Knowledge and Utilization of Antenatal and Postnatal Services in an Urban area of South-East Delhi: A Cross-Sectional Study

Authors

  • Sehla Tabassum Masters in Public Health student, Hamdard institute of Medical Sciences and Research, New Delhi, India Author https://orcid.org/0009-0001-6238-3137
  • Shyambhavee Behera Assistant Professor, Department of Community Medicine, Hamdard Institute of Medical Sciences and Research, New Delhi, India Author https://orcid.org/0000-0003-1789-8104
  • Kartikey Yadav Assistant Professor, Department of Community Medicine, Hamdard Institute of Medical Sciences and Research, New Delhi, India Author
  • Korbilli Gautami Masters in Public Health student, Hamdard institute of Medical Sciences and Research, New Delhi, India Author

DOI:

https://doi.org/10.51957/Healthline_708_2025

Keywords:

Maternal health, Postnatal care, Prenatal care

Abstract

Introduction: Poorer pregnancy outcomes are linked to inadequate antenatal care (ANC) and Postnatal care (PNC). Thus, adequate knowledge and utilization of these services among expectant mothers becomes the key to achieving healthy pregnancy outcomes. Objective: To assess the knowledge and utilization of ANC and PNC services among women who delivered in last 1 year residing in an Urban area of South-East Delhi. Methods: This was a cross-sectional study conducted among 150 women who delivered within the last one year residing in an urban area of South-East Delhi. Data collection between May 2024 to July 2024 was done with the help of pre-designed, validated, structured questionnaire using simple random sampling. Statistical analysis was done using SPSS which included computation of proportions and univariate analysis, which was done using chi-square test. Result: Good knowledge regarding basic ANC, Janani Suraksha yojana (JSY) and Pradhan Mantri Matru Vandana Yojana (PMMVY), Janani Shishu Suraksha Karyakram (JSSK), Anganwadi services and Home-based Newborn Care (HBNC) was reported by 140 (93.3%), 55 (36.7%), 127 (84.7%), 104 (69.3%), and 113 (75.3%) of the study participants, respectively. Good utilization of the services including basic ANC, JSSY and PMMVY, JSSK, Anganwadi services and HBNC was reported by 139 (92.7%), 13 (8.7%), 94 (62.7%), 104 (55.3%), and 113 (75.3%) of the study participants, respectively. Conclusion: The study reported good knowledge and utilization of basic ANC services. However, significant gaps were reported for the services provided under JSY, PMMY followed by JSSK, Anganwadi services and HBNC.

References

1. Sample Registration System (SRS)-Special Bulletin on maternal mortality in India 2019-21. [Internet] Office of the Registrar General & Census Commissioner, India; 2025. [cited 05 July 2025]. Available from: https://censusindia.gov.in/nada/index.php/catalog/45561

2. Goal 3. Ensure healthy lives and promote well-being for all at all ages [Internet]. United Nations: Department of economic and social affairs; 2024. [cited 2024 Jul 27]. Available from: https://sdgs.un.org/goals/goal3#targets_and_indicators

3. WHO recommendations on antenatal care for a positive pregnancy experience [Internet]. Geneva: World Health Organization; 2018. [cited 28 Jul 2024]. Available from: https://iris.who.int/bitstream/handle/10665/259947/WHO-RHR-18.02 eng.pdf

4. Benefit to women under PMMVY [Internet]. New Delhi: Ministry of Women and Child Development; 2021. [cited 27 Jul 2024]. Available from: https://www.pib.gov.in/PressReleasePage.aspx?PRID=1781676

5. Janani Shishu Suraksha Karyakaram (JSSK). [Internet]. Ministry of Health and Family Welfare, Government of India [cited 05 July 2025]. Available from: https://nhm.gov.in/index4.php?lang=1&level=0&linkid=150&lid=171

6. Services under the Integrated Child Development Services [Internet] Department of Women and Child Development, Government of NCT of Delhi [cited 05 July 2025]. Available from: https://wcd.delhi.gov.in/wcd/services-under-integrated-child-development-services

7. Home Based Newborn Care (HBNC) [Internet]. Ministry of Health and Family Welfare, Government of India [cited 05 July 2025]. Available from: https://nhm.gov.in/index4.php?lang=1&level=0&linkid=491&lid=760

8. National Family Health Survey (NFHS-5) 2019-21, Compendium of factsheets, Key indicators [Internet]. New Delhi: Ministry of Health and Family Welfare; 2022. Available from: https://main.mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf

9. Rustagi R, Basu S, Garg S, Singh MM, Mala YM. Utilization of antenatal care services and its sociodemographic correlates in urban and rural areas in Delhi, India. Eur J Midwifery. 2021 ;5:40. doi: 10.18332/ejm/140459. eCollection 2021.

