Coverage of Quality Maternal and Newborn Healthcare Services in India: Examining Dropouts, Disparity and Determinants
Background: Abundant research studies has recorded availability, accessibility and quality of antenatal care and safe delivery in India but comparatively less information is known for postnatal care and furthermore limited attempts at capturing the whole spectrum of obstetric and newborn health serv...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2022-05-01
|
| Series: | Annals of Global Health |
| Subjects: | |
| Online Access: | https://annalsofglobalhealth.org/articles/3586 |
| _version_ | 1828218496140443648 |
|---|---|
| author | Lucky Singh Ritam Bubey Prashant Kumar Singh Saritha Nair Rajesh Kumar Rai M. Vishnu Vardhana Rao Shalini Singh |
| author_facet | Lucky Singh Ritam Bubey Prashant Kumar Singh Saritha Nair Rajesh Kumar Rai M. Vishnu Vardhana Rao Shalini Singh |
| author_sort | Lucky Singh |
| collection | DOAJ |
| description | Background: Abundant research studies has recorded availability, accessibility and quality of antenatal care and safe delivery in India but comparatively less information is known for postnatal care and furthermore limited attempts at capturing the whole spectrum of obstetric and newborn health services. Assessing discontinuity in maternal and child health service utilization provides us holistic information about existing health inequities and barriers in service provision. Objective: Current study evaluated the coverage of quality antenatal care (QANC), delivery care (QDC) and postnatal care (QPNC) in India as a part of a single continuum accounting for significant regional and sub-regional disparities. Methods: This study analyzed nationally representative data obtained from NFHS-4 (2015–16). Included in the data, were 190 898 Indian women who had a recent birth in last five years. Coverage of QANC, QDC and QPNC was examined at the national, state and district level. Bivariate association of key sociodemographic variables with coverage of services was assessed during chi-squared analysis. Multilevel logistic regression analysis examined correlates associated with coverage of services. The output was presented using odds ratios (OR) with 95% CI. Findings: About 23.5% women utilized QANC out of which 92.9% opted for QDC and 35.1% of newborns received QPNC. About 400 and 471 districts out of 640 had less than 30% coverage of QANC and QPNC, respectively. Women residing in rural regions of Bihar and Northeastern states were found with less than 10% coverage of QANC. Regression analysis shows that women with more than 12 years of education and belonging to richest households had increased odds of availing QANC (OR 1.95; 95%CI: 1.84–2.06) and QDC (OR: 2.86; 95%CI: 2.27–3.60), respectively. Conclusion: Focused interventions targeting the delivery of quality services especially ANC and PNC among newborns are imperative to achieve SDG-3 goals to achieve improvement in maternal and newborn health. |
| first_indexed | 2024-04-12T16:03:43Z |
| format | Article |
| id | doaj.art-b5c56fb806d34a9494e52a8abf3a75a4 |
| institution | Directory Open Access Journal |
| issn | 2214-9996 |
| language | English |
| last_indexed | 2024-04-12T16:03:43Z |
| publishDate | 2022-05-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Annals of Global Health |
| spelling | doaj.art-b5c56fb806d34a9494e52a8abf3a75a42022-12-22T03:26:08ZengUbiquity PressAnnals of Global Health2214-99962022-05-0188110.5334/aogh.35862749Coverage of Quality Maternal and Newborn Healthcare Services in India: Examining Dropouts, Disparity and DeterminantsLucky Singh0Ritam Bubey1Prashant Kumar Singh2Saritha Nair3Rajesh Kumar Rai4M. Vishnu Vardhana Rao5Shalini Singh6ICMR National Institute of Medical Statistics, Ansari Nagar, New Delhi 110029Division of Preventive Oncology and Population Health, ICMR National Institute of Cancer Prevention and Research, I – 7 Near City Centre Metro Station, Sector 39, Noida, Uttar Pradesh 201301Division of Preventive Oncology and Population Health, ICMR National Institute of Cancer Prevention and Research, I – 7 Near City Centre Metro Station, Sector 39, Noida, Uttar Pradesh 201301ICMR National Institute of Medical Statistics, Ansari Nagar, New Delhi, India 110029Society for Health and Demographic Surveillance, Suri, West Bengal, India 731101ICMR National Institute of Medical Statistics, Ansari Nagar, New Delhi, India 