International Journal of Health Sciences and Research

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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


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