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: Varsha Rajan, Bimal Kumar Sahoo, Priyamadhaba Behera, Binod Kumar Patro, Manish Taywade
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Series:Current Medical Issues
Subjects:
Online Access:https://journals.lww.com/10.4103/cmi.cmi_19_25
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author Varsha Rajan
Bimal Kumar Sahoo
Priyamadhaba Behera
Binod Kumar Patro
Manish Taywade
author_facet Varsha Rajan
Bimal Kumar Sahoo
Priyamadhaba Behera
Binod Kumar Patro
Manish Taywade
author_sort Varsha Rajan
collection DOAJ
description 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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spelling doaj-art-900c4bc9169543d79058dde00fd8d68c2025-08-20T03:39:57ZengWolters Kluwer Medknow PublicationsCurrent Medical Issues0973-46512666-40542025-07-0123319219610.4103/cmi.cmi_19_25Prevalence of High-risk Pregnancy and Utilization of Conditional Cash Transfer Schemes in One of the Rural Areas of Eastern IndiaVarsha RajanBimal Kumar SahooPriyamadhaba BeheraBinod Kumar PatroManish TaywadeBackground: 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.https://journals.lww.com/10.4103/cmi.cmi_19_25antenatal motherhigh-risk pregnancyindiamamata scheme
spellingShingle Varsha Rajan
Bimal Kumar Sahoo
Priyamadhaba Behera
Binod Kumar Patro
Manish Taywade
Prevalence of High-risk Pregnancy and Utilization of Conditional Cash Transfer Schemes in One of the Rural Areas of Eastern India
Current Medical Issues
antenatal mother
high-risk pregnancy
india
mamata scheme
title Prevalence of High-risk Pregnancy and Utilization of Conditional Cash Transfer Schemes in One of the Rural Areas of Eastern India
title_full Prevalence of High-risk Pregnancy and Utilization of Conditional Cash Transfer Schemes in One of the Rural Areas of Eastern India
title_fullStr Prevalence of High-risk Pregnancy and Utilization of Conditional Cash Transfer Schemes in One of the Rural Areas of Eastern India
title_full_unstemmed Prevalence of High-risk Pregnancy and Utilization of Conditional Cash Transfer Schemes in One of the Rural Areas of Eastern India
title_short Prevalence of High-risk Pregnancy and Utilization of Conditional Cash Transfer Schemes in One of the Rural Areas of Eastern India
title_sort prevalence of high risk pregnancy and utilization of conditional cash transfer schemes in one of the rural areas of eastern india
topic antenatal mother
high-risk pregnancy
india
mamata scheme
url https://journals.lww.com/10.4103/cmi.cmi_19_25
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