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Obstacles in the Utilisation of Maternal Health Care Services in Murarai-II C.D. Block, Birbhum District, West Bengal, India


Improving maternal health was one of the eight Millennium Development Goals (MDGs) and now it is one of the targets of 17 point Sustainable Development Goals (SDGs). The utilisation of Maternal Health Care Services (MHCSs) is a complex phenomenon and it is influenced by several factors, like-health care seeking behaviour of the cohorts belonging to different socio-economic and cultural background, distance of the facility centres, type and conditions of the roads including undulating surface, transportation cost, type and availability of transportation mode along with the factors related to the accountability and surveillances of the health care services. Therefore, clear understanding and discussion is needed to draw an association between MHCSs and its influential factors. The objectives of the study are to estimate the impact of accessibility on the underserved status of MHCSs and on the utilisation of MHCSs through paucity index. In addition, the study aims to evaluate the causal relationships between underserved situation and obstacle score with the paucity index of MHCS utilisation.

The empirical observation unfolds that the provision and utilisation of MHCSs are strongly dependent on accessibility and distance. The situation is aggravating for proper delivery of services, which is responsible for the increasing obstacle score and paucity index, especially in remote sub- centres of Murarai-II C.D. Block of Birbhum District.



MHCSs, Accessibility Index, Underserved Scenario, Paucity Index, Postnatal Cases



Akhtar, R., & Izhar, N. (2010). Global Medical Geography, Rawat Publication, Jaipur (ISBN-81-316-0198-6)
Anastasia, G. J., & Calixte, G. (2006). Effects of The Physical Accessibility of Maternal Health Services on their Use in Rural Haiti, Population Studies 60 (3), pp. 271-288. Retrieved from http:/
Bhattacharyya, Rituparna (2016). An Account of India’s under-5 Mortality Rate, International Journal of Social Work and Human Services Practice, 4(4), pp. 82-88, DOI: 10.13189/ijrh.2016.040402
Buor, D. (2002). Distance as a Predominant Factor in the Utilisation of Health Services in the Kumasi metropolis, GeoJournal, 56 (2), Springer, pp. 145-157
Chalkey, A. M. (2006). A Textbook for the Health Worker. New Delhi: New Age International (P) Limited, Publishers. (ISBN: 0-85226-939-0)
Datta, M., & Nirmalya, M. (2012). A Study on Socio-demographic Correlates of Maternal Health Care Utilisation in a Rural Area of West Bengal. Global Journal of Medicine and Public Health,1 (4), pp. 7-12
District Level Household and Facility Survey-3 (2010).Ministry of Health and Family Welfare. Govt.of India, New Delhi-110 011
District Level Household and Facility Survey-4 (2014).Ministry of Health and Family Welfare. Govt.of India, International Institute for Population Sciences, Deemed University, Mumbai 400 088
Gage,A.J.,& Calixte,M.G.(2006).Effects of the Physical Accessibility of Maternal Health Services on their use in Rural Haiti. Population Studies, 60 (3). Taylor & Francis, Ltd.271-288
Global Concerns Classroom (2013) .Maternal health: How Can We Ensure That All Women Have Access to Quality Maternal Health Care. Retrieved from
Goland, E., Dinh, T.P.H., & Mats, M. (2012). Inequality in Maternal Health Care Utilisation in Vietnam.International Journal for Equity in Health 11 (24), pp.5-8
Ghosh, A. & Mistri, B. (2016).Impact of Distance in the Provision of Maternal Health Care Services and its Accountability in Murarai-II Block, Birbhum District. Space and Culture, India. 4(1), pp. 81-99. DOI: 10.20896/saci.v4i1.182
Gottlieb, P., & Lindmark, G. (2002). WHO Indicators for Evaluation of Maternal Health Care Services, Applicability in Least Developed Countries : A Case Study from Eritrea. African Journal Of Reproductive Health,6 (2), pp. 13-22. Retrieved from
Government of West Bengal.Kolkata. District Statistical Handbook, Birbhum District (2011).