10. Manulata, Swain D. Utilization of Antenatal Healthcare Services, Associated Factors, and Pregnancy Outcomes Among Postnatal Women Who Delivered in Selected Rural Healthcare Centers in Odisha, Southeastern India. Cureus. 2025 Feb 5;17(2):e78591. doi: 10.7759/cureus.78591

11. Kaur A, Singh J, Kaur H, Kaur H, Devgun P, Gupta VK. Knowledge and practices regarding antenatal care among mothers of infants in an urban area of Amritsar, Punjab. Int J Community Med Public Health. 2018;5(10):4263–7. Doi: https://doi.org/10.18203/2394-6040.ijcmph20183868

12. Khes SP, Sahu D, Soni GP, Chandrakar A. A study to assess awareness about Janani Suraksha Yojana among beneficiaries of urban slums of Raipur city, Chhattisgarh. Int J Community Med Public Health. 2017;4(7):2423–7. Doi: https://doi.org/10.18203/2394-6040.ijcmph20172835

13. Manna N, Jainendran AS, Mondal S, Das S. A study on knowledge regarding antenatal care services and its utilization among women in reproductive age group residing in the rural field practice area of Medical College, Kolkata. Natl J Physiol Pharm Pharmacol. 2024;14(1):86-91. Doi: 10.5455/njppp.2023.13.11528202317112023

14. Chandrakar A, Panda PS, Soni GP, Dixit S. Awareness regarding Janani Shishu Suraksha Karyakram (JSSK) among mothers: a community based cross-sectional study in rural area of Raipur district, Chhattisgarh. Int J Res Med Sci. 2017;5(10):4374–9. Doi: https://doi.org/10.18203/2320-6012.ijrms20174561

15. Rupani MP, Patel PM, Meena PR, Patel PP, Patel PA, Paragda PK. Regular Antenatal Care Visits Predict Good Knowledge Among Post-natal Mothers Regarding Entitlements of Health Programs in Western India. Int J Health Policy Manag. 2019;8(8):467–73. Doi: 10.15171/ijhpm.2019.28

16. Bhagat V, Choudhari S, Baviskar SR, Mudey AB. Availability and Utilization of Anganwadi Services in an Adopted Urban Area of Wardha. Online J Health Allied Scs. 2015;14(4):1–4.

17. Kadam S, Kulkarni S. Assess the Knowledge and Factors Influencing Utilization of Services Provided By Anganwadi Workers among Mothers Attending the Selected Anganwadies. J. Crit. Rev.2020;7(15):4366–74. Doi: 10.31838/jcr.07.15.582

18. Nawale AY, Jadav P, Hirve S, Butla M, Boinwad S, Khedekar S, et al. A study to assess the knowledge regarding Pradhan Mantri Matru Vandana Yojna among antenatal mothers of selected area of Pune city. Eur. j. mol. clin. med. 2020;7(11):6132–41.

19. Kaur H, Devgan S, Gupta S, Singh D, Arora H, Dihana N, et al. Evaluation of JSSK Programme in urban field practice area of Guru Gobind Singh Medical College, Faridkot. Int J Life Sci Biotechnol Pharma Res. 2023;12(1):205–10. 83

20. Paul S, Basu S, Sodhi B, Singh MM, Rose SP. Utilization of nutritional supplementation services and their predictors in pregnant and lactating women living in an urban resettlement colony of Delhi, India: a cross-sectional study. Cureus. 2022;14(12):e32302. doi: 10.7759/cureus.32302

21. Rehman HM, Patel SP, Agarwal M, Singh VK, Mahour P. Utilization and Parental Perception towards Anganwadi Services in Rural Lucknow-A Cross Sectional Study. Int J Health Sci Res. 2017;7(7):22-30

22. Harikrishna BN, Jothula KY, Nagaraj K, Prasad VG. Utilisation of Anganwadi services among pregnant women in rural Telangana: A cross sectional study. J Family Med Prim Care. 2020 Jul 30;9(7):3343-3348. doi: 10.4103/jfmpc.jfmpc_408_20.

23. Rane TM, Mahanta TG, Ryavanki SP, Gogoi B, Boruah M. Home-based newborn care voucher initiative in Assam: An evaluation. Indian J Public Health. 2020;64(1):66–71. Doi: 10.4103/ijph.IJPH_188_19

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Published

30-06-2025

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How to Cite

1.
Tabassum S, Behera S, Yadav K, Gautami K. Knowledge and Utilization of Antenatal and Postnatal Services in an Urban area of South-East Delhi: A Cross-Sectional Study. Healthline. 2025;16(2):111-117. doi:10.51957/Healthline_708_2025