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Association between maternal health continuum of care and child Survival: Evidence from a population based survey
Children and Youth Services Review ( IF 2.4 ) Pub Date : 2021-06-28 , DOI: 10.1016/j.childyouth.2021.106134
Mohd. Usman , Adrita Banerjee , Shobhit Srivastava

Mothers, new-borns and children are inseparably interconnected in life and health care needs. Therefore, poor maternal health care utilization during pregnancy, delivery and post-delivery may affect child health outcomes. The aim of the present study is to examine the association between continuum of maternal health care (CoC) and neonatal and infant mortality in India. Data for the study has been used from the fourth round of National Family Heath Survey (2015–16). The analysis has been conducted on 33,107 most recent singleton births of women aged 15–49 years. Findings reveal that neo-natal and infant mortality rates were higher for women who received no service (37 and 52 per 1000 live births respectively) than those who followed the full CoC (10 and 15 per 1000 live births respectively). Further, the bivariate and multivariate analysis showed that complete CoC by mother significantly reduced the risk of neonatal and infant mortality. The evidence from the present study gives direction for investments in intervention packages to improve the maternal health indicators which in turn may improve child health outcomes, particularly neonatal and infant deaths.

中文翻译:

孕产妇健康连续护理与儿童生存之间的关联:来自人口调查的证据

母亲、新生儿和儿童在生活和保健需求方面密不可分。因此,孕期、分娩和产后孕产妇保健利用不良可能会影响儿童健康结果。本研究的目的是探讨印度孕产妇保健连续性 (CoC) 与新生儿和婴儿死亡率之间的关系。该研究使用的数据来自第四轮全国家庭健康调查(2015-16)。该分析针对 33,107 名最近生育的 15 至 49 岁女性单胎婴儿进行。调查结果显示,未接受服务的妇女的新生儿和婴儿死亡率(每 1000 例活产分别为 37 例和 52 例)高于接受全面 CoC 的妇女(每 1000 例活产分别为 10 例和 15 例)。此外,双变量和多变量分析表明,母亲的完整 CoC 显着降低了新生儿和婴儿死亡的风险。本研究的证据为投资干预措施以改善孕产妇健康指标提供了方向,这反过来又可能改善儿童健康结果,特别是新生儿和婴儿死亡。
更新日期:2021-06-28
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