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Sequential impact of components of maternal and child health care services on the continuum of care in India
Journal of Biosocial Science ( IF 2.148 ) Pub Date : 2021-05-10 , DOI: 10.1017/s002193202100016x
K. S. James 1 , Udaya S. Mishra 2 , Rinju 2 , Saseendran Pallikadavath 3
Affiliation  

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.



中文翻译:

母婴保健服务组成部分对印度连续护理的顺序影响

本文使用 2005-06 年和 2015-16 年进行的印度全国家庭健康调查的数据,研究了母婴保健组成部分对印度连续护理的顺序影响。本文将孕产妇和儿童健康的连续护理 (CoC) 定义为三项关键孕产妇服务(产前护理、机构分娩和母亲产后护理)的连续使用。接受所有三项服务的女性被归类为完全 CoC 接受者。通过母亲的居住地、家庭财富状况、母亲的教育程度、出生顺序和儿童全面接种疫苗来估计实现 CoC 的特征奇数比。计算优势比以了解每个先前服务利用率对后续服务吸收几率的相对影响。在国家层面,分别为 30.5% 和 55。5% 的女性分别在 2005-06 年和 2015-16 年实现了完整的 CoC,10 年期间 CoC 的总体进展为 25.5 个百分点,各州和社会经济群体之间存在显着差异。在最贫穷的女性中,完全 CoC 从 7.5% 提高到 32.4%,而在最富有的女性中,这一比例从 70.5% 提高到 75.1%。同样,在未受过教育的女性中,完整的 CoC 从 11.7% 提高到 35.9%,而同期受过教育的母亲则从 75.1% 提高到 80.5%。此外,在第一胎女性中观察到更高的 CoC。CoC 各组成部分之间的条件表明,在国家层面,早期进行产前保健机构分娩的几率高出 9 倍,而近期则高出 4.5 倍。此外,与未进行机构分娩的妇女相比,接受机构分娩的妇女更能遵守母亲的产后护理。这再次有助于增加儿童接受全面疫苗接种的可能性。

更新日期:2021-05-10
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