A Kap Study Regarding Availing Of Obstetric  Services Amongs Postnatal And Antenatal  Cases Admitted In A Tertiary Care Hospital In  Jodhpur, Rajasthan

Dr.Afzal Hakim; Dr. Neha Agarwal; Dr.Manisha; Dr. Savitri Sharma; Dr.Mahendra Singh; Dr.Manish Mittal

Volume : II, Issue : VII, July - 2013

A Kap Study Regarding Availing Of Obstetric Services Amongs Postnatal And Antenatal Cases Admitted In A Tertiary Care Hospital In Jodhpur, Rajasthan

Dr. Afzal Hakim, Dr. Neha Agarwal, Dr. Manisha, Dr. Savitri Sharma, Dr. Mahendra Singh, Dr. Manish Mittal

Abstract :

Aims & Objectives: To determine why people bypass the peripheral health care channels and at times even travel a great distance to come to tertiary Health Care Centre for availing even the basic antenatal care and obstetric services rather than going to other Government health facilities available nearer to their location. Materials & Methods: Study was conducted at Umed Hospital which is a largest tertiary level government hospital in the Western Rajasthan, providing specialised obstetrics and gynaecology care. A total of 1838 admitted females were interviewed in a period of one month. The females were asked a set of questions and their responses were recorded on a pretested questionnaire. Results: 71.49% of the admitted females came to tertiary level hospital for their present delivery/abortion without visiting any other peripheral health care centre available near their residence. 45.7% of the females did not have any associated high risk factor and hence could have been easily managed nearer to their homes at peripheral health care centres. Conclusion: Referral system does not exist at all levels which has increased the patient load at apex institutes like Medical College hospitals. Peripheral health workers (ANM/HWF) are not able to satisfy basic antenatal care requirements and expectations of the women.