Introduction: Mamta card is a comprehensive MCH card as it
provides the information of pregnant / lactating women and 0-3
years of Children.
Objectives: To find the utilization of antenatal, Intranatal and
postnatal health services by rural mothers and to assess
completeness of records in the Mamta card.
Methodology: Community based cross sectional study was
conducted at nine villages of seven sub centres under two PHCs
of rural Ahmedabad district during October-2011 to January-2012.
Proforma was prepared covering various components of Mamta
card. Total 130 mothers having infants (<1 year) were
interviewed. Information was assessed primarily from the Mamta
card or by directly asking the mother whenever the card was
unavailable.
Result: Out of total 130 mothers, 103 (79%) having mamta card.
Majority (52%) were educated up to primary level.
Documentation of treatment and advice was 82.5% for antenatal
and only 3.9% for postnatal details. Date of birth was noted in
78.6%, birth weight in 67% and Growth chart mapping in 44.6% of
mamta cards. Majority (76.9%) had taken at least 3 ANC visits.
Around 95% mothers were fully immunized for TT, as per
requirement. 52% mothers had taken IFA for at least 3 months.
Majority (53%) delivered at private hospital. Beneficiaries of
Janani-Suraksha Yojna were 32%. Preferable contraception was
condom (16%) followed by Cu-T(7%), whereas majority(67%)
were not using or did not reply.
Conclusion: The coverage of basic maternity health services is
unsatisfactory. Documentation was satisfactory only for antenatal
details but not for rest of the services. Relevant steps are required
to improve services and its documentation.