma G. Determinants of Utilization pattern of Antenatal and Delivery Services in an urbanized village of East Delhi. Indian J PrevSoc Med. 41(3,4), 2010, 240-5.
[12]. Panja TK, Mukhopadhyay DK, Sinha N, Saren AB, Sinhababu A, Biswas AB. Are Institutional Deliveries Promoted by Janani Suraksha Yojna in a District of West Bengal, India? Indian J Public Health. 56 (1), 2012, 69-72.
[13]. Bajpai RC, Shweta, Arora P, Singh GP. Assessment of Utilization of Antenatal Care Services and Their Associated Factors in Slums of Varanasi. Indian J Matern Child Health. 14(1), 2012, 2-8.
[14]. Patel A, Kumar P, Godara N, Desai VK. Infant Deaths- Data disparity and use of ante, intra and post- natal services utilization: An experience from Tribal areas of Gujarat. Indian J Community Med. 38(3), 2013, 152-6.
[15]. Das NP, Misra K V, Saha PK. Does Community Access Affect the Use of Health and Family Welfare Services in Rural India? NFHS Subject Reports, International Institute of Population Sciences, Mumbai: 2001, 18.
[16]. Utilization of Maternal and Child Health Services. [cited on 2013 Aug 22]. Available from: http://www.shodhganga.inflibnet.ac.in/bitstream/10603/1390/15/15_chapter%208.pdf
[17]. Khan Z, Mehnaz S, Khalique N, Ansari MA, Siddiqui AR. Poor Perinatal Care Practices in Urban Slums: Possible Role of Social Mobilization Networks. Indian J Community Med. 34(2), 2009, 102-7.
[18]. Agarwal N, GalhotraA, Swami HM. A study on Coverage Utilization and Quality of Maternal Care services. National J Community Med. 2(1), 2011, 32-36.
[19]. Sharma P, Kishore S, Gupta SK, Semwal J. Effects of Janani Suraksha Yojna Up-on the Utilization of Antenatal Care Services in Rural & Urban-slum Communities of Dehradun. National J Commun Med. 3(1), 2012, 129-37.
[20]. Singh P, Yadav RJ. Antenatal care of pregnant women in India. Indian J Community Med. 25(3), 2000, 112-117.
[21]. Jha RK, Gopalakrishnan S, Ajitha K, Kuberan D, Rana MM. Utilization of Maternal Health Care Services in Kancheepuram District, Tamil Nadu. Indian J Matern Child Health. 12(4), 2010, 1-7.
[22]. Babalola S, Fatusi A. Determinants of use of maternal health services in Nigeria- looking beyond individual and household factors; BMC Pregnancy Childbirth. 2009, 9:43.
[23]. Jain A, Gupta SC, Misra SK. Quality of Antenatal Services in District Agra. Indian J PrevSoc Med. 42(1), 2011, 9-13.
[24]. Chhabra P, Sharma G, Kannan AT. Pattern of Maternal Health Care among Working Women in Delhi. Indian J Matern Child Health 13(4), 2011, 1-9
[25]. Sumithra S, Aswathy S, Sandeep S, Shobha P, Johnson AJ, Valsala LS, Lohidas V. Maternal and Child Health Services Utilization in Married Women of age 15-45 years. J Commun Dis. 38(1), 2006, 102-5.
[2]. Obermeyer CM, Potter JE. Maternal health care utilization in Jordan: a study of patterns and determinants. Stud FamPlann. 22, 1991, 177-87.
[3]. Bhatia J, Cleland J. Determinant of maternal care in a region of South Asia. Health Transition Review. 5, 1995, 127-42.
[4]. Stephenson R, Tsui AO. Contextual influences on reproductive health service use in Uttar Pradesh, India. Stud FamPlann. 33, 2002, 309-20.
[5]. Poula G, Stephenson R. Understanding users’ perspectives of barriers to maternal health care use in Maharastra. Indian J Biosocial Sciences. 33, 2001, 339-59.
[6]. International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06: India Mumbai:IIPS.
[7]. J. Kishore. Reproductive and Child Health Program-II, National Health Programs of India. 5thed. New Delhi: Century Publications; 2005, 21-78.
