PMID- 23359666 OWN - NLM STAT- MEDLINE DCOM- 20140813 LR - 20131202 IS - 1741-3850 (Electronic) IS - 1741-3842 (Linking) VI - 35 IP - 4 DP - 2013 Dec TI - Coverage gap in maternal and child health services in India: assessing trends and regional deprivation during 1992-2006. PG - 598-606 LID - 10.1093/pubmed/fds108 [doi] AB - BACKGROUND: Increasing the coverage of key maternal, newborn and child health interventions is essential, if India has to attain Millennium Development Goals 4 and 5. This study assesses the coverage gap in maternal and child health services across states in India during 1992-2006 emphasizing the rural-urban disparities. Additionally, association between the coverage gap and under-5 mortality rate across states are illustrated. METHODS: The three waves of National Family Health Survey (NFHS) conducted during 1992-1993 (NFHS-1), 1998-1999 (NFHS-2) and 2005-2006 (NFHS-3) were used to construct a composite index of coverage gap in four areas of health-care interventions: family planning, maternal and newborn care, immunization and treatment of sick children. RESULTS: The central, eastern and northeastern regions of India reported a higher coverage gap in maternal and child health care services during 1992-2006, while the rural-urban difference in the coverage gap has increased in Gujarat, Haryana, Rajasthan and Kerala over the period. The analysis also shows a significant positive relationship between the coverage gap index and under-five mortality rate across states. CONCLUSION: Region or area-specific focus in order to increase the coverage of maternal and child health care services in India should be the priority of the policy-makers and programme executors. FAU - Kumar, Chandan AU - Kumar C AD - Department of Humanities & Social Sciences, Indian Institute of Technology (IIT) Roorkee, Roorkee 247667, Uttarakhand, India. FAU - Singh, Prashant Kumar AU - Singh PK FAU - Rai, Rajesh Kumar AU - Rai RK LA - eng PT - Journal Article DEP - 20130127 PL - England TA - J Public Health (Oxf) JT - Journal of public health (Oxford, England) JID - 101188638 SB - IM MH - Child MH - Child Health Services/*statistics & numerical data MH - Cross-Sectional Studies MH - Female MH - Health Care Surveys MH - Healthcare Disparities/economics/statistics & numerical data MH - Humans MH - India/epidemiology MH - Insurance Coverage/*statistics & numerical data MH - Insurance, Health/*statistics & numerical data MH - Maternal Health Services/*statistics & numerical data MH - Poverty/*statistics & numerical data MH - Pregnancy OTO - NOTNLM OT - India OT - NFHS OT - coverage gap OT - maternal and child health care OT - public health EDAT- 2013/01/30 06:00 MHDA- 2014/08/15 06:00 CRDT- 2013/01/30 06:00 PHST- 2013/01/30 06:00 [entrez] PHST- 2013/01/30 06:00 [pubmed] PHST- 2014/08/15 06:00 [medline] AID - fds108 [pii] AID - 10.1093/pubmed/fds108 [doi] PST - ppublish SO - J Public Health (Oxf). 2013 Dec;35(4):598-606. doi: 10.1093/pubmed/fds108. Epub 2013 Jan 27.