IDEAS home Printed from https://ideas.repec.org/p/ind/cdswpp/307.html
   My bibliography  Save this paper

Utilization of maternal health care services in South India

Author

Listed:
  • K. Navaneetham

    (Centre for Development Studies)

  • A. Dharmalingam

    (University of Waikato)

Abstract

In this study we examine the patterns and determinants of maternal health care use across different social setting in south India: in the states of Andhra Pradesh, Karnataka and Tamil Nadu. We use data from the National Family Health Survey (NFHS) carried out during 1992-93 across most states in India. The study focuses on most recent births to ever-married women that took place during the four years prior to the date of the survey. We have used logistic regression models to estimate the effect of covariates on the utilization of maternal health services viz., antenatal care, tetanus toxoid vaccine, place of delivery and assistance during delivery. The study indicates that determinants of maternal health care services are not same across states and for different maternal health care indicators. Although illiterate women were less likely to use maternal health care services; there was no difference among the educated. The level of utilization of maternal health care services was found to be highest in Tamil Nadu, followed by Andhra Pradesh and Karnataka. Part of the interstate differences in utilization is likely to be due to differences in availability and accessibility among the three south Indian states. It is argued that the differential in access to health care facilities between rural-urban areas is an important factor for lower utilization of maternal health care services, particularly for institutional delivery and delivery assistance by health personnel in the rural areas of the three states. Results from this study indicate that health workers might play a pivotal role in providing antenatal care in the rural areas.

Suggested Citation

  • K. Navaneetham & A. Dharmalingam, 2000. "Utilization of maternal health care services in South India," Centre for Development Studies, Trivendrum Working Papers 307, Centre for Development Studies, Trivendrum, India.
    • Handle: RePEc:ind:cdswpp:307
    as

