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Gendered Decision-Making and Healthcare Choices: A Case Study of Maternal Services in Bihar

In: Gender (In)equality and Social Development

Author

Listed:
  • Subhajeet Singh Sardar

    (Triveni Devi Bhalotia College)

  • Subhasis Bhattacharya

    (Sidho-Kanho-Birsha University)

Abstract

This study explores the complex dynamics of maternal healthcare utilization in Bihar, India, with a specific focus on antenatal care (ANC) services. The study identifies the influence of gendered decision-making on ANC utilization, synthesizing data from the National Family Health Survey (NFHS-5) conducted in 2019–21. Utilizing logistic regression models, the research dissects factors affecting ANC visits, considering variables such as decision-making authority, media exposure, caste, age, household size, religion, wealth index, education, and place of residence. Results reveal disparities in ANC utilization, with decision-making dynamics significantly impacting outcomes. Caste, age, wealth index, education, and media exposure emerge as critical determinants. For instance, Scheduled Caste/Scheduled Tribe mothers face higher vulnerability, while higher education and media exposure positively correlate with ANC utilization. Urban–rural differentials and religious influences also contribute to variations. The study employs a robust statistical approach, evidenced by a likelihood ratio test and goodness-of-fit indicators. The findings underscore the multifaceted nature of maternal healthcare utilization, emphasizing the need for targeted interventions considering gender, socio-economic, and cultural dimensions.

Suggested Citation

  • Subhajeet Singh Sardar & Subhasis Bhattacharya, 2025. "Gendered Decision-Making and Healthcare Choices: A Case Study of Maternal Services in Bihar," Springer Books, in: Chandrima Chakraborty & Dipyaman Pal & M. Ozgur Kayalica (ed.), Gender (In)equality and Social Development, pages 49-65, Springer.
    • Handle: RePEc:spr:sprchp:978-981-96-7979-9_4
    DOI: 10.1007/978-981-96-7979-9_4
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