Caste and Maternal Health Care Service Use Among Rural Hindu Women in Maitha, Uttar Pradesh, India

Saroha, Ekta; Altarac, Maja; Sibley, Lynn

doi:10.1016/j.jmwh.2008.05.002

Cited by 51 publications

(42 citation statements)

References 21 publications

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“…These results are consistent with many studies conducted in India and other countries (Abor et al, 2011; Arokiasamy & Pradhan, 2013; Edmonds, Paul & Sibley, 2012; Haque, 2014; Kitui, Lewis & Davey, 2013; Rahman, Haque & Zahan, 2011; Saroha, Altarac & Sibley, 2014; Sharma et al, 2014; Singh, Rai & Singh, 2012; Singh et al, 2012; Singh et al, 2014; Tsegay et al, 2013; Wang, Wang & Lee, 2012; Yamashita et al, 2014). The education of the mother is argued to be an effective means of achieving greater autonomy in the family, getting employment, thereby achieving economic independence.…”

Section: Discussionsupporting

confidence: 93%

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Utilization of maternal healthcare among adolescent mothers in urban India: evidence from DLHS-3

Singh

Kumar

Pranjali³

2014

PeerJ

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Background. Low use of maternal healthcare services is one of the reasons why maternal mortality is still considerably high among adolescents mothers in India. To increase the utilization of these services, it is necessary to identify factors that affect service utilization. To our knowledge, no national level study in India has yet examined the issue in the context urban adolescent mothers. The present study is an attempt to fill this gap.Data and Methods. Using information from the third wave of District Level Household Survey (2007–08), we have examined factors associated with the utilization of maternal healthcare services among urban Indian married adolescent women (aged 13–19 years) who have given live/still births during last three years preceding the survey. The three outcome variables included in the analyses are ‘full antenatal care (ANC)’, ‘safe delivery’ and ‘postnatal care within 42 days of delivery’. We have used Chi-square test to determine the difference in proportion and the binary logistic regression to understand the net effect of predictor variables on the utilization of maternity care.Results. About 22.9% of mothers have received full ANC, 65.1% of mothers have had at least one postnatal check-up within 42 days of pregnancy. The proportion of mother having a safe delivery, i.e., assisted by skilled personnel, is about 70.5%. Findings indicate that there is considerable amount of variation in use of maternity care by educational attainment, household wealth, religion, parity and region of residence. Receiving full antenatal care is significantly associated with mother’s education, religion, caste, household wealth, parity, exposure to healthcare messages and region of residence. Mother’s education, full antenatal care, parity, household wealth, religion and region of residence are also statistically significant in case of safe delivery. The use of postnatal care is associated with household wealth, woman’s education, full antenatal care, safe delivery care and region of residence.Conclusion. Several socioeconomic and demographic factors affect the utilization of maternal healthcare services among urban adolescent women in India. Promoting the use of family planning, female education and higher age at marriage, targeting vulnerable groups such as poor, illiterate, high parity women, involving media and grass root level workers and collaboration between community leaders and health care system could be some important policy level interventions to address the unmet need of maternity services among urban adolescents.

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Section: Discussionsupporting

confidence: 93%

“…This indicates that despite several affirmative actions by central and state governments, the caste/tribe of an individual still exerts considerable influence on healthcare utilization in urban areas (Saroha, Altarac & Sibley, 2014). In our study, SC mothers are more likely to receive full antenatal care compared to ST mothers.…”

Section: Discussionmentioning

confidence: 99%

Utilization of maternal healthcare among adolescent mothers in urban India: evidence from DLHS-3

Singh

Kumar

Pranjali³

2014

PeerJ

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“…Muslim and scheduled caste women were less likely to deliver their three most recent births in an institution. For the other two recent births, religion was not a significant predictor -a finding that is consistent with earlier studies (Mekonnen and Mekonnen, 2002;Saroha, Altarac, and Sibley, 2008). The observation that Muslim women sought less assistance from medical settings is likely to be attributed to their religious beliefs, cultural norms, and traditional practices (Ganle, 2015).…”

Section: Discussionsupporting

confidence: 85%

Utilization of institutional delivery services across successive births in India

Dixit¹,

Dwivedi²

2016

IJPS

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Abstract:As institutional delivery centers usually have much better modern facilities and hygienic conditions in India, utilization of institutional delivery services could improve maternal and child health. The objective of this paper is to address the issue of whether women were consistent in delivering births in an institutional care center over successive pregnancies in India and investigate the factors associated with consistent utilization of institutional delivery. We applied multivariate multilevel models that allow for a strong dependence between successive outcomes at the same unit to the third round of the National Family Health Survey in [2005][2006]. Results show that region and place of residence, woman's education, wealth index, having experienced the loss of a child, ever having terminated a pregnancy, and birth order are significant predictors of place of delivery for all three recent births among ever-married women. Our results further show that previous utilization of institutional delivery was an important predictor of utilization for subsequent institutional deliveries. Policies aimed at improving the wide or persistent utilization of institutional delivery in India should focus on first-time mothers targeting disadvantaged women who are from rural areas, poor families, illiterate, Muslim, and scheduled castes.

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“…Thus, the utilization of health care services such as antenatal care and full immunization could be more conducive. However, delivery practices among scheduled tribes have been severely affected by a shortage of trained birth attendants, who are the key personnel who ensure proper and timely delivery care services in the community (Saroha et al, 2008). Serious efforts are needed to increase the number of trained birth attendants in tribal communities, provide proper training to existing human resources, and strengthen Emergency Medical Obstetric Care (EMOC) at primary health care centres in tribal areas.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Utilization of Maternal and Child Health Care Among Married Adolescent Women: Evidence From India

2011

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This study explores the prevalence and factors associated with the utilization of maternal and child health care services among married adolescent women in India using the third round of the National Family Health Survey (2005-06). The findings suggest that the utilization of maternal and child health care services among adolescent women is far from satisfactory in India. A little over 10% of adolescent women utilized antenatal care, about 50% utilized safe delivery services and about 41% of the children of adolescent women received full immunization. Large differences by urban-rural residence, educational attainment, religion, economic status and region were evident. Both gross effect and fixed effect binary logit models yielded statistically significant socioeconomic and demographic factors. Women's education, wealth quintile and region are the most important determinants for the utilization of maternal and child health care services. Health care programmes should focus more on educating adolescents, providing financial support, creating awareness and counselling households with married adolescent women. Moreover, there should be substantial financial assistance for the provision of delivery and child care for married women below the age of 19 years.

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Caste and Maternal Health Care Service Use Among Rural Hindu Women in Maitha, Uttar Pradesh, India

Cited by 51 publications

References 21 publications

Utilization of maternal healthcare among adolescent mothers in urban India: evidence from DLHS-3

Utilization of maternal healthcare among adolescent mothers in urban India: evidence from DLHS-3

Utilization of institutional delivery services across successive births in India

Assessing the Utilization of Maternal and Child Health Care Among Married Adolescent Women: Evidence From India

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