Sequential impact of components of maternal and child health care services on the continuum of care in India

Bibliographic Data

ID21342580
AuthorsK S James (0000-0002-5364-5326, International Institute for Population Sciences), Udaya S Mishra (0000-0003-3900-0342, Centre For Development Studies), Rinju Rinju (Centre For Development Studies), Saseendran Pallikadavath (0000-0002-2598-9949, University of Portsmouth, corresponding author)
Year2022
Volume54
Issue3
Pages450-472
Publication date2022-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Biosocial Science (JOURNAL)
Journal identifiersISSN: 0021-9320 • E-ISSN: 1469-7599
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s002193202100016x
OpenAlexW3138887601
LanguageEN
Citations received5
References cited17

This paper examines the sequential impact of components of maternal and child health care on the continuum of care in India using data from the Indian National Family Health Surveys conducted in 2005–06 and 2015–16. Continuum of care (CoC) for maternal and child health is defined in this paper as the sequential uptake of three key maternal services (antenatal care, institutional delivery and postnatal care for the mother). Women who received all three services were classified as full CoC recipients. Characteristics odd ratios for achieving CoC were estimated by mother’s place of residence, household wealth status, mother’s education, birth order and child full vaccination. Odds ratios were computed to understand the relative impact of each preceding service utilization on the odds of subsequent service uptake. At national level, 30.5% and 55.5% of women achieved full CoC in 2005–06 and 2015–16, respectively, and the overall progress of CoC over the 10-year period was 25.5 percentage points, with significant variation across states and socioeconomic groups. Full CoC improved from 7.5% to 32.4% among the poorest women, whereas among the richest women it improved from 70.5% to 75.1%. Similarly, among uneducated women full CoC improved from 11.7% to 35.9% as against 75.1% to 80.5% among educated mothers over the same period. Furthermore, greater CoC was observed among parity one women. The conditionality between various components of CoC indicated that at national level the odds of having an institutional delivery with antenatal care were 9 times higher in the earlier period as against 4.5 times higher in the more recent period. Furthermore, women who had institutional deliveries complied more with mother’s postnatal care compared with women who did not have institutional deliveries. This again helps increase the likelihood of a child receiving full vaccination

Birth order · Environmental health · Logistic regression · Odds · Odds ratio · Population · Residence · Socioeconomic status · Sociology · Demographic Trends and Gender Preferences · Demography · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine

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