Accessibility and availability of reproductive health care services at primary health centre level and association with health outcome in Aspirational Districts of India

Background: This study concerns the reproductive health care of women of reproductive age in the selected Aspirational districts in India. This paper mainly aims to identify the level of accessibility and availability of reproductive health care and their interlinking with the health outcomes in ter...

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Main Authors: Tapan Debnath, Bhupen Barman, Krishna Barman, Ranjan Roy
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213398423001720
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author Tapan Debnath
Bhupen Barman
Krishna Barman
Ranjan Roy
author_facet Tapan Debnath
Bhupen Barman
Krishna Barman
Ranjan Roy
author_sort Tapan Debnath
collection DOAJ
description Background: This study concerns the reproductive health care of women of reproductive age in the selected Aspirational districts in India. This paper mainly aims to identify the level of accessibility and availability of reproductive health care and their interlinking with the health outcomes in terms of institutional delivery and percentage of women who received any Antenatal Check-up. Study design: This is a cross sectional study. Methods: A composite index has been constructed at the district level for every indicator (accessibility, availability, and health outcome) to identify the level of accessibility and availability and to analyse the association between accessibility, availability, and health outcomes using the Pearson chi-square test and ternary diagram. The thematic maps used for showing the disparities of indicators in the selected Aspirational districts. Results: After developing the composite index for accessibility and availability of health care, it is shown that the districts which ranked in accessibility, not ranked in availability of health care. The study reveals that the overall composite index for ranking the districts in terms of accessibility and availability, closely associated with the health outcomes. Accessibility and availability are also associated with the health outcome of reproductive health in Aspirational districts in India. Accessibility of health care services is more significant for better health outcomes than the availability of health care services in the Aspirational districts in India. Conclusion: Accessibility and availability are the component for access to health care and influence the health outcome.
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spelling doaj.art-91a00dcb8f6d405b9abeb7a55b067f9e2023-11-16T06:09:55ZengElsevierClinical Epidemiology and Global Health2213-39842023-09-0123101385Accessibility and availability of reproductive health care services at primary health centre level and association with health outcome in Aspirational Districts of IndiaTapan Debnath0Bhupen Barman1Krishna Barman2Ranjan Roy3Department of Geography & Applied Geography, University of North Bengal, Darjeeling, West Bengal, India; Corresponding author.Tufangnaj Mahavidhalaya, West Bengal, IndiaDepartment of Geography & Applied Geography, University of North Bengal, Darjeeling, West Bengal, IndiaDepartment of Geography & Applied Geography, University of North Bengal, Darjeeling, West Bengal, IndiaBackground: This study concerns the reproductive health care of women of reproductive age in the selected Aspirational districts in India. This paper mainly aims to identify the level of accessibility and availability of reproductive health care and their interlinking with the health outcomes in terms of institutional delivery and percentage of women who received any Antenatal Check-up. Study design: This is a cross sectional study. Methods: A composite index has been constructed at the district level for every indicator (accessibility, availability, and health outcome) to identify the level of accessibility and availability and to analyse the association between accessibility, availability, and health outcomes using the Pearson chi-square test and ternary diagram. The thematic maps used for showing the disparities of indicators in the selected Aspirational districts. Results: After developing the composite index for accessibility and availability of health care, it is shown that the districts which ranked in accessibility, not ranked in availability of health care. The study reveals that the overall composite index for ranking the districts in terms of accessibility and availability, closely associated with the health outcomes. Accessibility and availability are also associated with the health outcome of reproductive health in Aspirational districts in India. Accessibility of health care services is more significant for better health outcomes than the availability of health care services in the Aspirational districts in India. Conclusion: Accessibility and availability are the component for access to health care and influence the health outcome.http://www.sciencedirect.com/science/article/pii/S2213398423001720AccessibilityAvailabilityHealth outcomesAccess of health care
spellingShingle Tapan Debnath
Bhupen Barman
Krishna Barman
Ranjan Roy
Accessibility and availability of reproductive health care services at primary health centre level and association with health outcome in Aspirational Districts of India
Clinical Epidemiology and Global Health
Accessibility
Availability
Health outcomes
Access of health care
title Accessibility and availability of reproductive health care services at primary health centre level and association with health outcome in Aspirational Districts of India
title_full Accessibility and availability of reproductive health care services at primary health centre level and association with health outcome in Aspirational Districts of India
title_fullStr Accessibility and availability of reproductive health care services at primary health centre level and association with health outcome in Aspirational Districts of India
title_full_unstemmed Accessibility and availability of reproductive health care services at primary health centre level and association with health outcome in Aspirational Districts of India
title_short Accessibility and availability of reproductive health care services at primary health centre level and association with health outcome in Aspirational Districts of India
title_sort accessibility and availability of reproductive health care services at primary health centre level and association with health outcome in aspirational districts of india
topic Accessibility
Availability
Health outcomes
Access of health care
url http://www.sciencedirect.com/science/article/pii/S2213398423001720
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