AccScience Publishing / IJPS / Volume 2 / Issue 2 / DOI: 10.18063/IJPS.2016.02.006
RESEARCH ARTICLE

Utilization of institutional delivery services across successive births in India

Priyanka Dixit1* Laxmi Kant Dwivedi2
Show Less
1 School of Health Systems Studies (SHSS), Tata Institute of Social Sciences (TISS), V. N. Purav Marg, Deonar, Mumbai 400088, India
2 2 Department of Mathematical Demography & Statistics, International Institute for Population Sciences (IIPS), Govandi Station Road, Deonar, Mumbai 400088, India
IJPS 2016, 2(2), 123–138; https://doi.org/10.18063/IJPS.2016.02.006
© Invalid date by the Authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

As institutional delivery centers usually have much better modern facilities and hygienic conditions in India, utilization of institutional delivery services could improve maternal and child health. The objective of this paper is to address the issue of whether women were consistent in delivering births in an institutional care center over successive pregnancies in India and investigate the factors associated with consistent utilization of institutional delivery. We applied multivariate multilevel models that allow for a strong dependence between successive outcomes at the same unit to the third round of the National Family Health Survey in 2005-2006. Results show that region and place of residence, woman’s education, wealth index, having experienced the loss of a child, ever having terminated a pregnancy, and birth order are significant predictors of place of delivery for all three recent births among ever-married women. Our results further show that previous utilization of institutional delivery was an important predictor of utilization for subsequent institutional deliveries. Policies aimed at improving the wide or persistent utilization of institutional delivery in India should focus on first-time mothers targeting disadvantaged women who are from rural areas, poor families, illiterate, Muslim, and scheduled castes.

Keywords
Successive Births
Consistent Utilization
National Family Health Survey
India
Multivariate Multilevel Models.
References
[1]

Adekunle C, Filippi V, Graham W, et al. (1990). Patterns of maternity care among women in Ondo State, Nigeria’ in: Determinants of health and mortality in Africa, eds AG Hill, Demographic and Health Surveys Further Analysis Series No. 10, The Population Council, Demographic and Health Survey Program, New York, pp. 1-45.

[2]

Agha S and Carton T W. (2011). Determinants of institutional delivery in rural Jhang, Pakistan. International Journal for Equity in Health, 10(31). http://www.equityhealthj.com/content/10/1/31.

[3]

Amponsah N E and Moses S I. (2009). Expectant mothers and the demand for institutional delivery: do household income and access to health information matter?-some Insight from Ghana, European Journal of Social Sciences, 8(3):469-482.

[4]

Bhatia J C and Cleland J. (1995). Determinants of maternal care in a region of South India, Health Transition Review, 5(2):127-142.

[5]

Bolam A, Manandhar D S, Shrestha, P, et al. (1988). Centre for international child health, institute of child health, London: factors affecting home delivery in the Kathmandu valley, Nepal. Health Policy and Planning, 13(2): 152–158.

[6]

Campbell O M, Graham W J and On behalf of The Lancet Maternal Survival Series steering group. (2006). Strategies for reducing maternal mortality: getting on with what works. The Lancet, 368(9543):1284-1299.

[7]

Chakraborty N, Islam M A, Chowdhury R I, et al. (2003). Determinants of the use of maternal health services in rural Bangladesh. Health Promotion International,18(4):327-37.

[8]

Cox D R. (1972). The analysis of multivariate binary data. Applied Statistics, 21(2):113-120.

[9]

Daniel B and Desalegn M. (2014). Institutional delivery service utilization and associated factors among child bearing age women in Goba Woreda, Ethiopia. Journal of Gynecology and Obstetrics, 2(4): 63–70.

[10]

Das A, 1999, ‘Socio-economic development in India: a regional analysis’, Development and Society, vol. 28, no. 2, pp. 313-45.

[11]

Dixit P, Dwivedi L K and Ram F. (2013a). Estimating the impact of antenatal care visits on institutional delivery in India: a propensity score matching analysis. Health, 5(5):862-878.

