Prevalence of High-risk Pregnancy and Utilization of Conditional Cash Transfer Schemes in One of the Rural Areas of Eastern India
Background: Early identification of high-risk pregnancies is essential in reducing maternal and infant mortality. The Mamata scheme, a conditional cash transfer program, aims to support pregnant women and lactating mothers by improving access to essential care and nutrition. This study aimed to asse...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Current Medical Issues |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/cmi.cmi_19_25 |
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| Summary: | Background:
Early identification of high-risk pregnancies is essential in reducing maternal and infant mortality. The Mamata scheme, a conditional cash transfer program, aims to support pregnant women and lactating mothers by improving access to essential care and nutrition. This study aimed to assess the prevalence of high-risk pregnancies and utilization of Mamata scheme in rural Odisha.
Materials and Methods:
A cross-sectional study was conducted in the rural field practice area of AIIMS, Bhubaneswar, from June 1, 2021, to August 30, 2021. Women of reproductive age with amenorrhea for over 1 month were included through universal sampling. After confirming pregnancy, a structured questionnaire was used to assess registration status, eligibility for Mamata scheme, and high-risk pregnancy conditions.
Results:
Out of 143 participants in the study, the prevalence of high-risk pregnancies was 25.17% (95% confidence interval [CI]: 18.06–32.26). Among them, 70% were identified due to past pregnancy history, 22% based on current pregnancy history, and 8% had high-risk factors from both past and current pregnancy histories. Among identified high-risk pregnancies, the most common risk factor was those who had a previous cesarean section or any uterine surgery (38.88%). For Mamata scheme, among participants, 64.34% (95% CI: 55.90–72.16) met the eligibility criteria. The enrolled were 96.50% (95% CI: 92.03–98.85) in the scheme, which reflects the widespread access to conditional cash transfers.
Conclusions:
The study highlights a significant prevalence of high-risk pregnancies in rural areas, alongside high enrolment in Mamata scheme. Public health measures are required to empower community health workers regarding early identification of high-risk pregnancies and linkage with appropriate care. |
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| ISSN: | 0973-4651 2666-4054 |