1. A study of pregnant seasonal migrant laborers (sugarcane cutters) from Beed district
Dr Abhijit P Pakhare
Dr Radhakishan B Pawar

2. Introduction
Beed district of Maharashtra is known as district of sugarcane cutters. Every year more than 2 lac people migrate in Western Maharashtra & Karnataka for around six months.
These laborers include pregnant women also. There is need to estimate exact migration and map them so as to provide health service.

3. Objectives
1. To estimate total seasonal migration for sugarcane cutting
2. To estimate number of pregnant women among seasonal migrant laborers
3. To study current status of ANC service utilization among pregnant seasonal migrant laborers

4. Materials & Methods Study Design: Cross-sectional study
Study Period: September 2010 to October 2010
Sampling Method & Sample Size: Universal sampling. All seasonal migrant laborers were included in study.
Data Collection: House to house survey by peripheral health workers. Data was compiled on web-based software.
Data Analysis: Descriptive statistics, proportions with their 95% Confidence Interval

5. Survey of migrant sugar cane cutters

6. Results
Total of 1,40,154 laborers (sugarcane cutters) migrate seasonally (November to May) across western Maharashtra and Karnataka.
Among these migrant laborers were women in years age group,
2711 (6.2%, 95%CI 5.9% to 6.4%) were pregnant.

7. Survey of migrant sugar cane cutters

8. Survey of migrant sugar cane cutters
Taluka
Total Migration
Pregnant Women
Under five children
Beed
15791
381
2119
Patoda
13042
214
1479
Shirur
15823
174
2040
Ashti
14235
220
1842
Georai
17580
379
2899
Majalgaon
15032
333
2639
Vadvani
5756
159
1151
Dharur
15108
250
2782
Parali
4783
217
1041
Ambajogai
9829
138
1720
Kaij
13175
246
2214
Total
140154
2711
21926

9. Results
We organized pre-migration check-up camps and recorded details of service utilization. Among these 2711 pregnant women, attended camps.
Out of 1923 women who attended pre- migration camp 284 (14.7%, 95% CI 13.2% to 16.4%) were found to be high risk.

10. Pre-migration Health Check Up
Taluka level check-up camps
4th to 8th October 2010
12 camps
Pediatrician & Gynecologists
Health cards were distributed
Pregnant women were provided with transport facility to attend pre-migration check- up camp
Laboratory workup Hb, Urine routine, Blood Group, HIV
IFA , Calcium tablets and other essential medicines were given

11. High Risk Factor
Number of women
Percentage
Severe Anemia
203
10.6
Short Stature 13
0.7
BOH 17
0.9
Rh-Negative 8
0.4
Other 43
2.2
Total
284
14.8

12. Conclusion
Significant numbers of pregnant women migrate for sugarcane cutting.
Their tracking is necessary to provide antenatal, intra-natal & post-natal services so as to reduce maternal morbidities and mortality.

13. Mother Child Protection Card (Front)

14. Mother Child Protection Card (Back)

15. Thank you…