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UTILIZATION OF MATERNAL HEALTH SERVICES AMONG INTERNAL MIGRANTS IN MUMBAI, INDIA

Published online by Cambridge University Press:  19 May 2016

Nilesh C. Gawde ,
Muthusamy Sivakami  and
Bontha V. Babu
Nilesh C. Gawde*
Affiliation:
School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India
Muthusamy Sivakami
Affiliation:
School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India
Bontha V. Babu
Affiliation:
Division of Health Systems Research, Indian Council of Medical Research, New Delhi, India
*
1Corresponding author. Email: nilesh.gawde@tiss.edu
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Summary

This study aimed to understand access to maternal health care and the factors shaping it amongst poor migrants in Mumbai, India. A cross-sectional mixed methods approach was used. It included multistage cluster sampling and face-to-face interviews, through structured interview schedules, of 234 migrant women who had delivered in the two years previous to the date they were interviewed. Qualitative in-depth interviews of migrant women, health care providers and health officials were also conducted to understand community and provider perspectives. The results showed that access to antenatal care was poor among migrants with less than a third of them receiving basic antenatal care and a quarter delivering at home. Multivariate analysis highlighted that amongst migrant women those who stayed in Mumbai during pregnancy and delivery had better access to maternal health care than those who went back to their home towns. Poor maternal health care was also due to weaker demand for health care as a result of the lack of felt-need among migrants due to socio-cultural factors and lack of social support for, and knowledge of, health facilities in the city. Supply-side factors such as inadequate health infrastructure at primary and secondary levels, lack of specific strategies to improve access to health care for migrants and cumbersome administrative procedures that exclude migrants from certain government programmes all need to be addressed. Migrants should be integral to the urban development process and policies should aim at preventing their exclusion from basic amenities and their entitlements as citizens.

Type
Research Article
Information
Journal of Biosocial Science , Volume 48 , Issue 6 , November 2016 , pp. 767 - 796
Copyright
Copyright © Cambridge University Press, 2016 

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