Utilization of Health Care Services During the Birth Process in Rural South Indian States

2.50
Hdl Handle:
http://hdl.handle.net/10755/163105
Category:
Abstract
Type:
Presentation
Title:
Utilization of Health Care Services During the Birth Process in Rural South Indian States
Author(s):
Shaik, Jareena; Ramachandran, P.
Author Details:
Jareena Shaik, Research Scholar, Department of Population Studies, Sri Venkateswara University, Tirupati, Andhra Pradesh, India, email: jareenas@gmail.com; P. Ramachandran
Abstract:
Purpose: To examine how the characteristics of the individual, the household and the community influence the utilization of health care services (antenatal, natal, and postnatal) during birth process in the rural of South Indian states. Special attention is paid to assess the effect of women's empowerment variables after controlling other variables on the utilization of health services. Background: Promotion of maternal and child health has been one of the most important components of the family welfare programme of the Government of India. Among Indian states, southern states (Andhra Pradesh, Tamil Nadu, Karnataka and Kerala) are better off in fertility transition, but are relatively poor in the utilization of maternal health services. Design: Data from the Second Indian National Family Health Survey, 1998-99 for the south Indian states, on the use of maternal care services for the two most recent births in rural areas during the three years preceding the survey are analyzed using a two-level multi-level (logit) model. Utilization of recommended antenatal care, institutional and professional assistance during natal and postpartum checkups are treated as dependent variables. The explanatory variables used are: residence, religion/caste, education, work status, standard of living, exposure to television, access to money (socioeconomic and empowerment); birth order, age at birth (demographic); availability of a government health facility within 5 km, and whether the village has all-weather road and IEC activities (community level). Results: Although, there is a rapid decline in fertility in South Indian states, hardly two-fifths of the mothers in South Indian states had received all the required components of recommended antenatal care. Institutional deliveries were only three in five. These indicators ranged from a high of 63% in Kerala to a low of 29% in Andhra Pradesh for recommended ANC. The multi-level logit analysis revealed that women's empowerment has significantly affected the use of maternal care services. Community level effects on the use of services considered were strong, although the strength and type of these effects varied by service type. Conclusion: Despite the improved programme efforts, the utilization of recommended maternal health services was low, especially in Andhra Pradesh and Karnataka. Based on the findings some plausible policy and program implications have been suggested.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Host:
McMaster University
Conference Location:
Dhaka, Bangladesh
Description:
2006 International Conference: Dhaka, Bangladesh. The International Conference on the Impact of Global Issues on Women and Children, co-organized by McMaster University and the State University of Bangladesh, is an opportunity for the interdisciplinary exchange of development expertise and will be held in Dhaka, Bangladesh from February 12-16, 2006.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUtilization of Health Care Services During the Birth Process in Rural South Indian Statesen_GB
dc.contributor.authorShaik, Jareenaen_US
dc.contributor.authorRamachandran, P.en_US
dc.author.detailsJareena Shaik, Research Scholar, Department of Population Studies, Sri Venkateswara University, Tirupati, Andhra Pradesh, India, email: jareenas@gmail.com; P. Ramachandranen_US
dc.identifier.urihttp://hdl.handle.net/10755/163105-
dc.description.abstractPurpose: To examine how the characteristics of the individual, the household and the community influence the utilization of health care services (antenatal, natal, and postnatal) during birth process in the rural of South Indian states. Special attention is paid to assess the effect of women's empowerment variables after controlling other variables on the utilization of health services. Background: Promotion of maternal and child health has been one of the most important components of the family welfare programme of the Government of India. Among Indian states, southern states (Andhra Pradesh, Tamil Nadu, Karnataka and Kerala) are better off in fertility transition, but are relatively poor in the utilization of maternal health services. Design: Data from the Second Indian National Family Health Survey, 1998-99 for the south Indian states, on the use of maternal care services for the two most recent births in rural areas during the three years preceding the survey are analyzed using a two-level multi-level (logit) model. Utilization of recommended antenatal care, institutional and professional assistance during natal and postpartum checkups are treated as dependent variables. The explanatory variables used are: residence, religion/caste, education, work status, standard of living, exposure to television, access to money (socioeconomic and empowerment); birth order, age at birth (demographic); availability of a government health facility within 5 km, and whether the village has all-weather road and IEC activities (community level). Results: Although, there is a rapid decline in fertility in South Indian states, hardly two-fifths of the mothers in South Indian states had received all the required components of recommended antenatal care. Institutional deliveries were only three in five. These indicators ranged from a high of 63% in Kerala to a low of 29% in Andhra Pradesh for recommended ANC. The multi-level logit analysis revealed that women's empowerment has significantly affected the use of maternal care services. Community level effects on the use of services considered were strong, although the strength and type of these effects varied by service type. Conclusion: Despite the improved programme efforts, the utilization of recommended maternal health services was low, especially in Andhra Pradesh and Karnataka. Based on the findings some plausible policy and program implications have been suggested.en_GB
dc.date.available2011-10-27T11:33:53Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:33:53Z-
dc.conference.date2006-
dc.conference.hostMcMaster Universityen_US
dc.conference.locationDhaka, Bangladeshen_US
dc.description2006 International Conference: Dhaka, Bangladesh. The International Conference on the Impact of Global Issues on Women and Children, co-organized by McMaster University and the State University of Bangladesh, is an opportunity for the interdisciplinary exchange of development expertise and will be held in Dhaka, Bangladesh from February 12-16, 2006.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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