Maternal mortality: Issues and concerns
Early marriage is common as it fetches a bride price which is a valued source of support to the families. And above all the practice of youth dormitory system add volume to this as this ultimately lead to elope and early marriage.
MALKANGIRI AS a district is well known for the Bonda tribe and the Naxals in the country. But there are so many other things which are quite alarming and one of this is MMR which is (307/100000).
Some of the salient findings from district level household survey on women health reveal that;
Women are not allowed to make health-related decisions like seeking care when unwell and their illness is given a low or the least preference and this further delays the care seeking.
Typically, women and girl children eat last and in an already impoverished family, it implies that they often eat very little. Above all, the different food restrictions during pre and post pregnancy aggravate the problem.
Women carry the dual burden of earning a livelihood as well as managing several household chores. They get little rest even during pregnancy and most of them go for heavy work during the pregnancy.
Early marriage is common as it fetches a bride price which is a valued source of support to the families. And above, all the practice of youth dormitory system add volume to this as this ultimately lead to elope and early marriage.
Cultural practice of seclusion after giving birth makes skilled care to all women difficult that resulted in the increase of complications and infections, which eventually lead to the death of the mother.
The umbilical cord is cut by sickle in case of girl and with arrow in case of boy. They use the spider web and apply it in the umbilical curd to make it dry which lead to infection and resulted in major problems.
Geographical inaccessibility, resistant nature, low level of awareness of local people are some of the other reasons. Interestingly people do not attend hospital in fear of surgery and loss of prestige by the touch of a male doctor.
No doubt there are several structural issues like the other part of the country. But the illiteracy of people, their innocence and inability to access information multiply the problem and make the lives difficult.
- The ANC coverage is 54.3 per cent. Of those who received ANC, 24.9 per cent had these services from government health facility and 19.3 per cent had them at home.
- About 25 per cent of the women had minimum three ANC visits.
- Nearly 64 per cent of the women had a daily dose at least of one IFA tablet and 55.3 per cent had at least two TT injections.
- Only 7.8 per cent of the women had check-up of blood pressure, weight during pregnancy was taken by 24.8 per cent and 20.5 per cent had abdominal check-up.
- A full ANC package of at least one TT injection, 100+ IFA tablets and at least three ANC visits was received by 7.5 per cent of the eligible women.
- On the whole, 18.1 per cent were safe deliveries in this district.
The major problem is the cultural practice of most of the tribal communities which is not considered by most of the states governments of India which leads to the ultimate failure of all the schemes and programmes. Some of the harmful cultural practices;
Communities continue to rely on traditional healers (‘dishari’) and quacks even for treating pregnancy related complications including termination of unwanted pregnancies. In some cases, leaf’s petioles is used for abortion.
Communities continue to rely on traditional healers (‘dishari’) and quacks even for treating pregnancy related complications including termination of unwanted pregnancies. In some cases, leaf’s petioles is used for abortion.
Women are not allowed to make health-related decisions like seeking care when unwell and their illness is given a low or the least preference and this further delays the care seeking.
Typically, women and girl children eat last and in an already impoverished family, it implies that they often eat very little. Above all, the different food restrictions during pre and post pregnancy aggravate the problem.
Women carry the dual burden of earning a livelihood as well as managing several household chores. They get little rest even during pregnancy and most of them go for heavy work during the pregnancy.
Early marriage is common as it fetches a bride price which is a valued source of support to the families. And above, all the practice of youth dormitory system add volume to this as this ultimately lead to elope and early marriage.
Cultural practice of seclusion after giving birth makes skilled care to all women difficult that resulted in the increase of complications and infections, which eventually lead to the death of the mother.
The umbilical cord is cut by sickle in case of girl and with arrow in case of boy. They use the spider web and apply it in the umbilical curd to make it dry which lead to infection and resulted in major problems.
Geographical inaccessibility, resistant nature, low level of awareness of local people are some of the other reasons. Interestingly people do not attend hospital in fear of surgery and loss of prestige by the touch of a male doctor.
No doubt there are several structural issues like the other part of the country. But the illiteracy of people, their innocence and inability to access information multiply the problem and make the lives difficult.
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