PMID- 35513830
OWN - NLM
STAT- MEDLINE
DCOM- 20220509
LR  - 20220716
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 22
IP  - 1
DP  - 2022 May 5
TI  - Predictors of the utilisation of continuum of maternal health care services in 
      India.
PG  - 602
LID - 10.1186/s12913-022-07876-9 [doi]
LID - 602
AB  - BACKGROUND: Utilisation of continuum of maternal health care services is crucial 
      for a healthy pregnancy and childbirth and plays an important role in attaining 
      Universal Health Coverage (UHC) and Sustainable Development Goals (SDGs) related 
      to maternal and child health. This paper aims to assess the percentage of 
      dropouts across various stages of utilization of continuum of maternal health 
      services (CMHS) in India and also investigates the factors hindering the 
      utilization of these services. METHODS: We used recent data from National Family 
      Health Survey(NFHS) encompassing a total sample of 1,70,937 pregnant women for 
      the period 2015-16. The percentage of women dropping out while seeking maternal 
      health care is measured using descriptive statistics. While, the factors impeding 
      the utilization of maternal health services is estimated using a Multinomial 
      Logistic Regression Model, where dependent variable (CMHS) is defined as complete 
      care, incomplete care and no care. RESULTS: Only17% of pregnant women availed the 
      utilisation of complete care and 83% either did not seek any care or dropped 
      after seeking one or two services. For instance, it is found that 79% of women 
      who registered for antenatal care services (ANC) did not avail the same 
      adequately. An empirical investigation of determinants of inadequate utilization 
      of CMHS revealed that factors like individual characteristics, for instance- 
      access to media (RRR: 2.06) and mother's education play (RRR: 3.61) a vital role 
      in the uptake of CMHS. It is also found that the interaction between wealth index 
      and place of residence plays a pivotal role in seeking complete care. Lastly, the 
      results revealed that male participation (RRR: 2.69) and contacting multi-purpose 
      worker (MPW) (RRR: 2.33) are also at play. CONCLUSION: The study suggests that 
      the major determinants of utilisation of CMHS are access to media, mother's 
      education, affordability barriers and male participation. Hence, policy 
      recommendations should be oriented towards strengthening these dimensions and the 
      utilisation of adequate ANC has to be considered as the need of the hour.
CI  - (c) 2022. The Author(s).
FAU - Gandhi, Sumirtha
AU  - Gandhi S
AD  - Bengaluru Dr. B.R. Ambedkar School of Economics, Bengaluru, Karnataka, India. 
      sumirtha@gmail.com.
FAU - Gandhi, Supriya
AU  - Gandhi S
AD  - Dayal Singh, College, Delhi University, New Delhi, India.
FAU - Dash, Umakant
AU  - Dash U
AD  - Institute of Rural Management, Anand, Gandhinagar, Gujarat, India.
FAU - Suresh Babu, M
AU  - Suresh Babu M
AD  - Indian Institute of Technology, Madras, India.
LA  - eng
PT  - Journal Article
DEP - 20220505
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Child
MH  - Female
MH  - Humans
MH  - India
MH  - Male
MH  - Maternal Health
MH  - *Maternal Health Services
MH  - Patient Acceptance of Health Care
MH  - Pregnancy
MH  - Prenatal Care
MH  - Socioeconomic Factors
PMC - PMC9069727
OTO - NOTNLM
OT  - Continuum of maternal health care services
OT  - Demographic health survey
OT  - India
OT  - Multinomial logistic regression model
COIS- The authors declare that they have no competing interests.
EDAT- 2022/05/06 06:00
MHDA- 2022/05/10 06:00
PMCR- 2022/05/05
CRDT- 2022/05/05 23:46
PHST- 2021/06/02 00:00 [received]
PHST- 2022/03/28 00:00 [accepted]
PHST- 2022/05/05 23:46 [entrez]
PHST- 2022/05/06 06:00 [pubmed]
PHST- 2022/05/10 06:00 [medline]
PHST- 2022/05/05 00:00 [pmc-release]
AID - 10.1186/s12913-022-07876-9 [pii]
AID - 7876 [pii]
AID - 10.1186/s12913-022-07876-9 [doi]
PST - epublish
SO  - BMC Health Serv Res. 2022 May 5;22(1):602. doi: 10.1186/s12913-022-07876-9.