Change in Socioeconomic Inequality in Minimum Dietary Diversity among Children Aged 6–23 Months in India: Evidence from National Family Health Survey

Tripathy, Abhipsa; Srivastava, Shobhit; Mishra, Prem Shankar

doi:10.1007/s12187-022-10004-y

Cited by 2 publications

(3 citation statements)

References 29 publications

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“…It also re ects in, Nepal Demographic Health Survey 2022, which reports that institutional deliveries were lower among Dalits (70.1%) compared to Brahmin and Chhetri women (86.9%) (18). As Tripathy and Mishra (34).…”

Section: Discussionmentioning

confidence: 99%

“…This nding prompts a closer examination of the dynamics between extensive ANC visits and the preference for CS delivery. Increased ANC visits are considered a positive indicator of maternal healthcare engagement, facilitating the early detection and management of potential complications (34,39). However, a clear pattern emerged, with the majority of ANC visitors being urban women with higher economic status and educational levels.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Associated Factors of Cesarean Section Delivery in Nepal

Pandit,

Thasineku,

Karki

et al. 2024

Preprint

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Introduction Caesarean section delivery plays a crucial role in saving the lives of mother and child. This study assesses the prevalence and associated factors of cesarean section (CS) delivery in the Nepal. Methods The data used for this study were nationally representative data from the Nepal Demographic and Health Survey 2022. Frequency and cross tabulation, simple logistic regression, and multivariable binary logistic regression analyses for adjusted and unadjusted odd ratios were performed to accomplish the study. Results In Nepal, the prevalence of CS delivery is 18.2 percent in 2023. The research identifies regional and ethnic disparities, maternal education, wealth index, antenatal visit, place of delivery, and maternal age as significant contributors to the likelihood of CS. Geographical variations, emphasizing higher CS rates in the Terai region and urban areas, and disparities between provinces. The Dalit community exhibits significantly lower rates of CS by ethnic group. Highly educated women showed over a three-fold increase in CS. Wealth disparities reveal a more than sixfold higher likelihood of CS among the wealthiest group compared to the poorest. Extensive antenatal care, a positive indicator of maternal healthcare engagement, is surprisingly associated with heightened CS rates. Private health facilities have a six-time higher CS than public health facilities. Additionally, older maternal age presents a sixfold higher risk of CS. Conclusion Along with the advancement of society, there seems to be an increase in CS, which is surpassing the World Health Organization's recommended range in Nepal. The study calls for interventions and healthcare policies addressing these multifaceted socio-economic and regional influences on CS rates in Nepal.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence and Associated Factors of Cesarean Section Delivery in Nepal

Pandit,

Thasineku,

Karki

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Previous research has shown that most women in India report their rst antenatal care visit within a median time of 16 weeks of gestation and only 19.6% of pregnancies are detected and registered within the rst trimester. [119,120] Hence, it is likely that we will be enrolling most of our pregnant participants in the gestational period of the 12th -16th week and our ground-data-based exposure assessment will fail to account for the complete picture of rst-trimester exposure. This can be a signi cant limitation since it is plausible that the sensitive window for exposure in this context can be during the rst trimester.…”

Section: Methodological Considerationsmentioning

confidence: 99%

A protocol for estimating health burden posed by early life exposure to ambient fine particulate matter and its heavy metal composition: A mother-child birth (ELitE) cohort from central India

Trushna,

Yadav,

Mandal

et al. 2024

Preprint

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Background Pregnant women and children are vulnerable to air pollution-related adverse health effects, especially those residing in low-resource and high-exposure settings like India. However, evidence regarding the effects of early-life exposure to air particulate matter (PM) on childhood growth/developmental trajectory is contradictory; evidence about specific constituents of PM like heavy metals is limited. Similarly, there are few Indian cohorts investigating PM exposure and the incidence of acute respiratory infection during infancy. This study protocol aims to fill these critical gaps in knowledge. Methods We aim to establish a mother-child birth cohort through the enrolment of 1566 pregnant women residing in two urban areas of central India. Antenatally we will collect socioeconomic, demographic, and clinical information, and details of confounding variables from these mothers, who will then be followed up till delivery to assess their exposure to air PM. Biomonitoring to assess heavy metal exposure will be limited to the top five heavy metals found in the air of their residential city. At delivery, pregnancy outcomes will be noted followed by postnatal follow-up of live-born children till the first year of life to assess their achievement of growth/development milestones and exposure to pollutants. We will also estimate the incidence of ARI during infancy. Discussion This manuscript describes the protocol for an Indian mother-child air pollution birth cohort study which aims to generate comprehensive evidence regarding the adverse effects of early-life exposure to air PM and its constituent heavy metals among Indian children. This study will provide an epidemiological basis for further understanding in this context. Finally, by reporting our carefully planned study methods/outcome measures, which are at par with published and ongoing birth cohorts, we aim to serve as the starting point for similar cohorts in the future which when considered together would generate enough evidence to facilitate context-specific policy-making and development of appropriate prevention and mitigation strategies.

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Change in Socioeconomic Inequality in Minimum Dietary Diversity among Children Aged 6–23 Months in India: Evidence from National Family Health Survey

Cited by 2 publications

References 29 publications

Prevalence and Associated Factors of Cesarean Section Delivery in Nepal

Prevalence and Associated Factors of Cesarean Section Delivery in Nepal

A protocol for estimating health burden posed by early life exposure to ambient fine particulate matter and its heavy metal composition: A mother-child birth (ELitE) cohort from central India

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