A Project On

The Maternal Health Care

Status
&
Family Planning Measures

ROME Programme
PEID Cell
Medical College Hospital,Trivandrum

Guided by
Presented by
Dr.Valsala Rahul
Abbas
Dr.Anuja Raji
Rajan
Dr.Khuraishia RajiRaj G

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Raju R
Raman B V
( 2000 MBBS BATCH )

A C K N O W L E D G E M E
N T

As part of the ROME programme we had the privilege to participate in a

fieldwork in Karakulam Panchayat. We extend our sincere thanks to all the faculty members
especially Dr.Valsala, Dr Anuja and Dr.Khurashia without whose excellent guidance this project
would have remained a dream unfulfilled. We take this opportunity to thank all the residents of
Karakulam Panchayat who by their love, goodwill and support made our programme a wonderful
experience. We also thank our friends who gave us full support in our fieldwork. Last but not the
least we thank the God, Almighty for His blessings without which we would not have succeeded in
our venture.

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 INTRODUCTION

Re Orientation of Medical Education (ROME)

History
The Srivastav Committee established the ROME programme in 1974
throughout India. It was set up in Kerala in 1980. This great venture that
changed the face of modern health care became an integral part of medical
education.
Aims
1. To device a suitable curriculum for training a cadre of health assistants so that
they can serve as a link between qualified medical practitioners and
multipurpose workers.
2. To suggest steps for improving the existing medical education status, to
provide due emphasis on the problems particularly relevant to national
requirements.

Objectives
1. To expose the students to the rural community.
2. To expose the faculty members to the rural community.
3. Up gradation of the healthcare and services in rural areas.
4. Medical colleges must take up the preventive, promotive, curative and
rehabilatory services provided at the primary level.
5. To learn about the services provided by PHC.
6. To envisage a complete set of the referral system.

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 DATA ANALYSIS & INTERPRETATION

Title: MATERNAL HEALTH CARE AND FAMILY WELFARE SERVICES

Authors: Students of 2000 batch MBBS
Institution: PEID Cell, Medical College Trivandrum.
Year: 2002-2003.
Study population: People of Ward 17-22 of Karakulam panchayat

Research QUESTION: What is the maternal health care status and the level of family planning
measures adopted by the married women of Wards 17-22 of Karakulam panchayat?

Objectives:
1. To study the age at marriage.
2. To study the parity of women.
3. To find out the family planning method adopted.
4. To find out the status of maternal antenatal care.

Materials and methods:

1. Design of study: Cross sectional survey
2. Subjects: 56 married women of Karakulam panchayat
3. Inclusion criteria: Married women
4. Exclusion criteria: Unmarried women

AGE AT MARRIAGE

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TABLE No: 1
Frequency Table Showing
AGE AT MARRIAGE
No AGE GROUP FREQUENC PERCENTAGE
Y
1 13 – 17 1 2
2 17 – 21 17 30
3 21 - 25 30 54
4 25 – 29 7 12
5 29 - 33 1 2

RESULT:
Most marriages take place in the age group 21 to 25 years.
Number of marriages that has taken place below 18 years is nil.
Number of marriages above 33 years is nil.

INFERENCE:
People are aware of the risk caused by marriages at lower age and literacy
rate is high.

AGE AT MARRIAGE

AGE AT MARRIAGE
60

50

40

VALUE 30
20 FREQUENCY
10 PERCENTAGE
0
13–15 17–21 21-25 25–29 29-33

1 2 3 4 5

AGE IN YEARS

PARITY OF WOMEN

TABLE No: 2

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Frequency table showing
PARITY OF WOMEN
No PARITY FREQUENCY PERCENTAGE
1 No children 8 14
2 One child 16 29
3 Two children 27 48
4 Three children 5 9
5 Four children 0 0

RESULT:
From this study group,
No: of women with no child are 8.
No: of women with one child are 16.

INFERENCE:
Chances of adopting family planning methods in these two groups are less.

PARITY OF WOMEN
1 No children

2 One child

3 Two children

4 Three
children
5 Four children

FAMILY PLANNING METHOD

TABLE No: 3
Frequency table showing
FAMILY PLANNING METHOD
No: FAMILY PLANNING METHODS FREQUENCY PERCENTAGE

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 1 NIL 14 25
2 IUD 1 2
3 PILL 1 2
4 CONDOM 5 9
5 VASECTOMY 2 3
6 PPS 30 53
7 MINILAP 2 4
8 OTHERS 1 2

RESULT:
About 75% of the people of this study group have adopted family planning
methods.
About 53% has adopted for PPS.

INFERENCE:
People are aware of family planning methods available and the need for it.

FAMI LY PLANNING METHODS ADOPTED

1 NIL
2 IUD
3 PILL
4 CONDOM
5 VASECTOMY
6 PPS
7 MINILAP
8 OTHERS

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8
 MATERNAL HEALTH CARE STATUS

Maternal immunization status.

The following table shows the number of married women who had 2
doses of Tetanus Toxoid taken during pregnancy
Immunized 55
Non-immunized 1

Iron & Folic acid supplementation

The following table shows the number of married women who had
regular doses of Iron & Folic acid supplementation during pregnancy
Yes 53
No 3
Place of delivery
The following table shows the place of delivery of married women.
Govt. Hospital 40
PHC 3
Pvt. Hospital 12
Home 1

COMPARISON OF THE DATA

AGE AT MARRIAGE
No: REGION AGE IN YEARS
1 KARAKULAM 22.29
2 INDIA 19

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 SUMMARY

From this study group,

• Most marriages take place in the age group 21 to 25 years.
• Number of marriages that has taken place below 18 years is nil.
• Number of marriages above 33 years is nil.
• No: of women with no child are 8.
• No: of women with one child are 16.
• About 75% of the people of this study group have adopted family
planning methods.
• About 53% has adopted for PPS.

CONCLUSION
• People are aware of the risk caused by marriages at lower age and
literacy rate is high.
• Chances of adopting family planning methods in these two groups are
less.
• People are aware of family planning methods available and the need for
it.

LIMITATIONS OF THE STUDY

• The sample size was very small because of which some of the
data contradicted with that of the district or state as a whole.
• Inadequate time to cover significant number of people.
• Direct interview with the student and employed population was
not possible as study was conducted on working days.
• Proper methods of randomization were not used in the study.
• Study was non-interventional.

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 ANNEXURE
(This was the part of the format used to collect the data.)

MATERNAL HEALTH CARE AND FAMILY WELFARE SERVICES

(Use separate sheet for each married women)

1. Name of mother : Age :

2. Age at marriage :

3. Is she pregnant?

4. If yes last menstrual period : 3a para

5. Details of pregnancies, outcome and care:

i. Order of pregnancy 1 2 3 4
ii. Age of mother when conceived
iii. Outcome(FTND/ Premature/ Still birth/ Abortion)
iv. Date of delivery /abortion / still birth
v. Place of delivery (Hospital/PHC/Private Hos./Home) and attended by
vi. Antenatal care – Yes/No
(Nil/Hosp/Private/PHC) Source
vii. Number of Home visits by JPHN
viii. Iron and Folic acid supplementation Yes/No
ix. Immunization TT1 Date
Source
TT2 Date
Source

x. Family Planning Method adopted

NIL
IUD
PILL
CONDOM
VASECTOMY
PPS
MINILAP
OTHERS

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