Analyzing the disparities in the coverage of maternal and child health services: A district-level cross-sectional analysis of Jammu and Kashmir

Background: Improving overall coverage of maternal and child health (MCH) services is essentially required if India in general and Jammu and Kashmir state in particular have to attain the Sustainable Development Goals by the year 2030. Thus, the disparities in coverage of MCH services need to be ass...

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Main Authors: Mohd Taqi, Susmita Sarkar, Mohd Mazhar Ali Khan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Journal of Public Health
Subjects:
Online Access:http://www.ijph.in/article.asp?issn=0019-557X;year=2020;volume=64;issue=2;spage=130;epage=134;aulast=Taqi
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author Mohd Taqi
Susmita Sarkar
Mohd Mazhar Ali Khan
author_facet Mohd Taqi
Susmita Sarkar
Mohd Mazhar Ali Khan
author_sort Mohd Taqi
collection DOAJ
description Background: Improving overall coverage of maternal and child health (MCH) services is essentially required if India in general and Jammu and Kashmir state in particular have to attain the Sustainable Development Goals by the year 2030. Thus, the disparities in coverage of MCH services need to be assessed and addressed. Objectives: The objective of this study was to examine the variation in coverage rates for a key set of interventions in MCH services and to assess the relationship between coverage gap and socioeconomic development across the districts of Jammu and Kashmir. Methods: Data from the National Family Health Survey-4 (NFHS-4), 2015–2016, Census of India 2011, and Digest of Statistics Jammu and Kashmir were used to construct two composite indexes of coverage gap and socioeconomic development at district level. Cronbach's alpha was used to assess the internal consistency of indicators used in the two indexes. Results: The overall coverage gap in the state was 28.17%, and the size of coverage gap was largest for family planning interventions (55.8%), followed by treatment of sick children (26.95%) and maternal and newborn care (18.75%), and was smallest for immunization (10.5%). There is a moderate negative correlation between coverage gap and socioeconomic development (r = −0.63, P = 0.01). Conclusion: Coverage of MCH services and socioeconomic development has a significant disparity in the districts of Jammu and Kashmir. Resource-rich and more urbanized districts are much ahead of the poor and less urbanized districts in terms of the usage of MCH services.
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spelling doaj.art-da85850e62d0491ab60fa5cdbaca33af2022-12-21T17:32:52ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2020-01-0164213013410.4103/ijph.IJPH_103_19Analyzing the disparities in the coverage of maternal and child health services: A district-level cross-sectional analysis of Jammu and KashmirMohd TaqiSusmita SarkarMohd Mazhar Ali KhanBackground: Improving overall coverage of maternal and child health (MCH) services is essentially required if India in general and Jammu and Kashmir state in particular have to attain the Sustainable Development Goals by the year 2030. Thus, the disparities in coverage of MCH services need to be assessed and addressed. Objectives: The objective of this study was to examine the variation in coverage rates for a key set of interventions in MCH services and to assess the relationship between coverage gap and socioeconomic development across the districts of Jammu and Kashmir. Methods: Data from the National Family Health Survey-4 (NFHS-4), 2015–2016, Census of India 2011, and Digest of Statistics Jammu and Kashmir were used to construct two composite indexes of coverage gap and socioeconomic development at district level. Cronbach's alpha was used to assess the internal consistency of indicators used in the two indexes. Results: The overall coverage gap in the state was 28.17%, and the size of coverage gap was largest for family planning interventions (55.8%), followed by treatment of sick children (26.95%) and maternal and newborn care (18.75%), and was smallest for immunization (10.5%). There is a moderate negative correlation between coverage gap and socioeconomic development (r = −0.63, P = 0.01). Conclusion: Coverage of MCH services and socioeconomic development has a significant disparity in the districts of Jammu and Kashmir. Resource-rich and more urbanized districts are much ahead of the poor and less urbanized districts in terms of the usage of MCH services.http://www.ijph.in/article.asp?issn=0019-557X;year=2020;volume=64;issue=2;spage=130;epage=134;aulast=Taqicoverage gapjammu and kashmirmaternal and child healthsocioeconomic development
spellingShingle Mohd Taqi
Susmita Sarkar
Mohd Mazhar Ali Khan
Analyzing the disparities in the coverage of maternal and child health services: A district-level cross-sectional analysis of Jammu and Kashmir
Indian Journal of Public Health
coverage gap
jammu and kashmir
maternal and child health
socioeconomic development
title Analyzing the disparities in the coverage of maternal and child health services: A district-level cross-sectional analysis of Jammu and Kashmir
title_full Analyzing the disparities in the coverage of maternal and child health services: A district-level cross-sectional analysis of Jammu and Kashmir
title_fullStr Analyzing the disparities in the coverage of maternal and child health services: A district-level cross-sectional analysis of Jammu and Kashmir
title_full_unstemmed Analyzing the disparities in the coverage of maternal and child health services: A district-level cross-sectional analysis of Jammu and Kashmir
title_short Analyzing the disparities in the coverage of maternal and child health services: A district-level cross-sectional analysis of Jammu and Kashmir
title_sort analyzing the disparities in the coverage of maternal and child health services a district level cross sectional analysis of jammu and kashmir
topic coverage gap
jammu and kashmir
maternal and child health
socioeconomic development
url http://www.ijph.in/article.asp?issn=0019-557X;year=2020;volume=64;issue=2;spage=130;epage=134;aulast=Taqi
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AT susmitasarkar analyzingthedisparitiesinthecoverageofmaternalandchildhealthservicesadistrictlevelcrosssectionalanalysisofjammuandkashmir
AT mohdmazharalikhan analyzingthedisparitiesinthecoverageofmaternalandchildhealthservicesadistrictlevelcrosssectionalanalysisofjammuandkashmir