title: Ante natal care services utilization, delivery practices and factors affecting them in tribal area of north maharashtra.
abstract: BACKGROUND
  Utilization of Ante natal care (ANC) services is poor in the tribal areas, causing increased maternal morbidity and mortality.
  
  
  OBJECTIVE
  This study was carried out to find out ANC services utilization, delivery practices and factors affecting them in a tribal area of North Maharashtra in Nashik district.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  The study was carried out in two tribal blocks of Nashik district. Cluster sampling technique was used. 210 mothers in the selected clusters, who had delivered within last 1 year, were interviewed. Information about the ANC services utilization and place of delivery was recorded. Relevant socio-demographic data were also collected.
  
  
  RESULTS
  Adequate ANC services utilization was found to be 64.76%. Home deliveries were 34.29% and home deliveries conducted by untrained persons were 15.24%.
  
  
  CONCLUSIONS
  The utilization of ANC services and deliveries at health centers were significantly associated with education of the women and their spouses, and the socioeconomic status of the family. Main reasons for inadequate utilization of ANC services were financial, unawareness about ANC services, etc. Place of delivery was associated with the type of the family. Traditional practices were the most common reason for conducting the deliveries at home.
authors.affiliation: Department of PSM, NDMVPS Medical College, Nashik, Maharashtra, India.
authors.forename: Sachin S
authors.initials: SS
authors.lastname: Mumbare
authors.forename: Rekha
authors.initials: R
authors.lastname: Rege