Maternal health-seeking behaviour is influenced by cultural beliefs, healthcare accessibility, and traditional norms, particularly among tribal communities. This study explores prenatal and postnatal health-seeking behaviour among the Muria women in Gunpur village of Bastar district, Chhattisgarh. It also examines the cultural influences shaping their maternal healthcare choices. Using a mixed-methods approach, data were collected through interviews, focus group discussions, observations, and case studies with a purposive sample of 70 ever-married women, including pregnant and postpartum women (up to two years). The study found that prenatal check-ups were commonly availed, and healthcare functionaries, particularly Anganwadi Workers, played a significant role in maternal care. However, institutional deliveries were notably low, with the majority of births occurring at home, primarily assisted by untrained traditional birth attendants. Cultural beliefs, including the influence of family deities and spirits, played a crucial role in shaping childbirth practices and contributed to the preference for home births. Despite a high prevalence of delivery-related complications, medical intervention was sought in only a few cases, with many women relying on traditional birth attendants and home remedies. Postnatal care remained inadequate, and only a small proportion received assistance from healthcare workers. Common postpartum complications, such as excessive bleeding and persistent back pain, were frequently reported, yet institutional healthcare was rarely sought, with traditional healing practices being the preferred option. The findings underscore the urgent need for enhanced maternal healthcare interventions, a stronger role for trained health functionaries, and greater awareness of the benefits of institutional deliveries and postnatal care in tribal communities
Original Article
English
P. 155-163