Surbhi Bhadkariya, Priyanka Tiwari
Medical
June 2025
Institutional delivery and postnatal care (PNC) are critical to reducing maternal and neonatal mortality, particularly in marginalized populations. This study, conducted in tribal and underserved regions of Gwalior district, Madhya Pradesh, used a mixed-methods design to assess awareness, utilization, and barriers. Among 500 women surveyed, 72% delivered in institutions, but only 48% received adequate PNC. Barriers included cultural norms, poor access, low awareness, and lack of autonomy. Awareness of JSY and JSSK schemes was moderate, yet benefit utilization remained limited. Community health workers, especially CHOs and ASHAs, were crucial for outreach. The study underscores the need for culturally responsive strategies and stronger frontline health infrastructure.
717- 727
© Airo Journals 2021
