PMID- 35688022
OWN - NLM
STAT- MEDLINE
DCOM- 20220816
LR  - 20220816
IS  - 1532-3099 (Electronic)
IS  - 0266-6138 (Linking)
VI  - 112
DP  - 2022 Sep
TI  - Trends and determinants in the utilization of maternal healthcare services in 
      West Bengal, India: Findings from the 3rd and 4th round National Family and 
      Health Survey.
PG  - 103387
LID - S0266-6138(22)00139-5 [pii]
LID - 10.1016/j.midw.2022.103387 [doi]
AB  - BACKGROUND: Proper utilization of recommended healthcare services during the 
      pregnancy is considered as critically important for better pregnancy outcomes, as 
      well as a good health status of the mother. OBJECTIVE: The aim of the current 
      study was to trace the trend in progress, and what are factors associated with 
      the attendance at four Antenatal Care (ANC) visits, receive full ANC and 
      institutional delivery in the study area. RESEARCH DESIGN/SETTING: The study has 
      used a cross-sectional secondary data of the 3rd and 4th round National Family 
      and Health Survey (NFHS) for India conducted in 2005-06 and 2015-2016 
      respectively. For West Bengal, a total of 6794 in 2005-06 and 17,668 in 2015-2016 
      ever-married women aged 15-49 who had experienced at least one live birth in the 
      past five years preceding the survey were covered in this study. To analyze the 
      data, the chi-square test was performed as it allows researcher to assess the 
      association between outcome variables and independent variables. The univariate 
      descriptive and multivariate statistical tools have been applied to analyse the 
      data in this study. RESULTS: Our study indicated that the progress rate in 
      attending at least four antenatal care visits, institutional delivery 
      considerably good, but a noticeable gap exists across the different 
      socio-economic groups. The coverage of full ANC services has remained very poor 
      and unchanged over the decade. It was concluded that the wealth status of the 
      households significant predictor of the attendance at least four ANC visits, full 
      ANC and Institutional delivery in West Bengal. Other statistically significant 
      socio-economic and demographic factors include level of women education, age of 
      women, exposure to mass media, place of residence, and number of parities of 
      birth. CONCLUSION: The present study suggests that the increasing strength in the 
      coverage of all maternal healthcare services could be a significant focus during 
      the program implementation in West Bengal. For strengthening and ascertaining the 
      universal coverage of maternal healthcare services, there is an urgent need to 
      reduce socioeconomic inequity in uses of the recommended maternal healthcare 
      services. Moreover, our study found that the socio-economic and demographic 
      factors play a significant role in utilization of maternal healthcare services. 
      Thus the promotion of women education, empowerment and autonomy, and the frequent 
      social marketing of government schemes and programs on maternal healthcare 
      through the various types of mass media should be the unique future steps for 
      achieving the universal coverage of maternal service in West Bengal.
CI  - Copyright (c) 2022 Elsevier Ltd. All rights reserved.
FAU - Debsarma, Dhiman
AU  - Debsarma D
AD  - Ph.D. Research Scholar, Centre for the Study of Regional Development, School of 
      Social Sciences, Jawaharlal Nehru University, New Delhi 110067, India. Electronic 
      address: dhimanjnu04@gmail.com.
FAU - Karmakar, Ranjan
AU  - Karmakar R
AD  - Ph.D., Centre for the Study of Regional Development, School of Social Sciences, 
      Jawaharlal Nehru University, New Delhi 110067, India.
FAU - Saha, Jayanti
AU  - Saha J
AD  - M. Phil. Research Scholar, Centre of Social Medicine and Community Health, School 
      of Social Sciences, Jawaharlal Nehru University, New Delhi 110067, India.
LA  - eng
PT  - Journal Article
DEP - 20220524
PL  - Scotland
TA  - Midwifery
JT  - Midwifery
JID - 8510930
MH  - Cross-Sectional Studies
MH  - Delivery of Health Care
MH  - Female
MH  - Health Surveys
MH  - Humans
MH  - *Maternal Health Services
MH  - Patient Acceptance of Health Care
MH  - Pregnancy
MH  - Prenatal Care
MH  - Socioeconomic Factors
OTO - NOTNLM
OT  - Antenatal Care
OT  - Institutional Delivery
OT  - Maternal Health
COIS- Declaration of Competing Interest The authors have no competing interest to 
      declare.
EDAT- 2022/06/11 06:00
MHDA- 2022/08/17 06:00
CRDT- 2022/06/10 18:23
PHST- 2020/10/29 00:00 [received]
PHST- 2022/05/10 00:00 [revised]
PHST- 2022/05/23 00:00 [accepted]
PHST- 2022/06/11 06:00 [pubmed]
PHST- 2022/08/17 06:00 [medline]
PHST- 2022/06/10 18:23 [entrez]
AID - S0266-6138(22)00139-5 [pii]
AID - 10.1016/j.midw.2022.103387 [doi]
PST - ppublish
SO  - Midwifery. 2022 Sep;112:103387. doi: 10.1016/j.midw.2022.103387. Epub 2022 May 
      24.