Determinants of Institutional Delivery among Women in rural area of Belgaum, Karnataka
Journal Title: National Journal of Research in Community Medicine - Year 2014, Vol 3, Issue 4
Abstract
Background: Maternal mortality continues to be a challenge for achieving the fifth millennium development goal in India. Place of delivery is a crucial factor which affects the health and wellbeing of the mother and newborn. One of the key to reducing the high maternal mortality in India is Institutional delivery which ensures safe birth with skilled assistance. To increase the institutional deliveries in Karnataka, various incentives are also provided. Therefore the present study was done to assess the determinants of institutional deliveries. Methods: Community-based crosssectional study was conducted among women with child birth in the previous year, during July– December 2008. A total of 170 women from two subcentres of Handignur Primary health centre in Belgaum district were included in the study. A pre tested and structured questionnaire was used to collect data. Data analysis was performed using SPSS version 16.0. Results: The present study revealed out of 170, 125 (73.5%) of women had institutional deliveries and safe delivery was noted in 141 (82.9%) of women. Home deliveries were noted in 45 (26.5%) of women, 54 (31.8%) delivered at Government health facility and 71(41.7 %) at private hospitals. The percentage of institutional delivery was more among educated women, those who had utilized full antenatal care and among women with low parity. Conclusion: In this study, utilization of institutional delivery service is optimal; women were more likely to practice institutional delivery. This study indicated that education, parity of the women, utilization of full antenatal care (ANC) are independent predictors of delivery service utilization. Hence, intensifying education for women and health education to increase early registration and utilization of full ANC service are recommended to promote institutional delivery service utilization.
Authors and Affiliations
Rudramma Javali, Basavaraj P Bommanahalli,, Appasaheb S Wantamutte
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