ArticleThe Indian journal of medical research2015
Equity in utilization of health care services: Perspective of pregnant women in southern Odisha, India.
Article in The Indian journal of medical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic inequalities in access to maternal healthcare in South-Asian countries: A systematic review.PloS one · 2025Pooled it
- Haemorrhage-related maternal mortality in Bangladesh: Levels, trends, time of death, and care-seeking practices based on nationally representative population-based surveys.Journal of global health · 2023Article
- Social determinants of maternal health: a scoping review of factors influencing maternal mortality and maternal health service use in India.Public health reviews · 2020Article
- Utilization of health services in Tenali Mandal, Andhra Pradesh- A cross-sectional study.Journal of family medicine and primary care · 2019Article
- Inequalities in child health in India.BMJ paediatrics open · 2017Review
- How do accountability problems lead to maternal health inequities? A review of qualitative literature from Indian public sector.Public health reviewsReview
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Abstract
BACKGROUND &
objectivesInequity in the use of health care services is an important factor affecting the maternal and child survival. In southern Odisha, India, the health indicators remained below compared to the State and national average. This study identifies various equity issues at individual and community levels that influence women's choice affecting the utilization of maternal health services in a district in southern Odisha.
methodsA qualitative study was carried out in Gajam district, rural region of south Odisha. Ten in-depth interviews were carried out till data saturation with women having less than one year child and 10 focus group discussions with the average eight women in each group having less than five year old child, community and health care providers separately. A total of 120 respondents were included in the study using in-depth interview and focus group discussions.
resultsThe important determinants in utilization of health care services by women emerging from the study were transportation and financial constraints. In addition, it was found that divergent aetiological concepts and low perceived hospital benefits of the women and community were equally important determinants. Further, community had different perceptions and interpretations of danger signs influencing the risk approach and health care seeking behaviour. INTERPRETATION &
conclusionsOur findings show that to increase the utilization of health care services, the grass root health workers should be made aware of specific social determinants of risk, perceptions and preferences. m0 ore attention should be given to the transportation system, and its operational feasibility. The husband of the women and the elders of the family should be considered as an important unit of interjection. A more individualized antenatal consultation could be provided by taking into account women's perception of risk and their explanatory models.
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