Ante natal care ANC utilization, dietary practices and nutritional outcomes in pregnant and recently delivered women in urban slums of Delhi, India: an exploratory cross-sectional studyReport as inadecuate




Ante natal care ANC utilization, dietary practices and nutritional outcomes in pregnant and recently delivered women in urban slums of Delhi, India: an exploratory cross-sectional study - Download this document for free, or read online. Document in PDF available to download.

Reproductive Health

, 12:20

Obstetrics

Abstract

BackgroundAntenatal Care ANC is one of the crucial factors in ensuring healthy outcomes in women and newborns. Nutrition education and counselling is an integral part of ANC that influences maternal and child health outcomes. A cross sectional study was conducted in Pregnant Women PW and mothers who had delivered in the past three months; Recently Delivered Women RDW in urban slums of North-east district of Delhi, India, to explore ANC utilization, dietary practices and nutritional outcomes.

MethodsA household survey was conducted in three urban slums to identify PW and RDW. Socio-economic and demographic profile, various components of ANC received including nutrition counselling, dietary intake and nutritional outcomes based on anthropometric indices and anaemia status were assessed. Socio-demographic characteristics, nutrient intake and nutritional status were compared between those who availed ANC versus those who did not using logistic regression. Descriptive summary for services and counselling received; dietary and nutrient intake during ANC were presented.

ResultsAlmost 80% 274 out of 344 women received some form of ANC but the package was inadequate. Determinants for non-utilization of ANC were poverty, literacy, migration, duration of stay in the locality and high parity. Counselling on nutrition was reported by a fourth of the population. Nutrient intake showed suboptimal consumption of protein and micronutrients like iron, calcium, vitamin A, vitamin C, thiamine, riboflavin niacin, zinc and vitamin B12 by more than half of women. A high prevalence of anaemia among PW 85% and RDW 97.1% was observed. There was no difference in micronutrient intake and anaemia prevalence among women who received ANC versus who did not.

ConclusionsPregnant women living in urban poor settlements have poor nutritional status. This may be improved by strengthening the nutrition counselling component of ANC which was inadequate in the ANC package received. Empowering community based health workers in providing effective nutrition counselling should be explored given the overburdened public health system.

KeywordsPregnancy Antenatal care Nutritional status Nutrition counselling Dietary intake AbbreviationsANCAntenatal care

WHOWorld health organization

IECInformation education and communication

PWPregnant women

RDWRecently delivered women

HHHouseholds

RDARecommended dietary allowance

NARNutrient adequacy ratio

BMIBody mass index

CEDChronic energy deficency

PUHCPrimary urban health centre

RSBYRashtriya Swasthya Bima Yojana

FPFamily planning

FFQFood frequency questionnaire

EBFExclusive breast feeding ASHA, Accredited social health activist

ANCHULAntenatal and child health care in urban slums

TTTetanus toxoid

IFAIron and folic acid

Suparna Ghosh-Jerath and Niveditha Devasenapathy contributed equally to this work.

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Author: Suparna Ghosh-Jerath - Niveditha Devasenapathy - Archna Singh - Anuraj Shankar - Sanjay Zodpey

Source: https://link.springer.com/



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