- Distance from the larger slums to the government maternity hospitals.
Poor road conditions which instil fear of journey among the pregnant woman.
- Lack of access to transport facilities at the doorstep of the pregnant woman due to narrow roads. This causes loss of time from the start of labour pains, which further contributes to increasing sense of urgency among the family members.
- Uncertainty regarding the availability of service providers at government maternity hospitals to attend to the pregnant women in a timely manner.
Being migrants, or due to other reasons, government schemes do not reach these women and they cannot avail free treatment even at the public hospitals.
As a result, woman in labour ends up at a nearby private hospital. The inability to pay further delaying medical attention to the pregnant woman further sets-in the vicious circle that increases the costs relating to delivery. This further leads to increased morbidity among neonates as well as postnatal women – which can also lead to increase in MMR and IMR – thus contributing to the propagation of poverty across generations.