Abstract
It is well established that those women who under go full antenatal care check-up and give birth in a medical institution or whose delivery is attended by trained paramedical persons promotes child survival and reduces maternal mortality . In the light of the above, an attempt is made in this paper to relate the socio-economic and demographic characteristics of the currently married Schedule Tribes' women in eight districts of Chhatisgarh with factors associated with antenatal and post- natal care. Data for this study were taken from District Level Household Survey on Reproductive and Child Health (DLHS- RCH 2002), a representative sample of 1569 Scheduled Tribes' currently married women aged 15-44, residing in eight districts of Chhatisgarh. Adjusted effects (odds ratios) analysis has been used to find out the ef fects of antenatal and post-natal care on institutional delivery in Chhatisgarh. It is observed that majority of the Scheduled Tribes' women, about 84 percent, have a low standard of living. Also, 74 per cent of the Scheduled Tribes' women are illiterate. The finding of the adjusted effects (odds ratio) shows that giving birth in the medical institution for the Scheduled Tribes' women who received full antenatal check up is 2.5 times higher than those women who did not receive any antenatal check-up. It suggests that majority of the currently married Scheduled Tribe women have low standard of living there is a need to improve their economic standard so that they can fulfill their basic needs.
Highlights
Antenatal care is an essential safety net for healthy motherhood and childbirth, where the well-being of both the prospective mother and her offspring can be monitored (United Nations 2008)
It is well established that taking antenatal care under the supervision of health care providers and giving birth in medical institutions promotes child survival and reduces the risk of maternal mortality
The reason is that providing facilities for institutional delivery on a mass scale in rural areas is viewed as a longterm goal requiring massive health infrastructure investments
Summary
Antenatal care is an essential safety net for healthy motherhood and childbirth, where the well-being of both the prospective mother and her offspring can be monitored (United Nations 2008). It is well established that taking antenatal care under the supervision of health care providers and giving birth in medical institutions promotes child survival and reduces the risk of maternal mortality. Despite the many benefits associated with institutional delivery, India’s maternal and child health programs have not aggressively promoted institutional deliveries, except in high-risk cases. The new programs aim at expanding existing rural health services to include facilities for institutional delivery. Existing maternal and child health services at primary health centre are being upgraded, and new first-referral units are being set up at the sub-district level to provide comprehensive emergency obstetric and newborn care (Ministry of Health and Family Welfare 1997-98)
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