    Download full text from publisher

    File URL: http://www.cds.edu/wp-content/uploads/2012/10/wp307.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wong, Emelita L. & Popkin, Barry M. & Guilkey, David K. & Akin, John S., 1987. "Accessibility, quality of care and prenatal care use in the Philippines," Social Science & Medicine, Elsevier, vol. 24(11), pages 927-944, January.
    2. Raghupathy, Shobana, 1996. "Education and the use of maternal health care in Thailand," Social Science & Medicine, Elsevier, vol. 43(4), pages 459-471, August.
    3. Anne Pebley & Noreen Goldman & Germán Rodríguez, 1996. "Prenatal and delivery care and childhood immunization in guatemala: Do family and community matter?," Demography, Springer;Population Association of America (PAA), vol. 33(2), pages 231-247, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kaushal, Kaushalendra Kumar & F Ram, Faujdar Ram & Abhishek, Abhishek Singh, 2013. "Public Spending on Health and Childhood Mortality in India," MPRA Paper 48680, University Library of Munich, Germany.
    2. Edward Kwabena Ameyaw & Raymond Elikplim Kofinti & Francis Appiah, 2017. "National health insurance subscription and maternal healthcare utilisation across mothers’ wealth status in Ghana," Health Economics Review, Springer, vol. 7(1), pages 1-15, December.
    3. Srinivas, Goli, 2014. "Demographic convergence and its linkage with health inequalities in India," MPRA Paper 79823, University Library of Munich, Germany, revised 05 Dec 2014.
    4. N. Vijayamohanan Pillai, 2004. "CES function, generalised mean and human poverty index: Exploring some links," Centre for Development Studies, Trivendrum Working Papers 360, Centre for Development Studies, Trivendrum, India.
    5. Muchabaiwa L. & Mazambani D. & Chigusiwa L. & Bindu S. & Mudavanhu V., 2012. "Determinants of Maternal Healthcare Utilization in Zimbabwe," International Journal of Business and Economic Sciences Applied Research (IJBESAR), International Hellenic University (IHU), Kavala Campus, Greece (formerly Eastern Macedonia and Thrace Institute of Technology - EMaTTech), vol. 5(2), pages 145-162, August.
    6. Maligana Mathe, 2017. "Socio-demographic factors affecting utilization of Antenatal Care Services in Botswana," International Journal of Academic Research in Business and Social Sciences, Human Resource Management Academic Research Society, International Journal of Academic Research in Business and Social Sciences, vol. 7(9), pages 477-520, September.
    7. 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;Southern Demographic Association (SDA), vol. 27(4), pages 477-495, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Navaneetham K, 2007. "Utilization Of Maternal Health Care In South India," Working Papers id:940, eSocialSciences.
    2. Regina Fuchs & Elsie Pamuk & Wolfgang Lutz, 2010. "Education or wealth: which matters more for reducing child mortality in developing countries?," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 8(1), pages 175-199.
    3. 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 Limited, vol. 38(7), pages 628-648, June.
    4. Lindelow, Magnus, 2004. "Health care decisions as a family matter - intra-household education externalities and the utilization of health services," Policy Research Working Paper Series 3324, The World Bank.
    5. Jeffrey E. Harris & Sandra G. Sosa-Rubi, 2009. "Impact of "Seguro Popular" on Prenatal Visits in Mexico, 2002-2005: Latent Class Model of Count Data with a Discrete Endogenous Variable," NBER Working Papers 14995, National Bureau of Economic Research, Inc.
    6. Adjiwanou, Vissého & Bougma, Moussa & LeGrand, Thomas, 2018. "The effect of partners' education on women's reproductive and maternal health in developing countries," Social Science & Medicine, Elsevier, vol. 197(C), pages 104-115.
    7. Lindstrom, David P & Muñoz-Franco, Elisa, 2006. "Migration and maternal health services utilization in rural Guatemala," Social Science & Medicine, Elsevier, vol. 63(3), pages 706-721, August.
    8. Mistry, Ritesh & Galal, Osman & Lu, Michael, 2009. "Women's autonomy and pregnancy care in rural India: A contextual analysis," Social Science & Medicine, Elsevier, vol. 69(6), pages 926-933, September.
    9. Sepehri, Ardeshir & Sarma, Sisira & Simpson, Wayne & Moshiri, Saeed, 2008. "How important are individual, household and commune characteristics in explaining utilization of maternal health services in Vietnam?," Social Science & Medicine, Elsevier, vol. 67(6), pages 1009-1017, September.
    10. Kinyondo, Abel Alfred & Ntegwa, Magashi Joseph & Masawe, Cresencia Apolinary, 2022. "Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 10(1), January.
    11. Won Ju Hwang & Yeon Mi Park, 2019. "Factors Influencing the Accessibility of Maternal Health Service in Cambodia," IJERPH, MDPI, vol. 16(16), pages 1-10, August.
    12. Narayan Sastry & Bonnie Ghosh-Dastidar & John Adams & Anne R. Pebley, 2003. "The Design of Multilevel Survey of Children, Families, and Communities: The Los Angeles Family and Neighborhood Survey," Working Papers 03-21, RAND Corporation.
    13. Jana, Arnab & Harata, Noboru, 2016. "Provisioning health care infrastructure in communities: Empirical evidences from West Bengal, India," Socio-Economic Planning Sciences, Elsevier, vol. 54(C), pages 37-46.
    14. Xiaoying Liu & Jere R Behrman & Aryeh D Stein & Linda S Adair & Santosh K Bhargava & Judith B Borja & Mariangela Freitas da Silveira & Bernardo L Horta & Reynaldo Martorell & Shane A Norris & Linda M , 2017. "Prenatal care and child growth and schooling in four low- and medium-income countries," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-21, February.
    15. Bautista, Cristina M., 1995. "Patterns of Health Care Expenditures, Utilization and Demand for Medical Care in Sample Philippine Households," Discussion Papers DP 1995-09, Philippine Institute for Development Studies.
    16. Weitzman, Abigail, 2017. "The effects of women's education on maternal health: Evidence from Peru," Social Science & Medicine, Elsevier, vol. 180(C), pages 1-9.
    17. Chen, Chin-Shyan & Liu, Tsai-Ching & Chen, Li-Mei, 2003. "National Health Insurance and the antenatal care use: a case in Taiwan," Health Policy, Elsevier, vol. 64(1), pages 99-112, April.
    18. Pulok, Mohammad Habibullah & Sabah, Md Nasim-Us Sabah & Uddin, Jalal & Enemark, Ulrika, 2015. "Progress in utilization of antenatal and delivery care services in Bangladesh: Where does the equity gap lie?," MPRA Paper 63496, University Library of Munich, Germany.
    19. Biswajit Mandal, 2015. "Demand for maternal health inputs in West Bengal-Inference from NFHS 3 in India," Economics Bulletin, AccessEcon, vol. 35(4), pages 2685-2700.
    20. Esther Awazzi Envuladu & Abukari Ibrahim Issaka & Mansi Vijaybhai Dhami & Biniyam Sahiledengle & Kingsley Emwinyore Agho, 2023. "Differential Associated Factors for Inadequate Receipt of Components and Non-Use of Antenatal Care Services among Adolescent, Young, and Older Women in Nigeria," IJERPH, MDPI, vol. 20(5), pages 1-16, February.

    More about this item

    Keywords

    Utilization; Maternal health care; Reproductive health; Regional differential; India;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I19 - Health, Education, and Welfare - - Health - - - Other

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ind:cdswpp:307. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Shamprasad M. Pujar (email available below). General contact details of provider: https://edirc.repec.org/data/cdsacin.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.