COMMUNITY PERCEPTIONS AND USE OF REPRODUCTIVE HEALTH SERVICES IN RURAL INDIA

Authors

  • Nirmala. M. Department of Visual Communication, Ethiraj College for Women, Chennai

DOI:

https://doi.org/10.61677/jth.v2i4.332

Keywords:

Reproductive health, rural India, community perception, healthcare access, maternal services

Abstract

This study aimed to explore the perceptions, barriers, and usage patterns of reproductive health services among women in rural areas of Uttar Pradesh and Bihar. A mixed-method cross-sectional study was conducted with 420 women aged 18–45. Quantitative data were collected through structured surveys, while qualitative insights were gathered via in-depth interviews and focus group discussions with local stakeholders. Descriptive statistics and logistic regression were used to analyze quantitative data, and thematic analysis was applied to qualitative data. While 84.3% of participants were aware of antenatal care, only 61.2% completed the recommended visits. Similarly, institutional delivery awareness was high (91.5%), yet only 67.8% utilized it. Key barriers included distance to health facilities, need for spousal permission, fear of mistreatment, and cultural taboos. Trust in ASHA workers was high, but confidence in the formal healthcare system remained low. The study reveals a clear mismatch between awareness and utilization of reproductive health services in rural India. Culturally sensitive, community-led strategies are necessary to enhance trust, reduce barriers, and improve equitable access to maternal and reproductive care.

References

Adadey, S. M., Doe, B., Tchadjobo, T., & Koffi, P. (2024). Community perceptions of family planning outreach in Togo: A qualitative study. Frontiers in Reproductive Health. https://doi.org/10.3389/frph.2024.1389716

Ahmed, S., Creanga, A. A., Gillespie, D. G., & Tsui, A. O. (2010). Economic status, education and empowerment: Implications for maternal health service utilization in developing countries. PLOS ONE, 5(6), e11190. https://doi.org/10.1371/journal.pone.0011190

Campbell, O. M. R., Calvert, C., Testa, A., Strehlow, M., Benova, L., Keyes, E., ... & Ronsmans, C. (2016). The scale, scope, coverage, and capability of childbirth care. The Lancet, 388(10056), 2193–2208. https://doi.org/10.1016/S0140-6736(16)31528-8

Filippi, V., Chou, D., Barreix, M., Say, L., & Tuncalp, O. (2015). Quality of care for pregnant women and newborns—the WHO vision. BJOG: An International Journal of Obstetrics & Gynaecology, 122(8), 1045–1049. https://doi.org/10.1111/1471-0528.13451

Ganle, J. K., Parker, M., Fitzpatrick, R., & Otupiri, E. (2014). A qualitative study of health system barriers to accessibility and utilization of maternal and newborn healthcare services in Ghana after user-fee abolition. BMC Pregnancy and Childbirth, 14, 425. https://doi.org/10.1186/s12884-014-0425-8

Gebremariam, A., Tarekegn, M., & Alemayehu, T. (2023). Factors associated with trust in primary healthcare in rural Ethiopia. International Journal for Equity in Health, 22, 25. https://doi.org/10.1186/s12939-023-01991-4

Haider, M. R., Qayyum, Z., & Soofi, S. B. (2021). Role of family dynamics in maternal health-seeking behavior in rural Pakistan. BMC Pregnancy and Childbirth, 21, 450. https://doi.org/10.1186/s12884-021-03921-1

Karkee, R., & Lee, A. H. (2016). Determinants of facility delivery after implementation of safer mother programme in Nepal: A prospective cohort study. BMC Pregnancy and Childbirth, 16, 20. https://doi.org/10.1186/s12884-016-0818-9

Muthengi, E., Kamau, M., & Chege, J. N. (2024). Provider attitudes and stigma in adolescent sexual health services: Evidence from Kenya. BMC Health Services Research, 24, 120. https://doi.org/10.1186/s12913-024-11710-9

Nahar, S., Rahman, M., & Nasreen, H. E. (2020). Health care-seeking behaviour of pregnant women in rural Bangladesh: Gaps in information and services. Reproductive Health, 17, 122. https://doi.org/10.1186/s12978-020-00958-0

Nang, P., Sok, T., & Keo, S. (2023). Improving contraceptive uptake through community engagement in Cambodia. Reproductive Health, 20, 180. https://doi.org/10.1186/s12978-023-01622-6

Okedo-Alex, I. N., Akamike, I. C., Ezeanosike, O. B., & Uneke, C. J. (2019). Determinants of antenatal care utilisation in sub-Saharan Africa: A systematic review. BMJ Open, 9(10), e031890. https://doi.org/10.1136/bmjopen-2019-031890

Okonofua, F., Oye-Adeniran, B., Odimegwu, C., & Imaledo, J. (2023). Adolescent access to reproductive health services in Nigeria: A mixed-methods study. BMJ Open, 13(5), e069102. https://doi.org/10.1136/bmjopen-2022-069102

Schoonmaker, S., Banda, H., & Chi, B. H. (2022). Health system trust and family planning use in Malawi. Global Public Health, 17(4), 478–489. https://doi.org/10.1080/17441692.2021.2015270

Sudhinaraset, M., Diamond-Smith, N., & Najera, J. (2023). Measuring person-centered care in reproductive health: A global review. Health Policy and Planning, 38(1), 50–60. https://doi.org/10.1093/heapol/czac064

Vonglokham, M., Phommachanh, K., & Sayasone, S. (2024). Measuring patient trust in primary care in Laos: A multi-level analysis. BMJ Global Health, 9, e014640. https://doi.org/10.1136/bmjgh-2023-014640

Wuni, C., Anto, F., & Kyei, P. (2023). Perceived barriers to sexual and reproductive health services among youth in Ghana. African Journal of Reproductive Health, 27(1), 113–122. https://doi.org/10.29063/ajrh2023/v27i1.10

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Published

2025-05-01

How to Cite

Nirmala. M. (2025). COMMUNITY PERCEPTIONS AND USE OF REPRODUCTIVE HEALTH SERVICES IN RURAL INDIA. JTH: Journal of Technology and Health, 2(4), 196–204. https://doi.org/10.61677/jth.v2i4.332

Issue

Vol. 2 No. 4 (2025): April: JTH: Journal of Technology and Health

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Copyright (c) 2025 JTH: Journal of Technology and Health