PMID- 34600528
OWN - NLM
STAT- MEDLINE
DCOM- 20211101
LR  - 20231102
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Oct 2
TI  - Why women choose to deliver at home in India: a study of prevalence, factors, and 
      socio-economic inequality.
PG  - 1785
LID - 10.1186/s12889-021-11779-5 [doi]
LID - 1785
AB  - BACKGROUND: To promote institutional delivery, the Government of India, through 
      the Janani Suraksha Yojana (JSY) program, gives monetary reward to all pregnant 
      women who give birth at the government or private health center. Despite 
      providing cash assistance, a higher number of women are still preferring 
      delivering at home. Therefore, this study sought to determine the prevalence of 
      home births and identifying the factors influencing women's choice of home 
      deliveries. METHODS: Data from the National Family Health Survey (NFHS) conducted 
      during 2005-06 and 2015-16 were used in the study. The respondents were women 
      15-49 years; a sample of 36,850 and 190,898 women in 2005-06 and 2015-16 
      respectively were included in the study. Multivariate logistic regression was 
      used to determine the factors influencing home delivery. Income-related 
      inequality in home delivery was quantified by the concentration index (CI) and 
      the concentration curve (CC), and decomposition analysis was used to examine the 
      inequality in the prevalence of home deliveries. RESULTS: The prevalence of home 
      deliveries has reduced from 58.5% in 2005-06 to 18.9% in 2015-16. The odds of 
      delivering babies at home were lower among women who had full ANC in 2005-06 
      [AOR: 0.34; CI: 0.28-0.41] and in 2015-16 [AOR: 0.41; CI: 0.38-0.45] and were 
      higher among women with four or higher parity in 2005-06 [AOR: 1.70; CI: 
      1.49-1.92] and in 2015-19 [AOR: 2.16; CI: 2.03-2.30]. Furthermore, the odds of 
      delivering babies at home were higher among rural women and were lower among 
      women with higher education. It was found that the value of CI increased from 
      - 0.25 to - 0.39 from 2005-06 to 2015-16; this depicts that women delivering 
      babies at home got more concentrated among women from lower socio-economic 
      status. CONCLUSION: There is a need to promote institutional deliveries, 
      particular focus to be given to poor women, women with higher parity, uneducated 
      women, and rural women. ANC is the most concurring contact point for mothers to 
      get relevant information about the risks and complications they may encounter 
      during delivery. Therefore, effort should be directed to provide full ANC. 
      Targeted interventions are called for to bring improvements in rural areas.
CI  - (c) 2021. The Author(s).
FAU - Patel, Ratna
AU  - Patel R
AUID- ORCID: 0000-0002-5371-7369
AD  - Department of Public Health and Mortality Studies, International Institute for 
      Population Sciences, Mumbai, India.
FAU - Marbaniang, Strong P
AU  - Marbaniang SP
AUID- ORCID: 0000-0001-5347-1867
AD  - Department of Public Health and Mortality Studies, International Institute for 
      Population Sciences, Mumbai, India.
FAU - Srivastava, Shobhit
AU  - Srivastava S
AUID- ORCID: 0000-0002-7138-4916
AD  - Department of Mathematical Demography and Statistics, International Institute for 
      Population Sciences, Mumbai, India.
FAU - Kumar, Pradeep
AU  - Kumar P
AUID- ORCID: 0000-0003-4259-820X
AD  - Department of Mathematical Demography and Statistics, International Institute for 
      Population Sciences, Mumbai, India.
FAU - Chauhan, Shekhar
AU  - Chauhan S
AUID- ORCID: 0000-0002-6926-7649
AD  - Department of Population Policies and Programmes, International Institute for 
      Population Sciences, Mumbai, India. shekhariips2486@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20211002
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Delivery, Obstetric
MH  - Female
MH  - Humans
MH  - India/epidemiology
MH  - *Maternal Health Services
MH  - Pregnancy
MH  - Prenatal Care
MH  - Prevalence
MH  - Social Class
MH  - Socioeconomic Factors
PMC - PMC8487549
OTO - NOTNLM
OT  - Home delivery
OT  - India
OT  - Place of delivery
OT  - Socio-economic inequality
COIS- The authors declare that they have no competing interests.
EDAT- 2021/10/04 06:00
MHDA- 2021/11/03 06:00
PMCR- 2021/10/02
CRDT- 2021/10/03 20:24
PHST- 2021/01/12 00:00 [received]
PHST- 2021/09/13 00:00 [accepted]
PHST- 2021/10/03 20:24 [entrez]
PHST- 2021/10/04 06:00 [pubmed]
PHST- 2021/11/03 06:00 [medline]
PHST- 2021/10/02 00:00 [pmc-release]
AID - 10.1186/s12889-021-11779-5 [pii]
AID - 11779 [pii]
AID - 10.1186/s12889-021-11779-5 [doi]
PST - epublish
SO  - BMC Public Health. 2021 Oct 2;21(1):1785. doi: 10.1186/s12889-021-11779-5.