Assessment of reproductive health service utilization in urban slums: Evidence from Western Rajasthan  

作　　者：Jyoti Sharma Nitin Kumar Joshi Yogesh Kumar Jain Kuldeep Singh Pankaj Bhardwaj 

机构地区：[1]School of Public Health,All India Institute of Medical Sciences,Jodhpur,India [2]Department of Community Medicine and Family Medicine and School of Public Health,All India Institute of Medical Sciences,Jodhpur,India

出　　处：《Asian pacific Journal of Reproduction》2023年第2期52-57,共6页亚太生殖杂志（英文版）

摘　　要：Objective:To assess the utilization of reproductive health services in urban slum of Jodhpur city,India.Methods:A community based cross-sectional study was conducted in an urban slums of Jodhpur city amongst 300 married women of reproductive age between March and June 2021.Semi-structured questionnaire was used to gather demographic data and information about utilization of antenatal care(ANC)services,delivery and post-partum services.Results:The majority of females were aged less than 25 years(n=195;65.0%),married after 18 years(n=240;80%),living in extended families(n=265;88.3%)and with monthly family income less than 10000 rupees(n=182;60.7%).Statistically significant associations were found between≥4 ANC visits and educational level of secondary and above(OR 2.47,95%CI 1.03–6.28;P=0.04),older age(OR 15.70,95%CI 14.87–16.54 for women aged 26-35 years,OR 16.14,95%CI 12.12–20.01 for women aged≥36 years;P<0.01),and backward and general castes(OR 15.91,95%CI 13.57–17.85 for backward caste and OR 8.11,95%CI 8.07–8.26 for general category of caste;P<0.01).Seven percent of females had undergone parturition.Older age was associated with higher risks of postpartum complications(OR 1.06,95%CI 1.01–1.57 for women aged 26-35 years,OR 3.56,95%CI 1.29–4.69 for women aged≥36 years;P<0.01).In addition,risks of postpartum complications were associated with backward and general castes(OR 1.69,95%CI 1.34–2.13 for backward classes and OR 5.01,95%CI 4.29–5.31 for general category castes;P<0.01),and more than 4 ANC visits(OR 0.20,95%CI 0.09–0.34;P<0.01).Conclusions:More frequent ANC visits are associated with a lower risk of postpartum complications.Furthermore,a high utilization of reproductive health services represents good implementation of reproductive and child health programme at the peripheral level resulting in a stark rise in maternal health indicators in the state of Rajasthan.

关 键 词：FEMALE PREGNANCY Maternal health Maternal health services Prenatal care Postpartum period Facilities and services utilization Health services accessibility 

分 类 号：R69[医药卫生—泌尿科学]