Knowledge Regarding Pregnancy and Child Care Among Mothers in Possession of Mother and Child Protection Card in a Rural Maternity Hospital in Karnataka
Journal of medical sciences and health
Sulekha, et al.: Knowledge of pregnancy and child care among rural mothers with MCP card 36 ABSTRACT Introduction: The mother and child protection card (MCP card) have been developed as a tool to learn, understand, and follow positive practices for achieving good health of pregnant women, young mothers, and children. Objectives: The objectives of the study were to assess the level of knowledge regarding pregnancy and child health care among mothers in possession of MCP card. Materials and
... Materials and Methods: This was a cross-sectional study done among pregnant and post-natal mothers availing health services in a rural maternity hospital in Karnataka, using a structured interview schedule, capturing socio-demographic details and knowledge regarding pregnancy care, danger signs, infant care, institutional delivery, benefit schemes, and family planning based on information provided by MCP card. Each correct response was awarded a score of one, giving a maximum possible knowledge score of 71. Independent t-test, one-way ANOVA, and Pearson's correlation were used to find association between total knowledge score and different socio-demographic variables. Results: Of the 226 participants, all had MCP card, but only 13.3% mothers had read the MCP card. The overall mean knowledge score of the participants was 19.6 ± 5.5 and median knowledge score was 19.0 (IQR=16, 23). All the women in our study were found to have poor knowledge as none of the subjects had a knowledge score of 35 or above. Higher socio-economic status of the mother was significantly associated with higher mean knowledge score regarding pregnancy and child care (P < 0.0001). The mean knowledge score was higher among women who said that their primary source was village level workers (ASHA/AWW/ ANM), media, and self-reading the MCP card (P < 0.0001), as compared to doctor. Conclusion: This study has shown that in spite of MCP card having being developed as a tool for health education, maternal awareness remains poor among the mothers in possession of an MCP card. There is a need for re-enforcing among village level and primary healthcare workers that the MCP is an excellent resource for transferring knowledge regarding pregnancy and child care to rural mothers.