Original Research Article
Year: 2018 | Month: March | Volume: 8 | Issue: 3 | Pages: 90-98
Utilization of Maternal and Child Health Services under MAMATA Scheme in Rural Areas of Ganjam District, Orissa
Dr. Syed Irfan Ali1*, Dr. Jarina Begum1*, Dr. Manasee Panda2**
*Assistant Professor, **Professor & Head of Department
1Dept. of Community Medicine at NRI Institute of Medical Sciences, Sanghivalsa, Vishakhapatnam, A.P.
2Professor & Head of Department of Community Medicine at Bolangir Medical College & Hospital, Bolangir, Odisha.
Corresponding Author: Dr. Jarina Begum
Introduction: Many Scientifically sound programs have been unsuccessful in addressing the poor state of Maternal and Child health in India. Several Socio-Cultural barriers prevent the millions of poor, vulnerable and marginalised people across the country to utilize the services offered by such programs. MAMATA a Conditional Cash Benefit (CCB) Schemes aims to address such barriers by incentivising the service utilization. Objectives: 1. Study the utilization of MCH services under MAMATA 2. Suggest observation based recommendation for addressing any shortcomings in the scheme. Materials & Methodology: Community based observational study. 200 pregnant women registered under MAMATA Scheme were randomly selected in Kukudakhandi Block and followed up for a period of 15 months. Results & Discussion: 60% of the study populations were in the age group of 20-24 years. Socio Cultural barriers of service utilization like Caste (SC- 26.5%, ST-24%, OBC-31%), Low SES (94%), Illiteracy (34%), Unemployment (74.5%) were found to be prevalent amongst them. Many problems were faced initially by the beneficiaries - Limited knowledge about its conditionality’s (21%), difficulty in opening of bank account (88%), registration with- in stipulated time period (72.5%). All the 20 pre-conditions of the scheme were fulfilled by 100% of the sampled population, in some cases reluctantly. Exclusive Breast Feeding, one such pre-condition though claimed to be carried out by 100% was actually practiced by only 20% of beneficiaries. Conclusion: The scheme was successfully able to address the gap in service utilization of MCH services. Its implementation has been smooth and readily accepted by the beneficiaries in the study area
Key words: MCH, MAMATA, CCB, MMR, IMR, ANC, IFA, Vaccination, IGMSY, DMMAS, NAMHHR.