Anupama D et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-4(2) 2016 [324-331]
331
[8]. Gupta M, Thakur JS, Kumar R. Reproductive and Child Health Inequities in Chandigarh Union Territory of India. J Urban Health. 85(2), 2008, 291-9.
[9]. Parasuramalu BG, Shakila N, Masthi RNR. A Study on Teenage Pregnant Mothers attending Primary Health Centres of Kempegowda Institute of Medical Sciences, Bangalore. Indian J Public Health. 54(4), 2010, 205-7.
[10]. Dasgupta U, Naskar S, Haldar A, Mallik S. Antenatal care service utilization and social correlates of beneficiaries: an experience from a teaching hospital of a metropolitan city. Indian J Matern Child Health. 14(2), 2012, 1-9.
[11]. Gupta A, Chhabra P, Kannan AT, Sharma G. Determinants of Utilization pattern of Antenatal and Delivery Services in an urbanized village of East Delhi. Indian J PrevSoc Med. 41(3,4), 2010, 240-5.
[12]. Panja TK, Mukhopadhyay DK, Sinha N, Saren AB, Sinhababu A, Biswas AB. Are Institutional Deliveries Promoted by Janani Suraksha Yojna in a District of West Bengal, India? Indian J Public Health. 56 (1), 2012, 69-72.
[13]. Bajpai RC, Shweta, Arora P, Singh GP. Assessment of Utilization of Antenatal Care Services and Their Associated Factors in Slums of Varanasi. Indian J Matern Child Health. 14(1), 2012, 2-8.
[14]. Patel A, Kumar P, Godara N, Desai VK. Infant Deaths- Data disparity and use of ante, intra and post- natal services utilization: An experience from Tribal areas of Gujarat. Indian J Community Med. 38(3), 2013, 152-6.
[15]. Das NP, Misra K V, Saha PK. Does Community Access Affect the Use of Health and Family Welfare Services in Rural India? NFHS Subject Reports, International Institute of Population Sciences, Mumbai: 2001, 18.
[16]. Utilization of Maternal and Child Health Services. [cited on 2013 Aug 22]. Available from: http://www.shodhganga.inflibnet.ac.in/bitstream/10603/1390/15/15_chapter%208.pdf
[17]. Khan Z, Mehnaz S, Khalique N, Ansari MA, Siddiqui AR. Poor Perinatal Care Practices in Urban Slums: Possible Role of Social Mobilization Networks. Indian J Community Med. 34(2), 2009, 102-7.
[18]. Agarwal N, GalhotraA, Swami HM. A study on Coverage Utilization and Quality of Maternal Care services. National J Community Med. 2(1), 2011, 32-36.
[19]. Sharma P, Kishore S, Gupta SK, Semwal J. Effects of Janani Suraksha Yojna Up-on the Utilization of Antenatal Care Services in Rural & Urban-slum Communities of Dehradun. National J Commun Med. 3(1), 2012, 129-37.
[20]. Singh P, Yadav RJ. Antenatal care of pregnant women in India. Indian J Community Med. 25(3), 2000, 112-117.
[21]. Jha RK, Gopalakrishnan S, Ajitha K, Kuberan D, Rana MM. Utilization of Maternal Health Care Services in Kancheepuram District, Tamil Nadu. Indian J Matern Child Health. 12(4), 2010, 1-7.
[22]. Babalola S, Fatusi A. Determinants of use of maternal health services in Nigeria- looking beyond individual and household factors; BMC Pregnancy Childbirth. 2009, 9:43.
[23]. Jain A, Gupta SC, Misra SK. Quality of Antenatal Services in District Agra. Indian J PrevSoc Med. 42(1), 2011, 9-13.
[24]. Chhabra P, Sharma G, Kannan AT. Pattern of Maternal Health Care among Working Women in Delhi. Indian J Matern Child Health 13(4), 2011, 1-9
[25]. Sumithra S, Aswathy S, Sandeep S, Shobha P, Johnson AJ, Valsala LS, Lohidas V. Maternal and Child Health Services Utilization in Married Women of age 15-45 years. J Commun Dis. 38(1), 2006, 102-5.