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Utilization of prenatal-care in India: an evidence from IDHS


  • Rana Ejaz Ali Khan

    () (The Islamia University of Bahawalpur)

  • Muhammad Ali Raza

    () (Institute of Business Administration)


Abstract The paper attempted to examine the socioeconomic determinants of two components of utilization of prenatal-care, i.e. prenatal consultation (at least four prenatal visits to medically trained professionals) and proper time of first consultation (first prenatal consultation within first trimester from medically trained professional) by the Indian women in the age group of 15–49 years. A series of models have been created, and binary logistic regression has been applied. Micro-data having 25,470 observations from Indian Demographic and Health Survey 2005–2006 has been used. The results explained that women’s age at first marriage, woman’s education, husband’s age and education, ever terminated pregnancy, husband’s presence during prenatal visit and wealth index increases the probability of both components of utilization of prenatal-care, i.e. prenatal consultation and proper time for first consultation. Birth-order of the child negatively affects both components. Husband’s living in the house, household covered with health insurance and female as head of household increase the probability of prenatal consultation. The husband’s working status positively affects the proper time of first consultation. The final say on woman’s health by woman alone, woman and husband collectively and husband alone increase the probability of prenatal consultation, while the final say by woman and husband collectively increase the probability of first prenatal consultation at proper time. The residence of the household in town and country side decreases the probability of prenatal consultation, while residence of household in the town (surprisingly) increases the likelihood of first consultation at proper time. The region of India as West (Goa, Gujarat and Maharashtra) and South (Andhra Pradesh, Karnataka, Kerala and Tamil Nadu) is more likely for women to have prenatal consultation, while the region of Central India (Chhattisgarh, Madhya Pradesh and Uttar Pradesh) is less likely to have their women prenatal consultation as compared to North region (Delhi, Haryana, Himachal Pradesh, Jammu and Kashmir, Punjab, Rajasthan and Uttaranchal). In the second model, the results have shown that Indian regions of Northeast (Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim and Tripura), West and South are more likely as compared to North to have their women first consultation at proper time.

Suggested Citation

  • Rana Ejaz Ali Khan & Muhammad Ali Raza, 2016. "Utilization of prenatal-care in India: an evidence from IDHS," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 18(1), pages 175-201, October.
  • Handle: RePEc:spr:jsecdv:v:18:y:2016:i:1:d:10.1007_s40847-016-0027-6
    DOI: 10.1007/s40847-016-0027-6

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    References listed on IDEAS

    1. Mumtaz, Zubia & Salway, Sarah, 2005. "'I never go anywhere': extricating the links between women's mobility and uptake of reproductive health services in Pakistan," Social Science & Medicine, Elsevier, vol. 60(8), pages 1751-1765, April.
    2. Petrou, Stavros & Kupek, Emil & Vause, Sarah & Maresh, Michael, 2001. "Clinical, provider and sociodemographic determinants of the number of antenatal visits in England and Wales," Social Science & Medicine, Elsevier, vol. 52(7), pages 1123-1134, April.
    3. Rosenzweig, Mark R & Schultz, T Paul, 1983. "Consumer Demand and Household Production: The Relationship between Fertility and Child Mortality," American Economic Review, American Economic Association, vol. 73(2), pages 38-42, May.
    4. Rana Ejaz Ali Khan & Muhammad Ali Raza, 2013. "Maternal Health-Care in India: The Case of Tetanus Toxoid Vaccination," Asian Development Policy Review, Asian Economic and Social Society, vol. 1(1), pages 1-14, December.
    5. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    6. Hope Corman & Theodore J. Joyce & Michael Grossman, 1987. "Birth Outcome Production Function in the United States," Journal of Human Resources, University of Wisconsin Press, vol. 22(3), pages 339-360.
    7. Eric Arthur, 2012. "Wealth and antenatal care use: implications for maternal health care utilisation in Ghana," Health Economics Review, Springer, vol. 2(1), pages 1-8, December.
    8. Chou, Shin-Yi & Grossman, Michael & Liu, Jin-Tan, 2014. "The impact of National Health Insurance on birth outcomes: A natural experiment in Taiwan," Journal of Development Economics, Elsevier, vol. 111(C), pages 75-91.
    9. Khan, Rana Ejaz Ali & Raza, Muhammad Ali, 2013. "Maternal Health Care: The Case of Iron Supplementation in India," MPRA Paper 66555, University Library of Munich, Germany.
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    More about this item


    Woman health; Antenatal consultation; Wealth index; Maternal health-care; Household economics; Regions of India;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy


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