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Utilization of maternal health care services in Southern India

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  • Navaneetham, K.
  • Dharmalingam, A.

Abstract

This paper examines the patterns and determinants of maternal health care utilization across different social settings in south India: in the states of Andhra Pradesh, Karnataka, Kerala and Tamil Nadu. Data from the National Family Health Survey (NFHS) carried out during 1992-93 across most states in India are used. Results show that utilization of maternal health care services is highest in Kerala followed by Tamil Nadu, Andhra Pradesh and Karnataka. Utilization of maternal health care services is not only associated with a range of reproductive, socio-economic, cultural and program factors but also with state and type of health service. The interstate differences in utilization could be partly due to variations in the implementation of maternal health care program as well as differences in availability and accessibility between the states. In the case of antenatal care, there was no significant rural-urban gap, thanks to the role played by the multipurpose health workers posted in the rural areas to provide maternal health care services. The findings of this study provide insights for planning and implementing appropriate maternal health service delivery programs in order to improve the health and well-being of both mother and child.

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Bibliographic Info

Article provided by Elsevier in its journal Social Science & Medicine.

Volume (Year): 55 (2002)
Issue (Month): 10 (November)
Pages: 1849-1869

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Handle: RePEc:eee:socmed:v:55:y:2002:i:10:p:1849-1869

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Related research

Keywords: Maternal health services Health care utilization Health workers Regional variation India;

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Citations

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Cited by:
  1. Yusuke Kamiya, 2010. "Endogenous Women's Autonomy and the Use of Reproductive Health Services: Empirical Evidence from Tajikistan," OSIPP Discussion Paper 10E010, Osaka School of International Public Policy, Osaka University.
  2. Navaneetham K & M Kabir & C S Krishnakumar, 2009. "Morbidity Patterns In Kerala: Levels and Determinants," Working Papers id:2176, eSocialSciences.
  3. Mansour Farahani & S. V. Subramanian & David Canning, 2009. "Effects of state-level public spending on health on the mortality probability in India," PGDA Working Papers 5009, Program on the Global Demography of Aging.
  4. Mônica Viegas Andrade & Kenya Valéria M. de Souza Noronha & Abhishek Singh & Cristina Guimarães Rodrigues & Sabu S. Padmadas, 2011. "Equidade na utilização dos serviços de saúde no Brasil: um estudo comparativo entre as regiões brasileiras no período 1998-2008," Textos para Discussão Cedeplar-UFMG td446, Cedeplar, Universidade Federal de Minas Gerais.
  5. Premchand Dommaraju & Victor Agadjanian & Scott Yabiku, 2008. "The Pervasive and Persistent Influence of Caste on Child Mortality in India," Population Research and Policy Review, Springer, vol. 27(4), pages 477-495, August.
  6. Patience Aseweh Abor & Gordon Abekah-Nkrumah & Kojo Sakyi & Charles K.D. Adjasi & Joshua Abor, 2011. "The socio-economic determinants of maternal health care utilization in Ghana," International Journal of Social Economics, Emerald Group Publishing, vol. 38(7), pages 628-648, July.
  7. Luke, Nancy & Munshi, Kaivan, 2007. "Social affiliation and the demand for health services: Caste and child health in South India," Journal of Development Economics, Elsevier, vol. 83(2), pages 256-279, July.

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