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  • Title: Utilization of maternal services in west Bengal.
    Author: Ray SK, Mukherjee B, Dobe M, Sengupta D, Ghosh M, Chaudhuri N.
    Journal: Indian Pediatr; 1993 Mar; 30(3):351-4. PubMed ID: 8365786.
    Abstract:
    A study was conducted in selected blocks of West Bengal to assess the utilization of available maternal health services specially immunization, antenatal care and other services. Coverage with two doses of tetanus toxoid levels varied between 58.6 to 86.7% but it fell far short of Universal Immunization Programme target of 100%. Drop out rates were slightly higher in the rural areas. It was observed that in 5 out of 7 blocks more than 55% of the deliveries were conducted either at hospital or Primary Health Centre by health personnel. However, untrained dais predominated over the trained dais in conducting deliveries in most of the areas. This indicates the poor availability or utilization of the latter. Between January and September 1990 in India, medical officers trained in the Universal Immunization Programme and paramedics interviewed 1458 women from 7 rural and urban blocks in northern and southern West Bengal to determine utilization of immunization and prenatal care services by pregnant women and to learn where they delivered and who attended the deliveries. The coverage of pregnant women with 2 doses of tetanus toxoid ranged from 58.6% in Hilli block to 86.7% in North Calcutta. Poor information, education, and communication activities in Hilli likely explained the low coverage. The block with the highest percentage of tetanus toxoid dropouts was Mogra block of Hooghly district (11.3%). The lowest percentage of dropouts occurred in Greater Calcutta (Dhakuria) (3.3%). Institutional deliveries were more common in Calcutta (88.1% in North Calcutta and 69.5% in Dhakuria) than the other blocks (e.g., 38.5% in Hilli). The women in the Calcutta blocks to closer to teaching and nonteaching hospitals and private nursing homes than those in the other blocks. Health personnel attended more than 55% of deliveries in all blocks except Hilli (38.5%) and Tamluk (5.9%). The percentage of health personnel deliveries was especially high in Dhakuria (88.5%) and North Calcutta (69.6%). Untrained traditional birth attendants (dais) were present at a higher percentage of deliveries than were trained dais in all blocks, suggesting poor availability or utilization of trained dais. Untrained dais or other untrained people were present at most deliveries (87.6%) in Tamluk. The study only examined utilization of prenatal care services in 4 blocks. The percent using these services was 81.1% in Mogra, 73.9% in Pandua, 61.4% in Balurghat, and 54.9% in Tamluk.
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