ArticleBMC health services research2022
Predictors of the utilisation of continuum of maternal health care services in India.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Determinants of antenatal care dropout among pregnant women in Africa: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- Effect of pregnancy intention on completion of maternity continuum of care in Sub-Saharan Africa: systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- The continuum of care for maternal health in Africa: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Article
- Postnatal Care Utilisation Among Adolescent Mothers in India: A Pooled Cross-Sectional Study of NFHS-4 and NFHS-5.Public health challenges · 2026Article
- Antenatal care in Meghalaya - An Uphill Battle: A Community-based Study of Drivers and Barriers of Antenatal Care Utilization.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- Article
- Pregnancy to postpartum: Analyzing dropouts and socioeconomic predictors of continuum of maternal healthcare in India.Dialogues in health · 2025Article
- Coverage of continuum of Maternal, Newborn and Child Health (MNCH) care in a nationally representative sample of 40,687 mother-child dyads of India: a report from NFHS-5.BMC public health · 2025Article
- Exploring the Multilevel Determinants of Suboptimal Maternal and Child Continuum of Care in Indonesia.Maternal and child health journal · 2025Article
- Assessing the joint effects of education, economic status, empowerment, and employment (4Es) disparities on the co-coverage of maternal, newborn and child health care services in sub-Saharan Africa: an application of the intersectionality approach.Journal of global health · 2025Article
- Trends and determinants of maternal health services utilization in India from 2015 to 2021.Scientific reports · 2025Article
- Continuum of maternal health care utilisation in Sub-Saharan African countries: A positive deviance approach.PloS one · 2025Article
- Completion of maternal and child health continuum of care and associated factors in West Gondar Zone, North West Ethiopia, 2023: a community based cross sectional study.BMC pregnancy and childbirth · 2024Article
- Predictors of maternal health services uptake in West African region: a multilevel multinomial regression analysis of demographic health survey reports.Reproductive health · 2024Article
- Women in low- and middle-income countries receive antenatal care at health institutions, yet not delivered there: a multilevel analysis of 2016-2021 DHS data.Tropical medicine and health · 2024Article
- A repeated cross-sectional study of the association of community health worker intervention with the maternal continuum of care in rural Liberian communities.BMC pregnancy and childbirth · 2023Article
- Determinants of partial and adequate maternal health services utilization in Nigeria: analysis of cross-sectional survey.BMC pregnancy and childbirth · 2023Article
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4 authors.
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Abstract
backgroundUtilisation of continuum of maternal health care services is crucial for a healthy pregnancy and childbirth and plays an important role in attaining Universal Health Coverage (UHC) and Sustainable Development Goals (SDGs) related to maternal and child health. This paper aims to assess the percentage of dropouts across various stages of utilization of continuum of maternal health services (CMHS) in India and also investigates the factors hindering the utilization of these services.
methodsWe used recent data from National Family Health Survey(NFHS) encompassing a total sample of 1,70,937 pregnant women for the period 2015-16. The percentage of women dropping out while seeking maternal health care is measured using descriptive statistics. While, the factors impeding the utilization of maternal health services is estimated using a Multinomial Logistic Regression Model, where dependent variable (CMHS) is defined as complete care, incomplete care and no care.
resultsOnly17% of pregnant women availed the utilisation of complete care and 83% either did not seek any care or dropped after seeking one or two services. For instance, it is found that 79% of women who registered for antenatal care services (ANC) did not avail the same adequately. An empirical investigation of determinants of inadequate utilization of CMHS revealed that factors like individual characteristics, for instance- access to media (RRR: 2.06) and mother's education play (RRR: 3.61) a vital role in the uptake of CMHS. It is also found that the interaction between wealth index and place of residence plays a pivotal role in seeking complete care. Lastly, the results revealed that male participation (RRR: 2.69) and contacting multi-purpose worker (MPW) (RRR: 2.33) are also at play.
conclusionThe study suggests that the major determinants of utilisation of CMHS are access to media, mother's education, affordability barriers and male participation. Hence, policy recommendations should be oriented towards strengthening these dimensions and the utilisation of adequate ANC has to be considered as the need of the hour.
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