EFFECT OF INDIVIDUAL AND COMMUNITY FACTORS ON MATERNAL HEALTH CARE SERVICE USE IN INDIA: A MULTILEVEL APPROACH

Journal of Biosocial Science
Awdhesh Yadav, Ranjana Kesarwani

Abstract

This study aimed to assess empirically the influence of individual and community (neighbourhood) factors on the use of maternal health care services in India through three outcomes: utilization of full antenatal care (ANC) services, safe delivery and utilization of postnatal care services. Data were from the third round of the National Family Health Survey (2005-06). The study sample constituted ever-married women aged 15-49 from 29 Indian states. Multilevel logistic regression analysis was performed for the three outcomes of interest accounting for individual- and community-level factors associated with the use of maternal health care services. A substantial amount of variation was observed at the community level. About 45%, 51% and 62% of the total variance in the use of full ANC, safe delivery and postnatal care, respectively, could be attributed to differences across the community. There was significant variation in the use of maternal health care services at the individual level, with socioeconomic status and mother's education being the most prominent factors associated with the use of maternal health care services. At the community level, urban residence and poverty concentration were found to be significantly associated...Continue Reading

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Citations

Mar 14, 2018·PloS One·Itismita Mohanty, Tesfaye Alemayehu Gebremedhin
Dec 27, 2017·The International Journal of Health Planning and Management·Fatih SantasMehmet Ali Eryurt
Jul 13, 2019·BMJ Global Health·Cesar VictoraAluisio J D Barros
Mar 11, 2020·International Journal of Environmental Research and Public Health·Seman K OusmanMekdes K Gebremariam
Oct 24, 2018·Journal of Health, Population, and Nutrition·Meron Mehari KifleMichael Berhane Araya
Apr 19, 2018·Journal of Tropical Medicine·Jones Asafo AkowuahDadson Awunyo-Vitor
Jan 9, 2021·BMC Health Services Research·Emmanuel DankwahMarwa Farag

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