International Journal of Scientific and Research Publications, Volume 6, Issue 4, April 2016 85 ISSN 2250-3153 Challenges to the Aspect of Development: Conditions of Health – A Study on Poor Pragnent Women in Assam Lina Deka Head of the Department, Department of Political Science, Beltola College, Guwahati - 781028 Abstract- Development is the core concern for every government 4. Environmental security includes pollution, now a days. Millennium Development Goal gives emphasis on environmental degradation, resource depletion, and degradation sustainable development. The Brundtland Commission’s report of local eco systems, air and water pollution, deforestation, defined sustainable development which meets the needs of desertification, improper sanitization, natural calamities, man- current generations without compromising the ability of the made disasters, poorly build buildings. future generations to meet their own needs. The Millennium 5. Personal security includes threats of violence, violence, Development Goal also emphasises on empowerment of women, physical torture, wars, cross boarder terrorism, ethnic and reduce child mortality and to improve maternal health. Under religious conflicts, threats from individuals and gangs, street Integrated Child Development Services (ICDS) and National violence ,kidnapping, domestic violence, abuse , rape, Rural Health Mission (NRHM) several steps have been taken to prostitution, suicides, or motivating for suicides, drug abuse child improve the condition of mother and child. Then also maternal labour etc. mortality ratio in Assam is 301 per one lakh and maternal 6. Community Security includes threat to the integrity of mortality rate is 23 per one thousand and life time risks is cultural diversity, oppressive traditional practices, treating 0.79% in Assam according to annual health survey. Therefore women harshly, and discrimination on the ground of culture and my study is based on the condition of health of poor pregnant ethnicity or religion, problem of refugees, group rebellion and women in Assam. For that purpose primary data is collected to armed conflicts. know their condition, help of the medical practitioner also been 7. Political security includes political repression, violation taken. This study is going to deal with ground realities of the of human rights, military dictatorship or abuse of power, political condition of health of poor pregnant women. or state repression, practice of torture, ill treatment or disappearance, political detention and imprisonment. Index Terms- Maternal Mortality, Health, Women, Therefore concept of security has become multifaceted. Development, Poor, Pragnant Human Security also includes aspects of the health. Accessibility to health services is regarded essential to improve mortality rate. A healthy mother can give birth a healthy child. For a healthy I. INTRODUCTION society and for healthy nation the condition of maternal health he U.N. Human Development Report 2015, which was must be improved. So many projects and schemes taken by T released on 14 December, ranks India in 130th position out of international organisations and government to improve the 188 nations. India’s average life expectancy is 68 years. Even condition of maternal health than also it is not improving, Bangladesh’s position is better than us which is 71.6 years. India especially it is more acute among the poor pregnant women. spent 4% GDP in health as against world average is 9.9 %.( Therefore this study is going to deal with ground realities about Source: U.N. Report 2011-15) 190 number of Indian mothers die the condition of health of poor pregnant women. per 100000 live births. 47.9% malnourished children under the age of five in India In contemporary world the concept of Human Security has II. METHODOLOGY changed a lot. The Human Development Report(HDR) 9UNDP, Area of study is the different areas in Assam. Which covers 1994 synthesized threats to human security in seven components, Agomoni, Ambari, Amingaon, Azara, Baihata Chariali, Balisatra, these are as follows- economic, food, health, environment, Baranghati, Barni, Barpeta, Mukalmuah, Basistha, Batadraba, personal, community and political security: Bejera, Baghmara, Borka, Chamata, Chandmari, Chaygaon, 1. Economic security includes poverty and basic income Dadara, Darrang, Dhubri, Dimu, Diphu, Dudhnoi, Tihu, etc. Gobindpur, Hahara, Hajo, Hojai, Jagiroad, Kachamari,Kamalpur, 2, Food security includes hunger and famine, both physical Kamarkuchi,Loharghat, Mukalmuah, Nagarbera, Nalbari, and economic access to basic food. People often go hungry as Pacharia, Plashbari , Sualkuchi Satgaon etc. In selection of area it they cannot afford to buy food, and not due to scarcity of food. has been given importance that both urban and rural area must be 3. Health Security include injury, disease; require access to area of concerned. Again areas also covered the backward and health care and health services, safe and affordable family poor areas so that the real picture of poor pregnant