Isaac Scientific Publishing

Modern Clinical Medicine Research

Determinates of ANC in Deciding Place of Delivery for Marginalized Women in Rural Odisha, India-Women's Perspective

Download PDF (223.1 KB) PP. 20 - 27 Pub. Date: April 13, 2017

DOI: 10.22606/mcmr.2017.11004

Author(s)

  • Meerambika Mahapatro*
    Associate Professor, National Institute of Health and Family Welfare, New Delhi
  • Shalini Kelkar
    Senior Medical Officer, Directorate of Health Services, GNCT, Delhi

Abstract

Antenatal care (ANC) is very important intervention needed for management of normal
cases of pregnancy as well as for screening and detection of complications at an earlier stage so as to
manage them effectively in time. This article has tried to highlight the factors that are proved to be
the driving and restraining forces in accessing antenatal care services in India and how it influences
the women to take decision for the place of delivery (home or institutional). A mixed method
approach was applied to 320 women from 16 villages of Ganjam and Gajapati districts of Odisha. Indepth interviews were carried out till data saturation was observed at 10 with women having child of
less than one year. 10 Focus Group Discussion were conducted with an average of 8 women in each
group having a child of less than 5 years of age, and with the community. In-depth interview of
women regarding their antenatal checkups revealed that 55.63% had visited the ANC clinics 3 or
more times, 42% were primi and 58% were multipara. A large mass of population still had not taken
full antenatal checkup in-spite of all the available health facilities at their door step. The
infrastructure of the government health facilities needs improvement. Access to health services has to
be guaranteed to all people irrespective of rural or urban divide. Where patriarchal traditional values
still prevail, it is often difficult for women, to use health services unless the provided services are
culturally acceptable in practice. The most important and challenging need of the hour is 'women
empowerment' in the society to access their rights.

Keywords

Antenatal care, accessibility, utilization, autonomy, decision-making

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