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Supply-side barriers to maternity-care in India: a facility-based analysis
Santosh Kumar1, Emily Dansereau2
1Department of Economics & International Business, Sam Houston State University, Huntsville, Texas, United States of America; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, United States of America.
Improving health facility resources in India is crucial for increasing the volume of maternity care. Key factors include labor rooms, staff availability, and essential medical supplies to enhance institutional deliveries.
Area of Science:
- Public Health
- Health Services Research
- Health Economics
Background:
- Health facilities in low- and middle-income countries face barriers to quality service delivery.
- Resource availability significantly impacts the volume and quality of health services.
- This study examines supply-side factors influencing maternity care in India.
Purpose of the Study:
- To investigate the effect of supply-side determinants on the volume of maternity care provision in India.
- To identify key resources and infrastructure impacting delivery care at health facilities.
- To inform policy for improving maternal health services.
Main Methods:
- Analysis of health facility data from the District-Level Household Survey (2007-2008).
- Application of a negative binomial regression model to assess factors affecting the number of deliveries.
- Exploration of supply-side determinants including labor rooms, staff, and equipment.
Main Results:
- Availability of a labor room and extended facility opening hours significantly predicted higher delivery volumes.
- Adequate staffing, beds, essential drugs, medical equipment, electricity, and communication infrastructure were positively associated with increased deliveries.
- Findings remained robust after controlling for population, socioeconomic, and demographic factors.
Conclusions:
- Supply-side barriers significantly impact maternity care provision in India.
- Investment in medical drugs and equipment at primary health centers is essential.
- Addressing these barriers is crucial for achieving Millennium Development Goals 4 and 5 for maternal and child health.
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