Indian Journal of Medical Research

: 2017  |  Volume : 145  |  Issue : 4  |  Page : 570-

Authors' Response

Tulsi Adhikari1, Damodar Sahu1, Saritha Nair1, Kalyan B Saha2, Ravendra K Sharma2, Arvind Pandey1,  
1 ICMR- National Institute of Medical Statistics, New Delhi 110 029, India
2 ICMR- National Institute for Research in Tribal Health, Jabalpur 482 003, Madhya Pradesh, India

Correspondence Address:
Arvind Pandey
ICMR- National Institute of Medical Statistics, New Delhi 110 029

How to cite this article:
Adhikari T, Sahu D, Nair S, Saha KB, Sharma RK, Pandey A. Authors' Response.Indian J Med Res 2017;145:570-570

How to cite this URL:
Adhikari T, Sahu D, Nair S, Saha KB, Sharma RK, Pandey A. Authors' Response. Indian J Med Res [serial online] 2017 [cited 2020 Aug 12 ];145:570-570
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Full Text

Critical reading of our article is appreciated. At a time when universal health care is being mentioned at the various national and international forum, our article depicts the poor state of ANC utilization among the tribal women in India[1]. There are other studies also echoing the same message[2],[3].

Various studies have been carried out to associate causal factors and determinants of utilization of the Reproductive and Child Health (RCH) services. In our study, ANC registration and pregnancy testing were identified as the key determinants for complete ANC among the tribal women. Additionally, the role of family members in motivating women to attend the ANC clinic was emphasised in the States of Rajasthan and Odisha ([Table 2]A)[1]. Accessibility, however, in our analysis did not emerge as a determinant of ANC utilization. Factors such as cultural practices and those related to service delivery may play an important role in ANC utilization; this, however, was beyond the scope of our quantitative analysis.{Table 2}

Diversity of the nation in the ANC utilization was evident from the proportion of complete ANC in the four selected States and factors associated with it [Table 1][1]. This points towards the need to have State and district specific programmes for the improvement in ANC services utilization and maternal health.


1Adhikari T, Sahu D, Nair S, Saha KB, Sharma RK, Pandey A. Factors associated with utilization of antenatal care services among tribal women: A study of selected states. Indian J Med Res 2016; 144 : 58-66.
2Shah R, Belager D. Socioeconomic correlates of utilisation of maternal health service by tribal women in India. Can Stud Popul 2011; 38 : 83-98.
3Simkhada B, Teijlingen ER, Porter M, Simkhada P. Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. J Advance Nursing 2008; 61 : 244-60.