L Swathy Madhusoodanan, Mahalakshmy Thulasingam, Sathish Rajaa, Sai Meenu, Debajyoti Bhattacharya, Kalaiselvy Arikrishnan, Sitanshu Sekhar Kar
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A pretested, semi-structured questionnaire was administered, and six key informant interviews were conducted. Integration was performed in the interpretation stage, and a joint display was used to depict the results. We adopted the Donabedian model during the analysis and organized the codes under these major themes[1] Access;[2] Delivery of the Services;[3] and Quality of Care.</p><p><strong>Result: </strong>Most pregnant women (81.9%, 95% CI = 75.2%-86.8%) sought care from both public and private healthcare facilities, however, they preferred public facilities for delivery (74.6%, 95% CI = 67.6%-80.4%). The qualitative analysis revealed three major themes[1] Access;[2] Delivery of the Services;[3] and Quality of Care. Primary reasons for opting for private facilities included perceived superior ANC quality, organized care evident in scheduled appointments, reduced waiting time, frequent ultrasounds, personalized medication, and enhanced rapport with family. Women also believed that visits to government facilities are essential to avail the monetary benefits and have a seamless admission during delivery. They felt that government hospitals perform fewer cesarean sections.</p><p><strong>Conclusion: </strong>Strengthening public-private partnerships could enhance antenatal care utilization, benefiting pregnant women and streamlining healthcare delivery.</p>","PeriodicalId":45040,"journal":{"name":"Indian Journal of Community Medicine","volume":"50 Suppl 1","pages":"S76-S82"},"PeriodicalIF":0.9000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12430846/pdf/","citationCount":"0","resultStr":"{\"title\":\"Optimizing Maternal Healthcare Access: A Mixed Method Study on Dual Utilization of Public and Private Antenatal Care Services in Puducherry, India.\",\"authors\":\"L Swathy Madhusoodanan, Mahalakshmy Thulasingam, Sathish Rajaa, Sai Meenu, Debajyoti Bhattacharya, Kalaiselvy Arikrishnan, Sitanshu Sekhar Kar\",\"doi\":\"10.4103/ijcm.ijcm_785_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Access to antenatal care (ANC) services has improved. 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引用次数: 0
摘要
背景：产前保健（ANC）服务的可及性有所改善。然而，也注意到一些产前妇女寻求多种保健服务。探索这种做法将发现服务提供方面的差距，并为提高服务质量铺平道路。目的：本研究旨在了解国民健康保险各组成部分对公立和私立医疗服务的同时使用情况，并了解双重使用的原因。方法：这项解释性混合方法研究纳入了177名居住在普杜切里的母亲，这些母亲在过去三年内分娩。一份预先测试的半结构化问卷被执行，并进行了六次关键的信息者访谈。在解释阶段进行积分，并使用联合显示来描述结果。我们在分析过程中采用了Donabedian模型，并将代码组织在这些主要主题下[1]Access；[2]服务的交付；b[3]和护理质量。结果：大多数孕妇（81.9%,95% CI = 75.2% ~ 86.8%）在公立和私立医疗机构就诊，但她们更倾向于在公立医疗机构分娩（74.6%,95% CI = 67.6% ~ 80.4%）。定性分析揭示了三个主要主题：访问；[2]服务的交付；b[3]和护理质量。选择私人医疗机构的主要原因包括：优质的ANC质量、安排预约的有组织护理、减少等待时间、频繁的超声波检查、个性化的药物治疗以及加强与家人的关系。妇女们还认为，到政府设施就诊对于获得金钱补助和在分娩期间顺利入院至关重要。他们认为，政府医院实施的剖宫产手术较少。结论：加强公私伙伴关系可以提高产前保健的利用率，使孕妇受益并简化保健服务。
Optimizing Maternal Healthcare Access: A Mixed Method Study on Dual Utilization of Public and Private Antenatal Care Services in Puducherry, India.
Background: Access to antenatal care (ANC) services has improved. However, it is also noted that some antenatal women seek multiple healthcare services. Exploring this practice will identify gaps in service provision and pave the path toward improving the quality of services.
Objective: This study aimed to measure the concurrent use of public and private healthcare services for various components of ANC and understand the reasons for the dual utilization.
Methodology: This explanatory mixed-method study enrolled 177 mothers residing in Puducherry, who had given birth in the last three years. A pretested, semi-structured questionnaire was administered, and six key informant interviews were conducted. Integration was performed in the interpretation stage, and a joint display was used to depict the results. We adopted the Donabedian model during the analysis and organized the codes under these major themes[1] Access;[2] Delivery of the Services;[3] and Quality of Care.
Result: Most pregnant women (81.9%, 95% CI = 75.2%-86.8%) sought care from both public and private healthcare facilities, however, they preferred public facilities for delivery (74.6%, 95% CI = 67.6%-80.4%). The qualitative analysis revealed three major themes[1] Access;[2] Delivery of the Services;[3] and Quality of Care. Primary reasons for opting for private facilities included perceived superior ANC quality, organized care evident in scheduled appointments, reduced waiting time, frequent ultrasounds, personalized medication, and enhanced rapport with family. Women also believed that visits to government facilities are essential to avail the monetary benefits and have a seamless admission during delivery. They felt that government hospitals perform fewer cesarean sections.
Conclusion: Strengthening public-private partnerships could enhance antenatal care utilization, benefiting pregnant women and streamlining healthcare delivery.
期刊介绍：
The Indian Journal of Community Medicine (IJCM, ISSN 0970-0218), is the official organ & the only official journal of the Indian Association of Preventive and Social Medicine (IAPSM). It is a peer-reviewed journal which is published Quarterly. The journal publishes original research articles, focusing on family health care, epidemiology, biostatistics, public health administration, health care delivery, national health problems, medical anthropology and social medicine, invited annotations and comments, invited papers on recent advances, clinical and epidemiological diagnosis and management; editorial correspondence and book reviews.
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