An evaluation of the utilisation of reproductive and child health services provided by government to the rural community of Anand District, Gujrat.

A multi-indicator thirty cluster survey was conducted during February- March 2008 in the rural areas of Anand district of Gujrat state to assess the utilization of the reproductive and child health services provided through government sector. In each selected village minimum 40 households were visited till total eight children in age group 12-23 months, at least two antenatal mothers in last trimester and five mothers who delivered in last year were studied. A total of 555 children of age less than three years & 1481 women in reproductive age group were included in the study. 74.8% of the children had institutional delivery. Birth registration was almost 100%. Immunization coverage was 84.5%. Registration of children and pregnant mothers under Mamta Abhiyan(MA) were 91% and 84 % respectively. Only 53% children were brought to Mamta Diwas Kendra regularly. Vitamin A coverage to children was 76.9%. Tetanus toxoid coverage of pregnant women was 85.1%, while Iron tablets were provided to 48.3% women. 43% of the postnatal mothers had no post-partum visit. Utilization of government schemes among postnatal women was 9% to 20%.