Factors Associated with Accessing ICDS Services among Women in Rural Rajasthan, India
Factors Associated with Accessing ICDS Services among Women in Rural Rajasthan, India作者机构：Department of Public Health Brigham Young University Provo UT USA Freedom from Hunger Davis CA USA
出 版 物：《Health》 (健康（英文）)
年 卷 期：2018年第10卷第10期
页 面：1271-1282页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：India Integrated Child Development Services (ICDS) Scheme Anganwadi Centres Maternal Health Child Health
摘 要：Background: The Integrated Child Development Services (ICDS) Scheme, launched in 1975 by the Government of India, provides various health services to children and their mothers at ICDS centres. Objectives: The purpose of this study is to understand 1) the extent to which women living in Rajasthan, India utilize services provided by ICDS centres and 2) the factors that are associated with their use. Methods: Freedom from Hunger and Freedom from Hunger India Trust, in collaboration with two local partners in Rajasthan, India, conducted a baseline assessment with 403 pregnant women and women with young children belonging to self-help groups to compare use of ICDS centres with key demographic variables and measures of poverty, food security and nutrition, curative care related to diarrhea, coping strategies, and household decision-making. Results: The results revealed that households that accessed ICDS services were more likely to report receiving nutrition information from ICDS centres, to purchase ORS in the last year, and to give oral rehydration solution (ORS) to children who had diarrhea. Women who decide how much food to serve each family member or spend money without discussing it first with someone else were more likely to receive benefits from ICDS centres. Those who spoke with their spouse about household nutrition needs were less likely to report accessing ICDS services. Conclusion: Interventions aimed at increasing utilization of ICDS centres in this region may find it beneficial to increase female participation in health care decisions, likely through spousal communication and gender relations.
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