Scenario of Reproductive Health in a District of - Copy

7/31/2019 Scenario of Reproductive Health in a District of - Copy

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Dr. C P MishraProf & HeadMD, PhD, FIPHA, FIAPSMDeptt. of Community MedicineInstitute of Medical SciencesBanaras Hindu UniversityVaranasi-221005


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Introduction Since inception of planning process emphasis has been

on improving reproductive health.

Reproductive health: Fertility behavior reflected by the existing

demographic indicators.

Awareness and utilization of existing family planning

services.Reproductive morbidities.

Extent of utilization of maternal services.


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To access the existing situation ofreproductive health on the basis ofkey indicators.


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MethodologyCross sectional community based study

Sampling: WHO 30 cluster sampling

methodWomen in age group 15-49 years, currently

married and recently delivered women(RDW) were considered for the study

Interviewed with the help of predesignedand pretested proforma


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Trained field investigators, with post graduate degree

in social science, statistics and nutrition carried outthe survey work.

There was an inbuilt mechanism of supervising datacollection.

Editing of data was done by field supervisors. In all information pertaining to 991 households, 1098

eligible couple and 239 RDWs were obtained.

Data analysis through common data acquisitionsoftware.


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Results Of the total study subjects, women with age at

consummation of marriage below 18 years were 69.49%.

8.47% subjects were educated above Tenth and69.25%were illiterate.

Total fertility rate for the district was 4.37


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Knowledge of contraceptive methods

among women

79.14% 78.78% 73.86% 74.95%86.52%

49%

knowledge


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Contraceptive use

3.46% 4.37%

1.37%0.10%

19.40

%

0.09%

Total percent Overall contraceptiveuse was 28.6% andoverall use of spacingmethod was 9.2%.

Contraceptive use washigher in women whowere more educatedand were of higher

socioeconomic scale Also it was higher in

OBC community withrespect to others.


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Unmet need of contraceptive

methods Total unmet need of contraceptives was- 39.42%

It was highest for tubectomy 26.73% followedby oral pills and least for vasectomy 0.26%

Unmet needs was higher among women havingeducation less than 9 years.

Unmet need for tubectomy was higher in hindusubjects with respect to muslims


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Status of IFA and TT injection in

pregnant womenWomen receiving TT injection :

69.87% got two doses of TT

5.02% got single dose of TT25.10% got no dose of TT

Women receiving IFA :

7.53% got IFA


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Health utilization in pregnancy 46% women underwent some ANC check ups , of which

30.77% received two ANC check up

15.38% received single ANC check up

53.85% received three /moreANC check

upServices

Weight measured : 7.69%

Height Measured : 24.0%

B.P. Measured : 32.69%Abdomen examination : 48.08%

Urine Test : 33.65%

Blood Test : 25%


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Intranatal and Postnatal services75.7% deliveries took place in home ,of which

majority (71.2%) were conducted by relatives.contribution of ANM/LHV was 9.9% and trained daiswas 17.4%.

Only4.6% went for post natal check ups of which45.5% went to government facilities.

Of28.87% women with post natal complications only2.9% utilized the government facilities


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RTI

0.00%

10.00%20.00%30.00%40.00%50.00%60.00%

70.00%80.00%90.00%

Womenaware of

RTI

womensufferingfrom RTI

womenseeking

Treatment

womenbelievingdisease iscurable

Series 1 88.43% 35.61% 41.40% 34.24%


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Conclusion

Findings of the study clearly highlights that reproductivehealth in the district is not up to the mark.

Scenario of Reproductive Health in a District of - Copy

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