110029ICMR National Institute of Cancer Prevention and Research, I – 7, Sector 39, Noida, Uttar Pradesh 201301Background: Abundant research studies has recorded availability, accessibility and quality of antenatal care and safe delivery in India but comparatively less information is known for postnatal care and furthermore limited attempts at capturing the whole spectrum of obstetric and newborn health services. Assessing discontinuity in maternal and child health service utilization provides us holistic information about existing health inequities and barriers in service provision. Objective: Current study evaluated the coverage of quality antenatal care (QANC), delivery care (QDC) and postnatal care (QPNC) in India as a part of a single continuum accounting for significant regional and sub-regional disparities. Methods: This study analyzed nationally representative data obtained from NFHS-4 (2015–16). Included in the data, were 190 898 Indian women who had a recent birth in last five years. Coverage of QANC, QDC and QPNC was examined at the national, state and district level. Bivariate association of key sociodemographic variables with coverage of services was assessed during chi-squared analysis. Multilevel logistic regression analysis examined correlates associated with coverage of services. The output was presented using odds ratios (OR) with 95% CI. Findings: About 23.5% women utilized QANC out of which 92.9% opted for QDC and 35.1% of newborns received QPNC. About 400 and 471 districts out of 640 had less than 30% coverage of QANC and QPNC, respectively. Women residing in rural regions of Bihar and Northeastern states were found with less than 10% coverage of QANC. Regression analysis shows that women with more than 12 years of education and belonging to richest households had increased odds of availing QANC (OR 1.95; 95%CI: 1.84–2.06) and QDC (OR: 2.86; 95%CI: 2.27–3.60), respectively. Conclusion: Focused interventions targeting the delivery of quality services especially ANC and PNC among newborns are imperative to achieve SDG-3 goals to achieve improvement in maternal and newborn health.https://annalsofglobalhealth.org/articles/3586maternal and child healthquality of carecontinuum of carehealth equityindia |
| spellingShingle | Lucky Singh Ritam Bubey Prashant Kumar Singh Saritha Nair Rajesh Kumar Rai M. Vishnu Vardhana Rao Shalini Singh Coverage of Quality Maternal and Newborn Healthcare Services in India: Examining Dropouts, Disparity and Determinants Annals of Global Health maternal and child health quality of care continuum of care health equity india |
| title | Coverage of Quality Maternal and Newborn Healthcare Services in India: Examining Dropouts, Disparity and Determinants |
| title_full | Coverage of Quality Maternal and Newborn Healthcare Services in India: Examining Dropouts, Disparity and Determinants |
| title_fullStr | Coverage of Quality Maternal and Newborn Healthcare Services in India: Examining Dropouts, Disparity and Determinants |
| title_full_unstemmed | Coverage of Quality Maternal and Newborn Healthcare Services in India: Examining Dropouts, Disparity and Determinants |
| title_short | Coverage of Quality Maternal and Newborn Healthcare Services in India: Examining Dropouts, Disparity and Determinants |
| title_sort | coverage of quality maternal and newborn healthcare services in india examining dropouts disparity and determinants |
| topic | maternal and child health quality of care continuum of care health equity india |
| url | https://annalsofglobalhealth.org/articles/3586 |
| work_keys_str_mv | AT luckysingh coverageofqualitymaternalandnewbornhealthcareservicesinindiaexaminingdropoutsdisparityanddeterminants AT ritambubey coverageofqualitymaternalandnewbornhealthcareservicesinindiaexaminingdropoutsdisparityanddeterminants AT prashantkumarsingh coverageofqualitymaternalandnewbornhealthcareservicesinindiaexaminingdropoutsdisparityanddeterminants AT sarithanair coverageofqualitymaternalandnewbornhealthcareservicesinindiaexaminingdropoutsdisparityanddeterminants AT rajeshkumarrai coverageofqualitymaternalandnewbornhealthcareservicesinindiaexaminingdropoutsdisparityanddeterminants AT mvishnuvardhanarao coverageofqualitymaternalandnewbornhealthcareservicesinindiaexaminingdropoutsdisparityanddeterminants AT shalinisingh coverageofqualitymaternalandnewbornhealthcareservicesinindiaexaminingdropoutsdisparityanddeterminants |