Vol. XVI Issue 2 April - June 2012 2012 Documentation ... - Nipccd

28. March of Youth for Health, Education and Action for Rural
Trust, Bhubaneswar. (2010.
Maternal mortality in Orissa : an epidemiological study. Bhubaneswar :
My-HEART. 128p.
http://planningcommission.nic.in/hindi/reports/sereport/index.php?repts=serbody.htm
Background: Maternal Mortality is one of the world’s most neglected problems,
and progress on reducing the maternal mortality ratio (MMR) has been far too
slow. Orissa is one of the poorest states in India having Maternal Mortality Rate
(MMR) 358 per 1,00,000 live births (as per SRS- 2003) which is much higher
than the national average and significantly contributing high MMR of the
country.
Objectives: Objectives of the study were: to determine the level of maternal
mortality among the selected population groups in Rural/ Tribal/ Urban Orissa;
identify the risk factors of maternal mortality know their operational mechanism
and find out their related risks; examine the inter-relationship between maternal
mortality and fertility and the manner in which they tend to influence each other;
study the abortion behaviour of the community and its impact on maternal
death; study community perception of high- risk pregnancy and obstetrical
emergencies; study the maternal health perception and health seeking
behaviour of the community; understand the need for Public/ Private partnership
to provide obstetric care services; understand various socio- cultural practice
followed by the various population groups during different stages; Ante-natal,
Natal and Post-natal and finally recommend appropriate intervention modes to
prevent and control risk factors in order to reduce maternal mortality.
Methodology: The study coverage was 230 subcentres as sub-centre was taken
as a cluster for last four years self-reference period. The sub centres under the
study were proportionality allocated to 30 districts and stratified as rural, urban
and tribal. The sample allocation was done on Probability Proportion to Size
(PPS) methodology. All the households reporting maternal deaths and
alternative household, reporting live birth were studied for the total population.
Findings: Findings on women experiencing life birth shows that age at marriage
was 12 per cent for those below 18 years of age; for tribal women 27 per cent of
them were married but majority of them (81.3%) were married between 18 to 24
years; about 64.7 per cent of them had 2 to 3 years of spacing between two
births whereas about 16.2 per cent of them had spacing of two years between
birth, about 16.64 per cent had spacing of more than three years. Out of 24
women reported spacing within one year 16 women were from tribal area; there
was almost 99 per cent of survival of new birth reported and only about 0.9 per
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DCWC Research Bulletin Vol. XVI April - June 2012