[12]

Dixit P, Dwivedi L K and Ram F. (2013b). Strategies to improve child immunization via antenatal care visits in India: a propensity score matching analysis. PLOS ONE, 8(6) e66175. http://www.plosone.org/article/info%3Adoi%2 F10.1371%2 Fjournal.pone.0066175.

[13]

Dixit P., (2013) Improving Safe Childbirth in India. Web Article in Population Reference Bureau.

[14]

Ekele B A and Tunau K A. (2007). Place of delivery among women who had antenatal care in a teaching hospital. Acta Obstetricia et Gynecologica Scandinavica, 86(5):627-30.

[15]

Elo I T. (1992). Utilization of maternal health-care services in Peru: the role of women’s education. Health Transition Review, 2(1):49-69.

[16]

Feyissa T R and Genemo G A. (2014). Determinants of Institutional Delivery among Childbearing Age Women in Western Ethiopia, 2013: Unmatched Case Control Study. PLoS One, 9(5): e97194.

[17]

Gabrysch S and Campbell O M R. (2009). Still too far to walk: a literature review of the determinants of delivery service use. BMC Pregnancy Childbirth, 9(34). http://www.biomedcentral.com/1471-2393/9/34.

[18]

Goel M K, Roy P l, Rasania S K, et al. (2015). Wealth index and maternal health care: Revisiting NFHS-3. Indian J Public Health, 59(3):217-9. doi: 10.4103/0019-557X.164665.

[19]

Govendasamy P, Stewart M K, Rutsein S O, et al. (1993). High-risk births and maternity care. DHS Comparative studies, No. 8 Columbia, Maryland: Macro International inc.

[20]

Govindasamy P and Ramesh B. (1997). Maternal education and the utilization of maternal and child health services in India. Mumbai, India: International Institute of Population Sciences, http://www.eastwestcenter.org/sites/ default/files/filemanager/Research_Program/NFHS_Subject_Reports/ subj-5.pdf .

[21]

Houweling T A J, Ronsmans C, Campbell O M R. et al. (2007). Huge poor-rich inequalities in maternity care: an international comparative study of maternity and child care in developing countries. The Bulletin of the World Health Organization, 85(10):745-754.

[22]

International Institute for Population Sciences (IIPS) and Macro International (2007), National Family Health Survey (NFHS-3), 2005-06: India. Volume I, Mumbai: IIPS.

[23]

Kabakyenga J K, Östergren P O, Turyakira E. et al. (2012). Influence of birth preparedness, decision-making on location of birth and assistance by skilled birth attendants among women in south-western Uganda. PLoS One, 7(4):e35747.

[24]

Kebede B, Gebeyehu A and Andargie G. (2013). Use of previous maternal health services has a limited role in reattendance for skilled institutional delivery: cross-sectional survey in Northwest Ethiopia. International Journal of Women’s Health, 5:79–85. http://www.ncbi.nlm.nih.gov/pubmed/23459063.

[25]

Kesterton A J, Cleland J, Slogett A. et al. (2010). Institutional delivery in rural India: the relative importance of accessibility and economic status. BMC Pregnancy and Childbirth, 10(30). http://www.biomedcentral.com/1471-2393/10/30.

[26]

Magadi M A, Diamond I, and Rodrigues R N. (2000). The determinants of delivery care in Kenya. Social Biology, 47(3-4):164-89.

[27]

Mayhew M, Hansen P, Peters D et al. (2008). Determinants of skilled birth attendant utilization in Afghanistan: a cross-sectional study. American Journal of Public Health, 98(10):1849-1856.

[28]

Mekonnen Y and Mekonnen A. (2002). Utilization of maternal health care services in Ethiopia. Calverton, MD: ORC Macro. BMC Public Health, 12(30). doi: 10.1186/1471-2458-12-30

[29]

Mekonnen Y. (2003). Patterns of maternity care services utilization in Southern Ethiopia: evidence from a community and family survey Ethiopia. Journal of Health Development,17(1): 27-33.