women planning. Threat of health issues are more acute in rural areas reflect properly. For the purpose of the study, primary data has particularly women and children who are more exposed to been collected to know the condition of poor pregnant women, disease. help of the medical practitioner also been taken. This study is www.ijsrp.org International Journal of Scientific and Research Publications, Volume 6, Issue 4, April 2016 86 ISSN 2250-3153 going to deal with ground realities of the condition of health of growing population. In fact there is acute shortage of Health poor pregnant women cases registered in the case record of Centres across the north eastern States. (Saikia and Das, 2014) different hospitals in Assam in the year 2014. The prevalence of anaemia was 57.72%among ante- natal Data sources: Both primary and secondary data has been women who were in the age group of 17-21years followed by the collected for the study. Secondary data has been collected from age group of 30 and above and 22-29 years. The prevalence of various sources like journals, books, unpublished reports/ records anaemia was 59.80 % among ante-natal women who get married of hospitals in Assam, published reports (research studies/ Case below 18 years of age. This indicates that early marriage studies and so on), newspaper articles, other media coverage, predisposes the risks for occurrence of anaemia in pregnancy. information accessed through the Internet; personal memories if Higher prevalence of 54.36% anaemia was seen among women any. with education below 10th standard. Even the prevalence of anaemia among post graduate pregnant women was 33.33%. The prevalence of anaemia was 54.27% among ante natal women III. REVIEW OF LITERATURE who belonged to low socio-economic status.(Bora, Barman and Poor health status of women in Karnataka is inextricably Barman, 2015) inter-twined with the socioeconomic and cultural factors. Objectives: - Poverty has many aspects, it has become Illiteracy, low education, early age marriage, rural residence and multifaceted and it adversely affects women and children at the other cultural and economic factors constrain women in most. Presently from the point of view of human security and acquiring health service.(Sidramshettar, 2004) development also, maternal health is an important issue. After The majority of women in India are anaemic. Iron reviewing of different literature it has come into light that deficiency is particularly pronounced among the women condition of Maternal Health is great area of concern. Even inhabiting in the eastern states (except Manipur)(Das ,2013) hidden poverty comes out in focus when we take assessment Although there has been considerable progress in health about their health condition. Condition of poverty highly centres after the implementation of NRHM in 2005, still the reflected in women’s health. Therefore this study is an effort to progress is not sufficient to provide health care services to the reflect the ground reality and condition of health of pregnant women. Condition of Health of poor Pregnant Women in Assam: TABLE:1 AGE GROUP OF WOMEN Sl Age Nos of PERCENTAGE OF No. Group Women WOMEN REMARKS 1 18-20 37 18.50 2 21-25 79 39.50 3 26-30 55 27.50 4 31-35 25 12.50 5 36-40 4 2.00 6 Total 200 100.00 www.ijsrp.org International Journal of Scientific and Research Publications, Volume 6, Issue 4, April 2016 87 ISSN 2250-3153 In this Study among the 200 samples 18.50% are of 18-20 years old, 39.50% are 21-25 years old, 27.50% are 26-30 years old , 12.50 % are 31-35 years old and 2 % are of 36-40% years. Therefore highest 39.50% belong to the age group of 21-25 years old and least 2% percent belong to 36-40 year. TABLE:2 WOMEN SUFFERED FORM BLOOD PRESSURE Sl Types of No s of PERCENTAGE OF No. pressure women WOMEN REMARKS HIGH 1 PRESSURE 18 9.00 LOW 2 PRESSURE 133 66.50 3 NORMAL 27 13.50 www.ijsrp.org International Journal of Scientific and Research Publications, Volume 6, Issue 4, April 2016 88 ISSN 2250-3153 DATA NOT 4 AVAILABLE 22 11.00 Total 200 100.00 Among the 200 women taken for the study 9% are suffered from High Blood Pressure and 66.5% suffered from Low Blood Pressure and 13.50 % has Normal Blood Pressure and 11 % data are not available. Therefore among the women highest 66.5 % are suffered from Low Blood Pressure and Least 9% women are suffered from High Blood Pressure. Remarkable is that among pregnant women very less number has normal blood Pressure level. TABLE:3 HISTORY OF PRAGNANCY NO S OF Sl COMPLECATED No. of PERCENTAGE OF No. CASES Women WOMEN REMARKS WOMEN WHO ARE PRAGNANT FOR 1 THE FIRST TIME 94 47.00 www.ijsrp.org International Journal of Scientific and Research Publications, Volume 6, Issue 4, April 2016 89 ISSN 2250-3153 WOMEN WHO 2 HAVE 1ST CHILD 84 42.00 3 2ND PRAGNANCY 68 34.00 WOMEN WHO ARE HAVING 2ND CHILD BUT AGAIN THEY 4 ARE PRAGNANT 9 4.50 5 3RD PRAGNANCY 14 7.00 When analysing history of pregnancy, among them 47% are pregnant for the first time and going to deliver first baby, 34 % preparing for 2nd delivery.