IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0069094.html
   My bibliography  Save this article

Socioeconomic Disparities in Maternity Care among Indian Adolescents, 1990–2006

Author

Listed:
  • Chandan Kumar
  • Rajesh Kumar Rai
  • Prashant Kumar Singh
  • Lucky Singh

Abstract

Background: India, with a population of more than 1.21 billion, has the highest maternal mortality in the world (estimated to be 56000 in 2010); and adolescent (aged 15–19) mortality shares 9% of total maternal deaths. Addressing the maternity care needs of adolescents may have considerable ramifications for achieving the Millennium Development Goal (MDG)–5. This paper assesses the socioeconomic differentials in accessing full antenatal care and professional attendance at delivery by adolescent mothers (aged 15–19) in India during 1990–2006. Methods and Findings: Data from three rounds of the National Family Health Survey of India conducted during 1992–93, 1998–99, and 2005–06 were analyzed. The Cochran-Armitage and Chi-squared test for linear and non-linear time trends were applied, respectively, to understand the trend in the proportion of adolescent mothers utilizing select maternity care services during 1990–2006. Using pooled multivariate logistic regression models, the probability of select maternal healthcare utilization among women by key socioeconomic characteristics was appraised. After adjusting for potential socio-demographic and economic characteristics, the likelihood of adolescents accessing full antenatal care increased by only 4% from 1990 to 2006. However, the probability of adolescent women availing themselves of professional attendance at delivery increased by 79% during the same period. The study also highlights the desolate disparities in maternity care services among adolescents across the most and the least favoured groups. Conclusion: Maternal care interventions in India need focused programs for rural, uneducated, poor adolescent women so that they can avail themselves of measures to delay child bearing, and for better antenatal consultation and delivery care in case of pregnancy. This study strongly advocates the promotion of a comprehensive ‘adolescent scheme’ along the lines of ‘Continuum of Maternal, Newborn and Child health Care’ to address the unmet need of reproductive and maternal healthcare services among adolescent women in India.

