ArticleBMC pregnancy and childbirth2020
Factors influencing institutional delivery and the role of accredited social health activist (ASHA): a secondary analysis of India human development survey 2012.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 39 citations in OpenAlex.
- Out of Pocket Expenses for Birthing in Public and Private Birthing Facilities Among Women Aged 15 to 49 Years in Bihar, India.Journal of community health · 2026Article
- Factors influencing decision-making for facility-based childbirth in rural Nepal: a qualitative study.BMJ public health · 2026Article
- Lived experiences in action: Relations between community health workers' and clients' perinatal health behaviours in India.Global public health · 2025Article
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- More work for ASHAs? Exploring the role of whatsapp messaging and community health work in urban slum areas of Varanasi, India.PLOS global public health · 2025Article
- Determinants of public institutional births in India: An analysis using the National Family Health Survey (NFHS-5) factsheet data.Journal of family medicine and primary care · 2024Article
- Association between the use of Accredited Social Health Activist (ASHA) services and uptake of institutional deliveries in India.PLOS global public health · 2024Article
- The role(s) of community health workers in primary health care reform in Kerala, before and during the COVID 19 pandemic: a qualitative study.Frontiers in health services · 2024Article
- Completion of the Continuum of Maternity Care in the Emerging Regions of Ethiopia: Analysis of the 2019 Demographic and Health Survey.International journal of environmental research and public health · 2023Article
- A multilevel Bayesian Markov Chain Monte Carlo Poisson modelling of factors associated with components of antenatal care offered to pregnant women in Nigeria.BMC health services research · 2023Article
- Article
- Evaluating the moderating role of accredited social health activists on adverse birth outcomes in rural India.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2022Article
- Factors associated with health facility delivery among reproductive age women in Nepal: an analysis of Nepal multiple indicator cluster survey 2019.BMC health services research · 2022Article
- Horizontal inequity in the utilisation of Continuum of Maternal Health care Services (CMHS) in India: an investigation of ten years of National Rural Health Mission (NRHM).International journal for equity in health · 2022Article
- How to ensure full vaccination? The association of institutional delivery and timely postnatal care with childhood vaccination in a cross-sectional study in rural Bihar, India.PLOS global public health · 2022Article
- From direct engagement to technical support: a programmatic evolution to improve large community health worker programs in Bihar, India.BMJ global health · 2021Article
- Institutional deliveries in India's nine low performing states: levels, determinants and accessibility.Global health action · 2021Article
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2 authors at 1 institution in 1 country.
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Abstract
backgroundIndia has focused on incentivizing institutional delivery and introducing the ASHA worker as a key strategy to improve maternal health outcomes. We examined the determinants of institutional delivery and the role of the ASHA worker in shaping choice regarding place of delivery.
methodsWe used data from the India Human Development Survey-II conducted in 2011-12, and extracted an analytic sample of women (N = 8711) who reported having at least one child since 2005. Logistic regression was used to examine influence of socio-demographic factors, frequency of antenatal care (ANC) contacts and exposure to ASHA worker on institutional delivery.
resultsAbout 15% of the respondents had eight or more ANC contacts. The odds of having an institutional delivery were higher among those respondents who had 8 or more ANC contacts (OR = 3.39, p < 0.001, 95% CI: 2.26, 5.08), and those who had 4-7 ANC contacts (OR = 1.72, p < 0.001, 95% CI: 1.48, 1.99) as compared to those with less than 4 ANC contacts. About 26% of the respondents had any exposure to an ASHA worker. After controlling for ANC contacts, these respondents had three times the odds of institutional delivery (OR = 3.04, p < 0.001, 95% CI: 2.37, 3.89) compared to those who had no exposure to ASHA workers. Further, several sociodemographic variables were associated with institutional delivery. While age of spouse, age at marriage, level of education and urban residence were positively associated with institutional delivery; age of respondent and number of children were inversely associated with institutional delivery.
conclusionsBoth frequency of ANC contacts and exposure to ASHA worker independently emerge as important determinants of institutional delivery. Furthermore, ASHA workers may have a crucial role in promoting antenatal care, thereby strengthening the association between ANC contacts and institutional delivery.
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