EVALUATION OF ANTENATAL CARE CAMP SERVICES FOR DETECTION OF HIGH-RISK PREGNANCIES AND REFERRAL OUTCOMES IN AN URBAN FIELD PRACTICE AREA: A COMMUNITY BASED CROSS SECTIONAL STUDY
Main Article Content
Keywords
ANC camp; High-risk pregnancy; Referral linkage; Information education communication; Program evaluation; Maternal health
Abstract
Background: Antenatal care (ANC) camps enhance maternal health services by enabling early identification of high-risk pregnancies, providing essential investigations, focused counseling, and timely referrals. Assessing these camp-based service delivery models is crucial for understanding their effectiveness and suitability in regular health system contexts.
Methods: A retrospective evaluation examined the effectiveness of the Swasth Naari Shashakth Parivar Abhiyana ANC camp model by reviewing records from a one-day ANC camp in an urban field practice area of Chitradurga Medical College and Research Institute(CMCRI), Chitradurga, Karnataka . The analysis included ANC registers, laboratory reports, referral documents, and Information, Education, and Communication (IEC) materials to extract data on high-risk pregnancy detection, referral linkages, beneficiary satisfaction, and informed consent understanding. Findings were summarized using descriptive statistics and chi-square tests to assess variable associations.
Results: A study involving 61 pregnant women indicated that 35 participants (57.4%) had high-risk conditions, primarily anemia in 31 women (50.8%). Of the high-risk women, 32 (91.4%) were referred to higher health facilities, with 32 (84.2%) completing the referral. Satisfaction with camp services was high, with 50 beneficiaries (82.0%) either highly satisfied or satisfied. Informed consent understanding was complete for 49 participants (80.3%), and receiving IEC counselling was significantly linked to higher satisfaction (χ² = 8.91, p = 0.003).
Conclusion: The Swasth Naari Shashakth Parivar Abhiyana ANC camp model effectively identified high-risk pregnancies and provided patient-centred antenatal services, emphasizing structured counselling and ethical service delivery to enhance primary care ANC.
References
2. Thaddeus S, Maine D. Too far to walk: maternal mortality in context. SocSci Med. 1994 Apr;38(8):1091-110.
3. Office of the Registrar General & Census Commissioner, India. Special Bulletin on Maternal Mortality in India 2018-20. New Delhi: Ministry of Home Affairs; 2022. Available at:https://censusindia.gov.in. Accessed 10 Feb 2026.
4. Tunçalp Ӧ, Pena-Rosas JP, Lawrie T, Bucagu M, Oladapo OT, Portela A, et al. WHO recommendations on antenatal care for a positive pregnancy experience—going beyond survival. BJOG. 2017;124(6):860-2.
5. World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization; 2016. Available at:https://www.who.int/publications/i/item/9789241549912. Accessed 10 Feb 2026.
6. Holness N. High-Risk Pregnancy. NursClin North Am. 2018 Jun;53(2):241-251.
7. Bharti, Kumar V, Kaur A, Chawla S, Malik M. Prevalence and correlates of high risk pregnancy in rural Haryana: a community based study. Int J Basic Appl Med Sci. 2013;3(2):212-217.
8. Ministry of Health and Family Welfare. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) Guidelines for Implementation. New Delhi: Government of India; 2016. Available at:https://pmsma.nhp.gov.in/. Accessed 10 Feb 2026.
9. Ministry of Health and Family Welfare. Swasth Nari Sashakt Parivar Abhiyaan: nationwide health initiative launched. New Delhi: Government of India; 2025 Sep 17. Available at:https://www.mygov.in/campaigns/swasth-nari-sashakt-parivar-abhiyaan/. Accessed 10 Feb 2026.
10. International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5), 2019-21: India: Volume 1. Mumbai: IIPS; 2022. Available at:http://rchiips.org/nfhs/NFHS-5Reports/NFHS-5_INDIA_REPORT.pdf. Accessed 10 Feb 2026.
11. National Health Mission. Framework for Implementation of National Urban Health Mission (NUHM). New Delhi: Ministry of Health and Family Welfare; 2013. Available at:https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=970&lid=137. Accessed 11 Feb 2026.
12. Murray SF, Pearson SC. Maternity referral systems in developing countries: Current knowledge and future research needs. SocSci Med. 2006;62(9):2205-15.
13. Prathiba P, Niranjjan R, Maurya DK, Lakshmi narayanan S. Referral chain of patients with obstetric emergency from primary care to tertiary care: A gap analysis. J Family Med Prim Care. 2020;9(1):347-353.
14. Nihal S, Singh A, Kumar A, et al. An assessment of adequate quality antenatal care and its correlates in India. Front Public Health. 2024;12:11515398.
15. Arsenault C, Yakob MY, Rayne S, et al. Antenatal care quality and detection of risk among pregnant women in low-income and middle-income countries: a multi country analysis of Demographic and Health Surveys 2018-2021. PLoS Med. 2024;21(4):e1004446.
16. Rustagi R, Basu S, Garg S, Singh MM, Mala YM. Utilization of antenatal care services and its socio demographic correlates in urban and rural areas in Delhi, India. Eur J Midwifery. 2021 Sep 10;5:40.
17. Lee HY, Kumar A, Jain A, Kim R, Subramanian SV. Trends in the quality of antenatal care in India: Patterns of change across 36 states and union territories, 1999-2021. J Glob Health. 2024 Oct 18;14:04188.
18. Tripathy A, Mishra PS. Inequality in time to first antenatal care visits and its predictors among pregnant women in India: an evidence from national family health survey. Sci Rep. 2023 Mar 22;13(1):4706.
19. Mehrtash H, Stein K, Barreix M, Bonet M, Bohren MA, Tunçalp Ö. Measuring women’s experiences during antenatal care (ANC): scoping review of measurement tools. Reprod Health. 2023;20:150.
20. Kuhnt J, Vollmer S. Antenatal care services and its implications for vital and health outcomes of children: evidence from 193 surveys in 69 low-income and middle income countries. BMJ Open 2017;7:e017122.
21. Paudel YR, Jha T, Mehata S. Timing of First Antenatal Care (ANC) and Inequalities in Early Initiation of ANC in Nepal. Front Public Health. 2017 Sep 11;5:242.
22. Bloom SS, Lippeveld T, Wypij D. Does antenatal care make a difference to safe delivery? A study in urban Uttar Pradesh, India. Health Policy Plan. 1999 Mar;14(1):38-48.
23. Amalia NTA, Safitri A, Amalia R. The effect of antenatal care (ANC) examination on the incidence of stunting in toddlers. Indones J Glob Health Res. 2025;7(1):1179-1186.
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Ashwini L H
Assistant professor , Department of Community Medicine, Chitradurga Medical College and Research Institute, Chitradurga, Karnataka, India.
Bhagyajyoti
Assistant professor, Department of Obstetrics and Gynaecology, Chitradurga Medical College and Research Institute, Chitradurga, Karnataka, India.
Veena T
Assistant professor, Department of General Medicine, Chitradurga Medical College and Research Institute, Chitradurga, Karnataka, India.
Shilpa B K
Senior resident, Department of Community Medicine, J.J.M. Medical College, Davangere, Karnataka, India.
Yuvaraj B Y
Professor, Department of Community Medicine, Chitradurga Medical College and Research Institute, Chitradurga, Karnataka, India.
Ninganagouda Parvatagoudra
Biostatistician Department of Community Medicine, Chitradurga Medical College and Research Institute, Chitradurga, Karnataka, India.
