IMPACT OF NATIONAL RURAL HEALTH MISSION (NRHM) ON MATERNAL HEALTH OF RURAL WOMEN OF ASSAM
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Date
2018-07
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AAU, Jorhat
Abstract
Maternal mortality is a key indicator for poor maternal health to biological differences alone. To achieve a holistic development, attention should be given more towards the health of the rural women in a realistic manner. Government and different non-government organizations trying to improve the maternal health status of women in rural areas, so they sponsored various schemes and provide incentive to make a healthy nation. One of the major contributions in maternal health is National Rural Health Mission in 2005, which is a centrally sponsored programme for children and women. The utilisation of any scheme depends on the awareness among the beneficiaries. A systematic review of maternal deaths can facilitate identification of health systems failures/gaps and social cultural issues that contribute to death.
The present investigation was undertaken to study the Impact of National Rural Health Mission (NRHM) on Maternal Health of rural women of Assam, with the objectives :
To assess the awareness of beneficiaries of NRHM on different public health care facilities available for improving maternal health of rural women
To study the impact of benefits and services of NRHM on maternal health of rural women
To identify the problems faced by rural women in availing benefits and services of NRHM
To explore the problems faced by the health functionaries in delivering the maternal health services among rural women
The study was conducted in four districts of Assam mainly Jorhat, Dibrugarh, Morigaon and Darrang. A multi stage purposive cum simple random sampling design was followed for the present study. The total 500 sample was interviewed for the study.
Findings revealed that majority of the 44 per cent of the respondents belonged to the middle age group (26-30), 43.25 per cent respondents were primary passed followed by 23.25 per cent respondents were HSLC passed and 21.50 per cent respondents were illiterate. Majority of the 87.50 per cent of the respondents had done early registration of pregnancy. Majority of the respondents (80%) delivered babies in govt hospital, Almost 44.25 per cent of the respondent didn’t get cash assistance at the time of discharge, but most of the respondents were not able to access the amount because of shortage of fund in account. Majority of the respondents were aware about the services provided at the antenatal period of pregnancy. 39.18 per cent of the respondents were having adequate information regarding the services provided in by the Govt. of Assam in antenatal period, followed by 34.78 per cent of the respondents who aware about services provided at the prepotum or delivery time. There is an association between the attributes awareness and education, age, monthly income and organizational membership. The services and benefits gave a strong impact on improving the maternal health status of rural women.
The study has clearly shown that free registration and check-up facility motivate the beneficiaries for regular check-up which minimize risk during pregnancy. The findings also revealed that the provision of cashless delivery promote institutional delivery and avoid the risk of home delivery.
Respondents faced difficulty in pregnancy related fatigue which was ranked as first problem of beneficiaries of NRHM. The respondents also faced difficulty due to lack of economic support, followed by non availability of referral services for C-section delivery. The data were collected from rural areas so poor transportation facility was reported as one of the major problem.