Table 9 Barriers and solutions identified for maternal health care utilization by migrant women working in selected brick kilns in Faridabad, India

Lack of income generating activities in the place of origin resulting in migration

Rural employment Government must step up efforts such as NREGA to improve the livelihood of people; early payment of NREGA wages;

Low awareness

IEC about the maternal health issues

Prolonged working hours in the brick kilns

Prescribing minimum work time for the labourers working in unorganised sector

Unfamiliarity of local setting in the place of work

Assistance from the brick kiln employers; IEC

Private providers capitalizing on the prevailing situation of migrant labourers preventing them from seeking basic public health care

Sensitizing private providers about the need for migrant labourers to have access for universal health coverage; Regulation of unqualified private providers;

Absence of an existing channel thorough which public health care can be delivered to migrant labourers; Disruption in continuing maternal health care at the place of work

Deployment of health providers such as ASHA; Migrant mobile health unit to help migrant labourers continue accessing public health system even at the place of work

Underutilization of emergency transport facility, JSY

Awareness campaign regarding birth preparedness and complication readiness

Issues in availing benefits from the national insurance scheme

Strengthening of RSBY to achieve universal health coverage

Public health system’s apathy in providing migrant specific health care

Strategies targeting migrant labourers to be incorporated in the National health programmes such as NHM