Utilization of Maternal and Child Health Care Services among Pregnant Women in Slum Population of West Delhi

Abstract

Utilization of maternal and child health (MCH) services remains poor in India. This study aimed to assess the utilization of MCH care services among pregnant women residing in an urban slum area of West Delhi. A household survey was conducted using questionnaire cum interview method for collection of sociodemographic information, obstetric history, and information on utilization of MCH care services. Pregnant women were followed within 72 h of delivery for obtaining information regarding delivery conditions. Although 96.6% of pregnant women have attended at least one antenatal care (ANC), whereas complete four ANC were attended by only one-fourth (25.3%) pregnant women. Nearly three-fourth (73.3%) pregnant women received; ANC from a government doctor and coverage for ANC components was highest in ANC provided by government doctor. Utilization of full ANC was reported by less than one-fifth pregnant women (19.18%). Only one-fifth of pregnant women (19.7%) received supplementary nutrition. Postnatal care (PNC) was received by 73.2% of women who had institutional deliveries during their stay in health facility only. Coverage of ANC components, number of ANC visits, utilization of full ANC, and PNC was found unsatisfactory. Participation in supplementary nutrition program was also poor. Intervention programs are needed for enhancing community awareness and improving the competence, confidence, and motivation of grass root health workers.