Type of Article: Original Research

Volume 6; Issue 1: 2019

Page No.: 760-764

DOI: 10.16965/ijims.2019.101


Shubham Pandey 1, Ankit Singh *2, Ashish Gaur 3.

1 Assistant professor, Department of Biostatistics, Himalayan Institute of Medical Sciences, SRHU, Dehradun, India.

*2 Lecturer, Department of Biostatistics, Himalayan Institute of Medical Sciences, SRHU, Dehradun, India.

3 Data Manager cum Analyst, Department of Biostatistics, Himalayan Institute of Medical Sciences, SRHU, Dehradun, India.

Corresponding Author: Ankit Singh,  Lecturer, Department of Biostatistics, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, jolly grant, Dehradun, India.

E-Mail: shubhampandey@srhu.edu.in, ankitbiostat@gmail.com


Background: Maternal mortality remains a biggest setback in developing nations like India. Almost 90% of maternal deaths can be prevented by timely intervention, antenatal care acts as an effective tool to reduce both maternal and infant mortality. The objective of this study is to assess the utilization of antenatal care services in two divisions of Uttarakhand: Kumaun and Garhwal.

Materials and Methods: The study was carried out using secondary data source i.e. NFHS-4 data of Uttarakhand which is divided into two regions, Garhwal and Kumaun. Statistical test i.e. Z-test is used for the comparison between two regions and within inter districts of Uttarakhand.

Result: The results of this study indicates that between the two regions i.e  Kumaun has better utilization of maternal health care facilities. Nainital district recorded best and Pithoragarh district recorded the least utilization of ANC services in Kumaun division. In Garhwal division, district Chamoli and Dehradun recorded highest utilization of maternal health care services whereas Rudraprayag and Tehri-Garhwal had discouraging statistics.

Conclusion: Uttarakhand has immensely progressed in terms of maternal health in recent times; still there are some key areas that require immediate attention. Certain districts in both Garhwal and Kumaun division need assistance to improve maternal health care seeking behavior amongst the mother and the family. Dissemination of information and benefits regarding the utilization of ANC services should be encouraged to achieve a reduction in maternal mortality.

Key words:  Ante Natal Checkup (ANC), Uttarakhand, Kumaun, Garhwal.


    1. Kifle, D., Azale, T., Gelaw, Y. A. and Melsew, Y. A. Maternal health care service seeking behaviors and associated factors among women in rural Haramaya District, Eastern Ethiopia: a triangulated community-based cross-sectional study Reproductive Health 2017;14:6.
    2. The World Health Report. (2005). Mothers and children matter- so does their health. Geneva, Switzerland: WHO press.
    3. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. Geneva, Switzerland: WHO press.
    4. Guidelines for Antenatal Care and Skilled Attendance at Birth by ANMs/LHVs/SNs (2010, April). O/o Maternal Health Division, Ministry of Health and Family Welfare, Government of India, New Delhi.
    5. Dey, D. (2009). The Reproductive and Child Health (RCH) status in West Bengal: Observations from NFHS surveys in 1992-93 and 1998-99. In: Adak, D. K., Chattopadhyay, A. and Bharati, P. (Eds.): People of Contemporary West Bengal. New Delhi: Mohit Publications.
    6. Pandey, A., Mishra, P. and Ojha, A. (2002). An analysis of the child spacing effect of the utilization of maternal health care services in some selected states in India. In: Chandra, M., Pandey, A., Mishra, P. and Singh, U. (Eds.): Bio-statistical Aspects of Health and Epidemiology. Lucknow: Prakashan Kendra, pp: 39-46.
    7. Janani Suraksha Yojana (2015). NHP CC DC.
    8. International Institute for Population Sciences and ICF. National Family Health Survey (NFHS-4), India, 2015-2016: Uttarakhand. Mumbai, India: IIPS and Rockville, Maryland, USA: ICF, pages: 171; March2017.
    9. Annual Health Survey (2010–11). Fact sheet—Uttarakhand. O/o the Registrar General & Census Commissioner, Ministry of Home Affairs, Government of India, New Delhi.
    10. Census of India 2011, Provisional Population Totals, Rural and Urban distribution of Uttarakhand series 6, Uttarakhand, India: Directorate of census operations, pages: 59; 2011.
    11. Kateja, A. Role of female literacy in maternal and infant mortality decline. Social Change, 2007;37(2):29-39.
    12. Quarterly monitoring report Uttarakhand. (April-June, 2013). NHSRC.
    13. Sharma, S., Saini, J. and Goutam, N. Monitoring report of Tehri Garhwal district, Uttarakhand. PRC, IEG, pages: 37, September-October 2013.

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