Relationship between Various Components of Maternal Health Care Services with Maternal Mortality Ratio: An Ecological Study
Journal Title: National Journal of Community Medicine - Year 2017, Vol 8, Issue 5
Abstract
Introduction: Maternal mortality is an important indicator of health care system. Since more than three dec-ades several programmes have been implemented to decrease maternal mortality. But it is disheartening that despite of it India couldn’t achieve MDG target.5This may be due to poor utilization of services or limitation of resources.8In this contest if it can be known which services among all have more impact on maternal mor-tality, then by giving more focused attention on those, we can accelerate the decline in maternal mortality. Objective: This study was conducted with objective to find out relationship between MMR and various compo-nents of maternal health care ser-vices. Methodology: Secondary data were collected from Annual Health Survey 2012-13 reports of Govt. of India. Coverage of components of maternal services in total 284 districts of 9 states under AHS were compared with MMR in bivariate and binary logistic regression analysis in SPSS in community medicine department of MKCG medical college. Results: 4 components antenatal care in pregnancy, USG in pregnancy, in-stitutional delivery and JSY scheme to mothers were found to be significant-ly associated with MMR. Conclusion: Higher coverage of components like ante natal care in pregnancy, USG in ante natal period, institutional deliv-ery and JSY scheme to mothers signif-icantly associated with lower MMR. So these components of maternal ser-vices should get more focused atten-tion to decline MMR rapidly.
Authors and Affiliations
Monali Kar, D Shobha Malini, Jaya Singh Kshatri, Radha Madhab Tripathy
Keywords
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