Open AccessEquity and Accessibility of Antenatal Care Utilization in India
Author(s) -
Monica Singh,
Ataur Rahman
Publication year - 2020
Publication title -
international journal of tropical disease and health
Language(s) - English
Resource type - Journals
ISSN - 2278-1005
DOI - 10.9734/ijtdh/2020/v41i2430431
Subject(s) - caste , medicine , tetanus , population , equity (law) , health facility , environmental health , prenatal care , birth order , logistic regression , health care , demography , pediatrics , health services , economic growth , vaccination , law , immunology , philosophy , linguistics , sociology , political science , economics
Aims and Objectives: In this paper, we examine the determinants at both the person and household level, and the connexion of the population to health facilities in childcare, wealth, caste, education and others are responsible for the stability found in Antenatal Care utilization. For this study, data used from the Indian National Family Health Survey (NFHS-4 2015-2016) three rounds are available. The findings of the analysis are given in three parts. First, at least 1 Injection of tetanus toxoid (TT), the Iron Folic Acid tablets (IFA), identified as four or more prenatal visits at least 100 days. Second, state profiles of NFHS-4 antenatal care usage are provided to compare patterns. Third, the impact of demand and access variables calculated from multi-level logistics.
Methods: In India, we analyzed a group of 190, 898 women in the Nationwide Family Health Study 4. In order to measure Equity for the maximum ANC usage, concentration and index curves were employed. The multivariable logistic regression model has used to analyze the relevant variables to the usage of complete ANC.
Results: 21% of pregnant women in India use complete ANC, which is 2.3-65.9% throughout the world. 51.6% received four or more ANC visits, 30.8% had at least 100 days of IFA and 91.1% had tetanus toxoid in one or two doses. Complete usage of the ANC in the family, caste and maternal education were unequal. The utilization of the Integrated Child Development Services (ICDS) government register, birth registration and health care coverage has related to improved chances of complete ANC utilization. Lower maternity schooling, lower-income, father intrusiveness during prenatal visits, a higher birth order, puberty and accidental pregnancy were related to lower odds of maximum ANC use.