Suggested Citation

  • Chandan Kumar & Rajesh Kumar Rai & Prashant Kumar Singh & Lucky Singh, 2013. "Socioeconomic Disparities in Maternity Care among Indian Adolescents, 1990–2006," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    • Handle: RePEc:plo:pone00:0069094
    DOI: 10.1371/journal.pone.0069094
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0069094
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0069094&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0069094?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Prashant Kumar Singh & Rajesh Kumar Rai & Lucky Singh, 2012. "Examining the Effect of Household Wealth and Migration Status on Safe Delivery Care in Urban India, 1992–2006," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-12, September.
    2. Prashant Kumar Singh & Rajesh Kumar Rai & Lucky Singh, 2012. "Examining the Effect of Household Wealth and Migration Status on Safe Delivery Care in Urban India, 1992–2006," Working Papers id:5142, eSocialSciences.
    3. Malavika A Subramanyam & Ichiro Kawachi & Lisa F Berkman & S V Subramanian, 2010. "Socioeconomic Inequalities in Childhood Undernutrition in India: Analyzing Trends between 1992 and 2005," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-9, June.
    4. Planning Commission, 2011. "High Level Expert Group Report on Universal Health Coverage for India," Working Papers id:4646, eSocialSciences.
    5. Pallikadavath, Saseendran & Foss, Mary & Stones, R William, 2004. "Antenatal care: provision and inequality in rural north India," Social Science & Medicine, Elsevier, vol. 59(6), pages 1147-1158, September.
    6. Vinod Mishra & T. K. Roy & Robert D. Retherford, 2004. "Sex Differentials in Childhood Feeding, Health Care, and Nutritional Status in India," Population and Development Review, The Population Council, Inc., vol. 30(2), pages 269-295, June.
    7. Corsi, Daniel J. & Finlay, Jocelyn E. & Subramanian, S.V., 2012. "Weight of communities: A multilevel analysis of body mass index in 32,814 neighborhoods in 57 low- to middle-income countries (LMICs)," Social Science & Medicine, Elsevier, vol. 75(2), pages 311-322.
    8. Navaneetham, K. & Dharmalingam, A., 2002. "Utilization of maternal health care services in Southern India," Social Science & Medicine, Elsevier, vol. 55(10), pages 1849-1869, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Abhishek Singh & Praveen Kumar Pathak & Rajesh Kumar Chauhan & William Pan, 2011. "Infant and Child Mortality in India in the Last Two Decades: A Geospatial Analysis," PLOS ONE, Public Library of Science, vol. 6(11), pages 1-19, November.
    2. Premchand Dommaraju & Victor Agadjanian & Scott Yabiku, 2008. "The Pervasive and Persistent Influence of Caste on Child Mortality in India," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 27(4), pages 477-495, August.
    3. Shroff, Monal R. & Griffiths, Paula L. & Suchindran, Chirayath & Nagalla, Balakrishna & Vazir, Shahnaz & Bentley, Margaret E., 2011. "Does maternal autonomy influence feeding practices and infant growth in rural India?," Social Science & Medicine, Elsevier, vol. 73(3), pages 447-455, August.
    4. Sharmistha Self & Richard Grabowski, 2018. "Factors influencing maternal health care in Nepal: the role of socioeconomic interaction," Asia-Pacific Sustainable Development Journal, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), vol. 25(2), pages 53-75, December.
    5. Puja Krishna & Aditya Raj, 2022. "Health Condition of Internal Migrants in India: A Review," Indian Journal of Human Development, , vol. 16(1), pages 169-179, April.
    6. Ruth Atuhaire & Robert Wamala & Leonard. K Atuhaire & Elizabeth Nansubuga, 2021. "Regional differentials in early antenatal care, health facility delivery and early postnatal care among women in Uganda," Journal of Economics and Behavioral Studies, AMH International, vol. 13(4), pages 17-30.
    7. Sheabo Dessalegn, S., 2017. "Social capital and maternal health care use in rural Ethiopia," Other publications TiSEM bb0ec225-4ec3-4028-90d6-1, Tilburg University, School of Economics and Management.
    8. Prashant Kumar Singh & Rajesh Kumar Rai & Lucky Singh, 2012. "Examining the Effect of Household Wealth and Migration Status on Safe Delivery Care in Urban India, 1992–2006," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-12, September.
    9. Prashant Kumar Singh, 2013. "Trends in Child Immunization across Geographical Regions in India: Focus on Urban-Rural and Gender Differentials," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-11, September.
    10. Vikram, Kriti & Chindarkar, Namrata, 2020. "Bridging the gaps in cognitive achievement in India: The crucial role of the integrated child development services in early childhood," World Development, Elsevier, vol. 127(C).
    11. Abhishek Singh & Saseendran Pallikadavath & Faujdar Ram & Reuben Ogollah, 2012. "Inequalities in Advice Provided by Public Health Workers to Women during Antenatal Sessions in Rural India," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-8, September.
    12. Mônica Viegas Andrade & Kenya Valéria M. de Souza Noronha & Abhishek Singh & Cristina Guimarães Rodrigues & Sabu S. Padmadas, 2011. "Equidade na utilização dos serviços de saúde no Brasil: um estudo comparativo entre as regiões brasileiras no período 1998-2008," Textos para Discussão Cedeplar-UFMG td446, Cedeplar, Universidade Federal de Minas Gerais.
    13. Praveen Kumar Pathak & Abhishek Singh & S V Subramanian, 2010. "Economic Inequalities in Maternal Health Care: Prenatal Care and Skilled Birth Attendance in India, 1992–2006," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-17, October.
    14. Dodd, Warren & King, Nia & Humphries, Sally & Little, Matthew & Dewey, Cate, 2016. "Self-reported morbidity and health service utilization in rural Tamil Nadu, India," Social Science & Medicine, Elsevier, vol. 161(C), pages 118-125.
    15. Sanjoy Kumar Chanda & Benojir Ahammed & Md Hasan Howlader & Md Ashikuzzaman & Taufiq-E-Ahmed Shovo & Md Tanvir Hossain, 2020. "Factors associating different antenatal care contacts of women: A cross-sectional analysis of Bangladesh demographic and health survey 2014 data," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-17, April.
    16. Dayashankar Maurya, 2019. "Understanding public health insurance in India: A design perspective," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1633-1650, October.
    17. Sonu Goel & Federica Angeli & Neetu Singla & Dirk Ruwaard, 2016. "Development and Validation of the Motivations for Selection of Medical Study (MSMS) Questionnaire in India," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-13, December.
    18. Keera Allendorf, 2012. "Like daughter, like son? Fertility decline and the transformation of gender systems in the family," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 27(16), pages 429-454.
    19. Debayan Pakrashi & Surya Nath Maiti & Sarani Saha, 2022. "Caste, Awareness and Inequality in Access to Maternal and Child Health Programs: Evidence From India," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 163(3), pages 1301-1321, October.
    20. Mesbah Fathy Sharaf & Ahmed Shoukry Rashad, 2018. "Socioeconomic Inequalities in Infant Mortality in Egypt: Analyzing Trends Between 1995 and 2014," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 137(3), pages 1185-1199, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0069094. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.