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Published on: September 22, 2023
Multiple deprivations and maternal care in India.
1Department of Fertility Studies, International Institute for Population Sciences, Mumbai. sanjayiips@yahoo.co.in
Summary
Multiple deprivations in education, wealth, and health significantly reduce access to essential maternal health services for Indian women. Addressing these interconnected factors is crucial for improving maternal health equity.
Area of Science:
- Public Health
- Health Equity
- Sociology of Health
Background:
- Maternal health care utilization research often overlooks multifaceted deprivation beyond economics.
- Poverty and multiple deprivations can create significant barriers to accessing essential health services.
- Understanding the interplay of various deprivations is key to addressing health inequalities.
Purpose of the Study:
- To investigate the association between multiple dimensions of deprivation (education, wealth, health) and maternal health care utilization in India.
- To analyze how combined deprivations affect access to antenatal, delivery, and postnatal care services.
Main Methods:
- Utilized data from the 2005-2006 Indian National Family Health Survey.
- Examined ever-married women's receipt of maternal health services.
- Employed bivariate analyses, principal component analyses, and binomial logistic regression.
Main Results:
- Women experiencing deprivation across all three dimensions (education, wealth, health) showed substantially lower utilization of antenatal (0.3 vs. 0.8) and postnatal care (0.2 vs. 0.7).
- Likelihood of medical assistance during delivery was significantly lower for women with triple deprivation (0.2 vs. 0.8).
- These disparities were consistent across major Indian states, with greater differentials in areas of lower service coverage.
Conclusions:
- Multiple deprivations are strongly linked to reduced maternal health care utilization and health inequality in India.
- Further research is needed to explore cross-cultural associations between deprivations and health outcomes.
- Knowledge on multiple deprivations should inform strategies for improving basic health service delivery.
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