Utilization of Sub-Centre in Rural Areas of Lucknow District

Manas P Roy , U Mohan, S K Singh,

V K Singh, A K SrivastavaCSMMU UP, Lucknow

Objective

To assess the pattern of utilization of services being provided to the beneficiaries through Sub-Centres of Lucknow district.

Methodology

Study design: Cross-sectional. Study population: Sub-Centres and their beneficiaries in

Lucknow District. Sample size: 352 (applying formula 4pq/d2). Sampling technique: Multistage random sampling used

for selection of Sub-Centres. Selection of the beneficiaries: Following systematic

random sampling. Inclusion criteria: The beneficiaries were selected if

they have delivered a baby since January 2009. Statistical analysis: Chi-square and Fisher’s exact test.

Lucknow

Kakori Sarojini Nagar

Kakori Phatehganj BehtaSarojini Nagar

<5 km away

>5 km away

<5 km away

>5 km away

CHCs

PHCs

<5 km away<5 km away

>5 km away >5 km away

SCs

Selection of Sub-Centres

Observation

Bio-social characteristics

Number of beneficiaries

SCV (n=176) NSCV (n=176) Total (n=352)

Age No. % No. % No. %

<20 years 12 6.8 7 4.0 19 5.4

20-30 years 143 81.3 148 84.1 291 82.7

>30 years 21 11.9 21 11.9 42 11.9

Religion

Hindu 156 88.6 165 93.8 321 91.2

Muslim 20 11.9 11 6.3 31 8.8

Caste

General 31 17.6 20 11.4 51 14.9

OBC 66 37.5 74 42.1 140 39.8

SC/ST 79 44.9 82 45.6 161 45.7

Table 1: Distribution of beneficiaries

Table 1 cont…Variable Number of beneficiaries

Type of family SCV (n=176) NSCV (n=176) Total (n=352)

No. % No. % No. %

Nuclear 84 47.7 89 50.6 173 49.1

Joint 92 52.3 87 49.4 179 50.9

Occupation

None/ Housewife 175 99.4 173 98.3 348 98.9

Others 1 0.6 3 1.7 4 1.1

SE status

Class III 21 11.9 15 8.5 36 10.2

Class IV 113 64.2 112 63.6 225 63.9

Class V 42 23.9 49 27.8 91 25.9

Education

Illiterate 98 55.7 82 46.6 180 51.1

Literate 78 44.3 94 53.4 172 48.9

Table 2: Utilization of services from the Sub-Centre

Visit to Sub-

Centre

Number of beneficiaries

SCV (n=176) NSCV (n=176) Total (n=352)

No. % No. % No. %

Yes 108 61.4 24 13.6 132 37.5

No 68 38.6 152 86.4 220 62.5

Total 176 100.0 176 100.0 352 100.0

p value= 0.000

Table 3: Bio-social factors influencing the visit of the beneficiaries to the Sub-Centre

Variable Number of beneficiaries

Age Visited (n=132) Did not visit (n=220)

No. % No. %

<20 years 6 4.6 13 5.9

20-30 years 110 83.3 181 82.3

>30 years 16 12.1 26 11.8

Religion

Hindu 119 90.2 202 91.8

Muslim 13 9.8 18 8.2

Caste

General 24 18.2 27 12.3

OBC 49 37.1 91 41.4

SC/ST 59 44.7 102 46.4

Table 3 cont…Variable Number of beneficiaries

Type of family Visited (n=132) Did not visit (n=220)

No. % No. %

Nuclear 61 46.2 112 50.9

Joint 71 53.8 108 49.1

Occupation

None/ Housewife 130 98.5 218 99.1

Others 2 1.5 2 0.9

SE status

Class III 18 14.6 18 8.2

Class IV 83 62.9 142 64.5

Class V 31 23.5 60 27.3

Education

Illiterate 76 57.6 104 47.3

Literate 56 42.4 116 52.7

Figure 1: Reason for not visiting Sub-Centre

ANM co

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No dru

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NSCVSCV

Reasons

Per

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Figure 2: Services availed by beneficiaries from the Sub-Centre

Ante-natal care Immunization Newborn care0

10

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NSCVSCV

Reasons

Per

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Conclusion

Beneficiaries from Sub-Centre villages were found to attend the Sub-Centre more frequently than those from other villages.

Most of the beneficiaries availed ante-natal care and immunization.

No bio-social factor was found to influence the utilization of Sub-Centre.

Thank you!