The identified patterns of utilization/non utilization of institutional facility for delivery by women of rural community

A simple descriptive study using the survey to determine the utilization pattern of institutional facility for childbirth by women in certain rural communities in West Bengal. The objectives were to identify the reasons for institutional & home delivery & seeking association between the institutional facility utilization pattern for delivery with selected demographic factors. A sample of 572 mothers were selected& the tool was a personal and obstetric interview schedule and 20 needs-based questions. The proportion of institutional and home delivery found to be 3:7. The reasons for institutional delivery were the availability of health care staff (67% nurses), health care workers motivated the choice(100%), the distances of health centre were less than 4 km (60%), the expenses were reasonable (73%), no obstetric/medical or disease history (80%) and no psychosocial beliefs were associated. The reasons identified for home childbirth were the easy availability of traditional birth attendants (52%), didn’t receive any information or motivation from health workers (71%), the distances of health facility were over 4 km (80%), the spending was smaller (90%)at home, the decision-making authority waste in-laws (74%), psychosocial believes were associated (60%) with delivery