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Inequities in the Utilization of Obstetric Care Services Among Women in Urban Slums – A Cross-Sectional Study from Central Karnataka, India

Author:Shubha B Davalagi, Rashmi Revanna, Nagarajachar Agadi

Keywords:Inequity; Obstetric care; urban slums; Karnataka

Type:Original Article

Abstract:"Background: Utilization of obstetric services is a concept of expressing the extent of interaction between the service and the beneficiaries for whom it is intended. It depicts the health infrastructure and services given. Objective: To know the obstetric services utilized by the women in reproductive age group during antenatal, natal & postnatal period in urban slums and factors influencing the utilization. Methods: A cross sectional study was conducted in the urban slums of Davangere city among 300 mothers for one year. Data was collected from mothers using a pre-tested, semi-structured questionnaire. Data was analyzed using descriptive statistics, chi square test and logistic regression. Results: Among the respondents, 46% (138) were in age group 20-24 years, 56% (168) were Hindus, and 74% (222) belonged to lower socio economic class. Majority of the mothers had accessed private hospital (75%), 99.3% had institutional delivery and 73% had at least two post-natal visits. The present study observed education of parents, occupation and type of family affect the utilization of obstetric services. Conclusion: There was decreased awareness about early registration and postnatal visits. Majority of the mothers had accessed private healthcare services for antenatal care & the utilization of overall obstetric care was poor.