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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
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    References listed on IDEAS

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    Cited by:

    1. 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.
    2. 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.
    3. Gloria-Sheila A. Yiran & Joseph K. Teye & Gerald A. B. Yiran, 2015. "Accessibility and Utilisation of Maternal Health Services by Migrant Female Head Porters in Accra," Journal of International Migration and Integration, Springer, vol. 16(4), pages 929-945, November.
    4. 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.
    5. 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.
    6. 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.
    7. 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), Democritus University of Thrace (DUTH), Kavala Campus, Greece, vol. 5(2), pages 145-162, August.
    8. 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.

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    Keywords

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    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

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