INEQUALITY IN UTILIZATION OF MATERNAL HEALTH CARE SERVICES AMONG TEENAGE MARRIED WOMEN IN UTTAR PRADESH: EVIDENCES FORM NFHS-3

AMBARISH KUMAR RAI, BAL GOVIND CHAUHAN,

Abstract


Objectives: Coupled with the largest number of maternal deaths, maternal care in India has received overriding importance due to early age at marriage and poor accessibility of maternal health services. This study examines the factors associated and assessed the economic inequality in utilization of maternal health care services (full ANC, Safe delivery and PNC) among teenage mothers in Uttar Pradesh. Methods: third wave of National Family Health Survey (2005–06) data was used for the study, Bi-variate analyses employed to determine the difference in proportion, and logistic regression to understand the effect of predictor variables on selected outcomes were applied, to access economic inequality, CI index have calculated. Results: significant differences have found in the utilization of maternal healthcare services by Birth order & birth interval, caste, wealth index and education. Teenage mothers from SC/ST, poorest quintile, Multiple birth orders & 24< months of interval, and no educated were less likely than their counterpart mothers. Economic inequality was highest in full ANC followed by PNC and safe delivery among teenage mothers. Conclusions: study found that all the previous programs related to utilization of maternal care services were being far from their target; although they are working but, not with the needed pace. Therefore, there is a need to introduce a new policy intervention in accordance with region wise which specially focuses on teenage mother and disadvantages mothers by improve the information-communication facilities. The government should ensure the local people participation to make efficient use of the opportunities available.

Keywords


Full ANC, Safe Delivery, Postnatal Care, Teenage Mother, Economic-Inequality, CI Index, Logistic Regression,

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