ArticleGlobal health action2017
Towards an understanding of the multilevel factors associated with maternal health care utilization in Uttar Pradesh, India.
Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic inequalities in access to maternal healthcare in South-Asian countries: A systematic review.PloS one · 2025Pooled it
- Home delivery among women with adequate antenatal care: insights from a multilevel analysis of the 2019 Ethiopian mini demographic and health survey.Reproductive health · 2025Article
- Nurturing networks: Connecting the dots between social capital and antenatal care in south Karnataka, India.Journal of family medicine and primary care · 2025Article
- Article
- Menstrual hygiene practices among adolescent women in rural India: a cross-sectional study.BMC public health · 2022Article
- Travel time, availability of emergency obstetric care, and perceived quality of care associated with maternal healthcare utilisation in Afghanistan: A multilevel analysis.Global public health · 2022Article
- Coverage of Quality Maternal and Newborn Healthcare Services in India: Examining Dropouts, Disparity and Determinants.Annals of global health · 2022Article
- The knowledge of danger signs of obstetric complications among women in rural India: evaluating an integrated microfinance and health literacy program.BMC pregnancy and childbirth · 2021Article
- Evaluation of a large-scale reproductive, maternal, newborn and child health and nutrition program in Bihar, India, through an equity lens.Journal of global health · 2020Article
- Closing the gap on institutional delivery in northern India: a case study of how integrated machine learning approaches can enable precision public health.BMJ global health · 2020Article
- Public health interventions to improve maternal nutrition during pregnancy: a nationally representative study of iron and folic acid consumption and food supplements in India.Public health nutrition · 2020Article
- Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach.International journal of environmental research and public health · 2020Article
- Patient-experience during delivery in public health facilities in Uttar Pradesh, India.Health policy and planning · 2019Article
- Disrupting gender norms in health systems: making the case for change.Lancet (London, England) · 2019Review
- "Our fear is finished," but nothing changes: efforts of marginalized women to foment state accountability for maternal health care in a context of low state capacity.BMC public health · 2019Article
- Multilevel Analysis of Factors Associated with Treatment-Seeking Behaviors among Caregivers with Febrile Children in Malawi.The American journal of tropical medicine and hygiene · 2019Article
- Heterogeneities in utilization of antenatal care in Uttar Pradesh, India: the need to contextualize interventions to individual contexts.Global health action · 2018Article
- Understanding intersections of social determinants of maternal healthcare utilization in Uttar Pradesh, India.PloS one · 2018Article
- A Study to Assess the Prevalence and Factors Affecting Menopausal Symptoms among Middle-Aged Females in the Garhwal Region of Uttarakhand.Journal of mid-life healthArticle
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis paper explores the multilevel factors associated with maternal health utilization in India's most populous state, Uttar Pradesh. 3 key utilization practices: registration of pregnancy, receipt of antenatal care, and delivery at home are examined for district and individual level predictors. The data is based on 5666 household surveys conducted as part of a baseline evaluation of the Uttar Pradesh Technical Support Unit (UPTSU.) program.
objectivesThis intervention aims to assist the Government of Uttar Pradesh in increasing the efficiency, effectiveness, and equity of service delivery across a continuum of reproductive, maternal, new-born, child, and adolescent health (RMNCH+A) outcomes.
methodsThe paper employs multilevel models that control for individuals being nested within districts in order to understand the predictors of maternal health care utilization.
resultsThe study identifies several individual-level predictors of health care utilization, including: literacy of the woman, the husband's schooling, age at marriage, and socio-economic factors. Key predictors of pregnancy registration include husband's schooling (OR 1.49, 95% CI 1.26-1.76), having a bank account (OR 1.36, 95% CI 1.11-1.68), and owning a house (OR 2.28, 95% CI 1.85-2.80). Factors affecting antenatal care include the woman's literacy (OR 1.49, 95% CI 1.28-1.73), the respondent having had a job in the last year (OR 1.39, 95% CI 1.10-1.77), and owning a house (OR 2.83, 95% CI 2.27-3.53). Home delivery tends to be associated with woman's literacy (OR 0.62, 95% CI 0.54-0.72) and marriage age of 15 and younger (OR 1.48, 95% CI 1.26-1.73).
conclusionsInterventions having equity considerations need to disrupt existing patterns of the health gradient. Successful implementation of such interventions, necessitate understanding the mechanisms that can disrupt the unequal utilization patterns and target domains of disadvantage. Knowledge of key predictors of utilization can aid in the implementation of such complex interventions.
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