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A Study on Factors Affecting Under-Utilisation of Medical- Termination-of-Pregnancy (MTP) Services in Rural Areas

Author(s): Neha Chandak

Journal: International Journal of Collaborative Research on Internal Medicine & Public Health
ISSN 1840-4529

Volume: 3;
Issue: 3;
Start page: 200;
Date: 2011;
Original page

Keywords: Medical Termination of Pregnancy | Unsafe abortio | Pregnancy

Background: Despite legalization of MTP Act by government of India in 1972, psycho-socio-economicimplications in rural areas prevent women from undergoing safe abortion practices. We still have highmaternal mortality and morbidity associated with unsafe abortion practices.The first step towards this initiative perhaps is to understand what and where the lacunae are? Why evenafter three and half decades of liberalized law, abortion services to a woman who desires it remainunderutilized? This research makes an attempt to answer some of these questions.Aim and Objectives: This study aims to measure which of the factor influences the underutilisation ofMTP services the most. The ultimate objective is to encourage women to undergo safe abortion bypreventing them from visiting ‘quacks’ for unsafe abortions; to protect girls from abuse; and to reducematernal mortality and morbidity rates.Methods/ Study Design:STUDY SITE: Department of Obstetrics and Gynaecology of Jawaharlal, Nehru Medical College,Sawangi, WardhaSTUDY TYPE: Cross-sectional (hospital-based)STUDY DURATION: 2 monthsSAMPLE SIZE: 200INCLUSION CRITERIA: Advanced pregnancies due to Contraception failure, Lactational amenorrhea, Inunmarried girls, Sexual abuseEXCLUSION CRITERIA:Girls below 15 yearsWomen above 40 yearsDATA COLLECTION: With the help of a questionnaire after taking an informed consent in the locallanguage.DATA ANALYSIS: By Multiple Logistic Regressions. Microsoft Excel has also been used.Results/ Findings: Using the Enter method, p < 0.005; R: 0.923; R Square: 0.852; Adjusted R Square:83.8%Study Limitations: This was a short-term study. However, efforts to make this study an on-going processshould be made so that more rural population can be covered and counseled.Conclusion: My study suggests that lack of awareness among women about safe MTP services is themajor cause of underutilization of MTP followed by lack of awareness about legal status of MTP.Another ICMR Multi-centre Study in 5 States of India suggests the same. Major negative effects canoccur when a pregnancy is forced on a woman despite today's liberal abortion laws. Thus, women’shealth education could have a positive impact on improving utilization of safe MTP services in ruralareas.

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