TABLE 4.

Inter-state differences between maternal and child health services during the COVID-19 pandemic (India, 2021–2022).

Domain of MCH	State-specific challenges
	Odisha	Uttarakhand	Chhattisgarh	Assam
Antenatal services	• Limited nos of the test were allowed in pathology per day basis	• The surge in pregnant women at hospitals	• No facility for ANC checkups in PHC	• Closing of labs
	• The shutdown of private clinics	• Longer waiting time	• Rude behavior of staff	• Returned by police officials
			• Local PHC not conducting investigations	• Referral to the distant health facility
Intra/postnatal services	• No response from the ambulance	• Referral to private hospitals	• Lack of hygiene in hospitals
	• Appointment of inexperienced staff in hospitals	• Government hospital turns COVID center
Immunization services		• No new registration in the Anganwadi center	• Children not being weighed	• Shifted to the private hospital for the child immunization