Hati, K.K., & Majumder, R. (2011).Health for Development: A District Level Study in West Bengal. Online at
MPRA Paper No. 45849, posted 5 April 2013 12:04 UTC
Hirama, M.V., Toledo, F.A.L., Junior, E.C., Costa, K.B.,& Quadros, J.P. (2010). Q-Mode and R-Mode Factor Analysis in Quantitative Studies of Microfossils of the Late Quaternary in Sediments from the Brazilian Continental Margin. University of São Paulo, Oceanographic Inst., Lab. Paleoceanography of the South Atlantic (LaPAS), pp. 41-49
Lalmalsawmzauva, K.C., & Nayak, D.K. (nd). Maternal Health Care Utilisation in India: Role of Surface Road Networks. pp.1-16. Retrieved from
Lee, K. & Chi, K.H. (nd). Uses of high-resolution imagery for urban transportation applications: Quantitative indices extraction approaches. Retrieved from
Machel, G.(2010). Maternal Health: Investing in the Lifeline of Healthy Societies & Economies. Africa Progress Panel, P.O.B. 157, 1211 Geneva 20, Switzerland. Retrieved from
Mahmood, A.(2002).Statistical methods in geographical studies. New Delhi: Rajesh Publications India. ISBN: 81-85891-17-6.
Mamdani, M. & Bangser, M.(2004). Poor People Experiences of Health Services in Tanzania: A Literature Review. Reproductive Health Matters (RHM), 12 (24), pp. 138-153, Retrieved from http:/
Mavalankar, D,V., Vora, K.S., Ramani, K.V., Raman, P., Sharma, B., & Upadhyaya,M.(2009). Maternal Health in Gujarat, India: A Case Study. Journal of Health, Population and Nutrition 27 (2), pp.235-248. Retrieved from
Murad, A.A.( 2007). Creating a GIS Application for Health Services at Jeddah City.Computers in Biology and Medicine. Elsevier Science Ltd. ,Great Britain. 37, doi:10.1016/j.compbiomed.879-889. Retrieved from
Obaid,T.(2011). Deadly delivery: The Maternal Health Care Crisis in the USA, One Year Update Spring 2011.Amnesty International · Demand Dignity Campaign, 5 Penn Plaza, 16th Fl · New York, NY-10001. Retrieved from
Park, K., (2013). Preventive and Social Medicine.22nd Edition.M/s Bandarsidas Bhanot Publications. Prem Nagar, Jabalpur-482001 (ISBN No. 978-93-82219-02-6)
Paruzzolo,S., Mehra, R., Kes, A., & and Ashbaugh, C.(2010). Poverty and Gender Inequality.To Improve Maternal Health.International Centre for Research on Women.New Delhi — 110024 India. Retrieved from
Purohit, B.C., & Siddiqui, T.A.(1994). Utilisation of Health Services in India, Economic and Political Weekly 29(18): 1071-1080. Retrieved from hhtp://
Raza, M., & Aggarwal, Y.(1999).Transport Geography of India: Commodity Flows and the Regional Structure of the Indian Economy. New Delhi: Concept Publishing Company. ISBN 81-7022-089-0
Rana, K., Santra, S., Rafique, A., Mukherjee, A. & Sengupta, A. (2005). The Delivery of Primary Health Services: A Study in West Bengal and Jharkhand. The Pratichi Health Report: With an Introduction by Amartya Sen. Pratichi Trust. Delhi. India.110091 (ISBN 81-88297-03-8. 1-108)
Sarma, J.B. and Bhattacharyya, R. (2015). Half Empty or half filled? Notes on Universal Health Coverage in Northeast India, The Clarion, 4 (1), pp. 154-184.
Satia, J.K., Misra, M.,Arora,R., & Neogi. S. (2014). Innovation in maternal health: Case study from India. SAGE Publication, New Delhi, (ISBN-978-81-321-1310-2, PB).
Saxena, H. M. (2012).Transport geography. Rawat Publication. Jawahar Nagar, Jaipur,India, pp. 54-79, (ISBN-81-7033-945-6)
Sarkar, A. (2013). Quantitative Geography: Techniques and Presentations. Orient Blackswan (ISBN- 978 81 250 5266 1)
Singh, P.K. (8th March, 2016). Because the Newly Born Deserve Better.The Statesman. Retrieved from
Thaddeus, S. & Maine, D.(1994). Too Far to Walk: Maternal Mortality in Context. Elsevier Science Ltd. ,Great Britain, 38 (8), 0277-9536/94, pp. 1091-1110.
World Bank Group (2015). Trends in Maternal Mortality:1990 to 2015, Estimated by WHO UNICEF, UNFPA,World Bank Group and The United Nations Population Division, Department of Reproductive Health and Research, World Health Organisation.
World Health Organisation (2015). World Health Statistics 2015. ISBN 978 92 4 156488 5
ISBN 978 92 4 069443 9


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