Abstract
Sub-Saharan African countries account for nearly half of maternal deaths, and Southern Asian countries are second in the 85% of deaths that occur worldwide. Despite this fact, there is a rapid enhancement in the number of skilled health workers. There has been a sharp increase of 53% in 1990 and 61% in 2007 in trained birth attendant utilization shows that attention is being paid tothe management of labor services. But surprisingly, still, the births take place without the assistance of trained health personnel in Southern Asian countries and Sub-Saharan Africa. The objective of this study is the assessment of barriers to health care facility utilization and its management concerning labor problems in urban North India. A sample of "300" pregnant urban women was taken for study and analysis. A convenience sampling method was used. The factor analysis was applied for the interpretation and analysis of the data. It was found that there were inadequacies in services as well as unawareness of services in almost all urban areas among pregnant women. The tremendous increase in the cost of services and corrupt behavior among the service providers rampantly found in the urban locations, inaccessibility ofproper means of communication and also economic backwardness and low literacy became the impediment tothe utilization of maternal healthcare services in North-India.
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