International Journal of Business Management & Research - Volumes & Issues - Volume 16: June 2026, Issue 1

To Assess the Determinants of Birth Preparedness and Complication Readiness Among Antenatal Mothers in Selected Areas of Ranchi, Jharkhand, India A Mixed Method Study

  • Published: June 2026
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Authors

P. Vijayashree

DOI Number

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Keywords

ANC-Antenatal care, BPCR-Birth Preparedness Complication Readiness, health care providers, pregnancy.

Abstract

Background & objectives: Maternal mortality continues to be a major public health concern worldwide, with India, especially the state of Jharkhand, contributing substantially to the overall burden. Delays in making the decision to seek care, reaching an appropriate health facility, and receiving timely treatment are among the leading causes of maternal deaths. Birth Preparedness and Complication Readiness (BPCR) is a key strategy designed to reduce these delays by ensuring that women are adequately prepared for childbirth and potential obstetric emergencies. The present study aimed to assess the BPCR index and evaluate the quality of antenatal care (ANC) services in Jharkhand from the viewpoints of both pregnant women and healthcare providers.

Methods: A mixed-method research approach was adopted across selected blocks of Ranchi district, Jharkhand. The quantitative component included 200 pregnant women to measure the BPCR index. In addition, direct observations of more than 10% of antenatal care consultations were conducted to evaluate the quality of ANC services. Qualitative data were obtained through in-depth interviews with 14 pregnant women and eight healthcare providers to explore factors influencing BPCR practices and the quality of antenatal care.

Results: The study reported an overall BPCR index of 43.4%. Only 5% of the participating pregnant women were able to identify at least one danger sign during pregnancy. Observational findings indicated that the quality of ANC related to BPCR was inadequate, as BPCR counseling was absent during all observed antenatal visits. Furthermore, qualitative interviews revealed that healthcare providers also lacked awareness regarding BPCR counseling.

Interpretation & conclusion: The findings indicate a considerable lack of awareness among pregnant women regarding the danger signs of pregnancy.  The absence of related counseling during ANC visits highlights a significant gap in maternal care and preparedness in the region.

 

References

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How to cite

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Journal

International Journal of Business Management & Research

ISSN

2249-2143

Periodicity

Bi-Annually

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