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Level of completion along continuum of care for maternal, newborn and child health services and factors associated with it among women in India: a population-based cross-sectional study.
Kothavale, Ajinkya; Meher, Trupti.
Afiliação
  • Kothavale A; International Institute for Population Sciences (IIPS), Mumbai, Deonar, 400088, India. aak.ajinkya@gmail.com.
  • Meher T; International Institute for Population Sciences (IIPS), Mumbai, Deonar, 400088, India. truptimeher24@gmail.com.
BMC Pregnancy Childbirth ; 21(1): 731, 2021 Oct 27.
Article em En | MEDLINE | ID: mdl-34706680
ABSTRACT

BACKGROUND:

India, being a developing country, presents a disquiet picture of maternal and neonatal mortality and morbidity. The majority of maternal and neonatal mortality could be avoided if the continuum of care (CoC) is provided in a structured pathway from pregnancy to the postpartum period. Therefore, this article attempted to address the following research questions What is the level of completion along CoC for MNCH services? At which stage of care do women discontinue taking services? and what are the factors affecting the continuation in receiving maternal, newborn and child health (MNCH) services among women in India?

METHODS:

The study utilized the data from the National Family Health Survey (NFHS-4) conducted during 2015-16 in India. The analysis was limited to 107,016 women aged 15-49 who had given a live birth in the last 5 years preceding the survey and whose children had completed 1 year. Four sequential fixed effect logit regression models were fitted to identify the predictors of completion of CoC.

RESULTS:

Nearly 39% of women in India had completed CoC for maternal and child health by receiving all four types of service (antenatal care, institutional delivery, post-natal care and full immunization of their child), with substantial regional variation ranging from 12 to 81%. The highest number of dropouts in CoC were observed at the first stage with a loss of nearly 38%. Further, education, wealth index, and health insurance coverage emerged as significant factors associated with CoC completion.

CONCLUSION:

The major barrier in achieving CoC for maternal and child health is the low utilization of ANC services in the first stage of the continuum and hence should be addressed for increasing CoC completion rate in the country. The gaps across all the levels of CoC indicate a need for increased focus on the CoC approach in India. A strategy should be developed that will connect all the components of MNCH avoiding dropouts and the MNCH provision should be standardized to provide services to every woman and child.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Contexto em Saúde: 10_ODS3_salud_sexual_reprodutiva / 11_ODS3_cobertura_universal / 5_ODS3_mortalidade_materna Problema de saúde: 10_adolescent_pregnacy / 10_safe_abortion_services / 11_delivery_arrangements / 5_maternal_care Assunto principal: Continuidade da Assistência ao Paciente / Serviços de Saúde Materno-Infantil / Serviços de Saúde Materna Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Região como assunto: Asia Idioma: En Revista: BMC Pregnancy Childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Índia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Contexto em Saúde: 10_ODS3_salud_sexual_reprodutiva / 11_ODS3_cobertura_universal / 5_ODS3_mortalidade_materna Problema de saúde: 10_adolescent_pregnacy / 10_safe_abortion_services / 11_delivery_arrangements / 5_maternal_care Assunto principal: Continuidade da Assistência ao Paciente / Serviços de Saúde Materno-Infantil / Serviços de Saúde Materna Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Região como assunto: Asia Idioma: En Revista: BMC Pregnancy Childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Índia
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