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Determinants of Maternal Health Care Utilisation in India: Evidence from a Recent Household Survey

Author

Listed:
  • Abusaleh Shariff

    (National Council of Applied Economic Research)

  • Geeta Singh

    (Harvard Institute of International Development)

Abstract

In India, utilisation of basic health services has remained poor. The reasons may be low levels of household income, high illiteracy and ignorance, and a host of traditional factors. In this paper an attempt is made to discuss the issues associated with the demand and supply of the five measures of maternity care-antenatal care, blood pressure check up, place of delivery, use of trained help at the time of delivery and postnatal care. Econometric analysis is undertaken to find out the determinants of the use of reproductive health care services among rural Indian households. Rural data from 32,000 households belonging to 1765 villages across all parts of India was collected by National Council of Applied Economic Research in 1994. The multi-model survey was conducted both at the national and state level. The analysis pertains to 7635 women in the reproductive age group who delivered a child in the year before the survey. The focus on the role of education, information and economic factors as determ nants of health care accessibility and their utilisation is the speciality of this analysis. Analysis shows that education and information variables significantly increase the utilisation rates for prenata child delivery and postnatal health care. Women with primary education are more likely to use maternal health services as compared to illiterate women, even after controlling for income and health care supply factors. Exposure to media increases the probability of reproductive health care utilisation. Economic factors such as wages and income are important only for the utilisation of child delivery services. Access to locally available health services significantly increases maternity care use. An important health care facility in this respect has been the village level ICDS centre. Further, probit regressions analysis is used to examine the impact of individual, household and community level variables on the above choices of reproductive health care shows that the additional transaction costs in terms of delays and speed money incurred by the Indian exporters during trading with Bangladesh is about 10 per cent of shipment value. The present study has shown that informal barriers/para-tariff in India-Bangladesh trade are already high and further trade liberalisation without improving the infrastructure would be counterproductive. The paper ends with feasible policy recommendations to make trade between India and Bangladesh more vibrant.

Suggested Citation

  • Abusaleh Shariff & Geeta Singh, 2002. "Determinants of Maternal Health Care Utilisation in India: Evidence from a Recent Household Survey," NCAER Working Papers 85, National Council of Applied Economic Research.
  • Handle: RePEc:nca:ncaerw:85
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    Cited by:

    1. Sato, Azusa, 2012. "Does socio-economic status explain use of modern and traditional health care services?," Social Science & Medicine, Elsevier, vol. 75(8), pages 1450-1459.
    2. Prateek Arora & Nirvikar Singh & Abhijit Visaria, 2023. "Healthcare Costs, Choice of Providers and Patient Satisfaction: Survey Evidence from India," Journal of Quantitative Economics, Springer;The Indian Econometric Society (TIES), vol. 21(3), pages 593-616, September.
    3. Esther Awazzi Envuladu & Abukari Ibrahim Issaka & Mansi Vijaybhai Dhami & Biniyam Sahiledengle & Kingsley Emwinyore Agho, 2023. "Differential Associated Factors for Inadequate Receipt of Components and Non-Use of Antenatal Care Services among Adolescent, Young, and Older Women in Nigeria," IJERPH, MDPI, vol. 20(5), pages 1-16, February.
    4. Anushree K N & S Madheswaran, 2018. "Inequity in outpatient healthcare use and utilization of public healthcare facilities: Empirical evidence from NSS data," Working Papers 422, Institute for Social and Economic Change, Bangalore.
    5. 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.
    6. Barman, Bikash & Saha, Jay & Chouhan, Pradip, 2020. "Impact of education on the utilization of maternal health care services: An investigation from National Family Health Survey (2015–16) in India," Children and Youth Services Review, Elsevier, vol. 108(C).

    More about this item

    Keywords

    Maternal Health; Household Behaviour; Health Care;
    All these keywords.

    JEL classification:

    • D1 - Microeconomics - - Household Behavior
    • I10 - Health, Education, and Welfare - - Health - - - General

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