[30]

Navaneetham K and Dharmalingamb A. (2002). Utilization of maternal health care services in Southern India. Social Science and Medicin, 55(10):1849-1869.

[31]

Oksanen T, Kawachi I, Subramanian S V, et al. (2013). Do obesity and sleep problems cluster in the workplace? A multivariate, multilevel study. Scand J Work Environ Health, 39(3):276-283 doi:10.5271/sjweh.3332.

[32]

Palamuleni M. (2011). Determinants of non-institutional deliveries in Malawi. Malawi Medical Journal, 23(4):104-108.

[33]

Registrar General of India (2006). Maternal mortality in India 1997–2003; trends, causes and risk factors. Sample Registration System, Government of India, New Delhi.

[34]

Registrar General of India (2013). Special bulletin on maternal mortality in India 2011–12. Government of India, New Delhi.

[35]

Saroha E, Altarac M, and Sibley L M. (2008). Caste and maternal health care service use among rural Hindu women in Maitha, Uttar Pradesh. India. J Midwifery Womens Health, 53(5):e41–e47. doi: 10.1016/j.jmwh.2008.05.002.

[36]

Shimazaki A, Honda S, Dulnuan M M et al. (2013). Matsuyama Factors associated with facility-based delivery in Mayoyao, Ifugao Province, Philippines. A Asia Pac Fam Med, 12(1):5.

[37]

Sonneveldt E, Plosky W D and Stover J. (2013). Linking high parity and maternal and hild mortality: what is the impact of lower health services coverage among higher order births?. BMC Public Health, 13(3). http://www.biomedcentral.com/1471-2458/13/S3/S7

[38]

Stephenson R and Tsui A O. (2002). Contextual influences on reproductive health service use in Uttar Pradesh, India. Studies in Family Planning, 33(4):309–320.

[39]

Stephenson R, Baschieri A, Clements S, et al. (2006). Contextual influences on the use of health facilities for childbirth in Africa. American Journal of Public Health, 96(1):84-93.

[40]

Subramanian S V, Kim D, Kawachi I. (2005). Covariation in socioeconomic determinants of self rated health and happiness: a multivariate multilevel analysis of individuals and communities in USA. J Epidemiol Community Health, 59:664–9.

[41]

Sugathan K S, Mishra V and Retherford R D. (2001) Promoting institutional delivery in India: role of antenatal care services. National Family Health Survey, Subject Report, No. 2, Mumbai: International Institute for Population Sciences and East West Centre, Honolulu.

[42]

Titaley C R, Dibley M J, and Roberts C L. (2007). Factors associated with underutilization of antenatal care services in Indonesia: results of Indonesia demographic and Health Survey 2002/2003 and 2007. BMC Public Health, doi:10.1186/1471-2458-10-485.

[43]

Varma D S, Khan M E and Hazra A. (2010). Increasing institutional delivery and access to emergency obstetric care services in rural Uttar Pradesh. The Journal of Family Welfare, 56(Special Issue).

[44]

Vora C S, Mavalankar D V, Ramani K V, et al. (2009). Maternal health situation in India: a case study. Journal of Health, Population and Nutrition, 27(2):184-201.

[45]

Vora K S, Koblinsky S A, and Koblinsky M A. (2015). Predictors of maternal health services utilization by poor, rural women: a comparative study in Indian States of Gujarat and Tamil Nadu. Journal of Health, Population and Nutrition, 33:9.

[46]

Yang M, Goldstein H and Heath A. (2000). Multilevel models for repeated binary outcomes: attitudes and voting over the electoral cycle. Journal of the Royal Statistical Society, 163(1):49-62.

[47]

Yebyo H, Alemayehu M and Kahsay A. (2015). Why Do Women Deliver at Home? Multilevel Modeling of Ethiopian National Demographic and Health Survey Data. PLoS ONE, 10(4): e0124718. doi:10.1371/journal.pone.0124718.

Share
Back to top
International Journal of Population Studies, Electronic ISSN: 2424-8606 Print ISSN: 2424-8150, Published by AccScience Publishing