Utilization of Maternal Health Services Among Women in Jiribam District, Manipur

Abstract

Abstract Introduction: Millennium Development Goal made significant progress, despite that major challenges such as maternal mortality, access to sexual and reproductive health and rights in the developing countries remain as a huge problem. The objective of the study was to find the proportion of institutional delivery and barriers of maternal health service utilization in Jiribam district, Manipur. Methods: Cross-sectional study conducted among women of Jiribam district, who had delivered during the period between November 2018 and October 2019. Using multi-stage random sampling, 215 women after consenting, participated in the study. Data was collected using KoBoCollect application. Using SPSS V 21.0. analysis performed for Chi-Square test for exploring association, and p-value < 0.05 was considered significant. Binary logistic regression model was built for predictors for the dependant variables. Results: The study found 61.4 percent (95% CI 54.7–67.7) had institutional delivery in Jiribam district during the year, 2018-19. Sixty percent of deliveries were conducted in Government facility and 40 percent in private facility. Thirty percent of institutional delivery was conducted inside the Jiribam district and 70 percent was conducted in the Cachar district, Assam state. Education level, ethnicity, and place of residence of women were important determinants of maternal health service utilization. Conclusion: The proportion of institutional delivery was 19.4 percent less compared to the NFHS-4 (2015-16) report of Imphal East district (till 2016, Jiribam was a sub-division of the district). Peripheral districts need more attention to maintain equity to access quality health care. Section II