ArticlePloS one2022
Exploration of spatial clustering in maternal health continuum of care across districts of India: A geospatial analysis of demographic and health survey data.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 13 citations in OpenAlex.
- Postnatal Care Utilisation Among Adolescent Mothers in India: A Pooled Cross-Sectional Study of NFHS-4 and NFHS-5.Public health challenges · 2026Article
- Nexus between sociocultural practices and maternal mortality in Pakistan: a geospatial analysis using Spatial Durbin model and multiscale geographically weighted regression.BMC public health · 2026Article
- Pregnancy to postpartum: Analyzing dropouts and socioeconomic predictors of continuum of maternal healthcare in India.Dialogues in health · 2025Article
- Spatial epidemiology of dengue and chikungunya in Karnataka using GIS-based analysis.Global health action · 2025Article
- Geospatial variation and determinants of incomplete antenatal care follow-up in ethiopia: a spatial and geographically weighted regression analysis.BMC pregnancy and childbirth · 2025Article
- Spatial distribution and determinants of full package maternal health service utilization in Ethiopia using 2019 Mini Ethiopian Demographic Health Survey.Scientific reports · 2025Article
- Exploring the Multilevel Determinants of Suboptimal Maternal and Child Continuum of Care in Indonesia.Maternal and child health journal · 2025Article
- SEEDNet: Covariate-free multi-country settlement-level epidemiological estimates datasets for network analysis.Scientific data · 2025Article
- Spatial Distribution and Multilevel Analysis of Pregnancy Loss in India: Examining Individual and Contextual Factors.Journal of research in health sciences · 2025Article
- Investigating the role of family members in postnatal care: Evidence from mother-caregiver dyads in India.PloS one · 2025Article
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4 authors at 2 institutions in 1 country.
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Abstract
introductionThe continuum of care (CoC) throughout pregnancy, delivery and post-delivery has recently been highlighted as an integrated intervention programme for maternal, new-born, and child health. Existing literature suggests the importance of continuum of care (CoC) for improved maternal and child health outcomes. However due to unavailability of data at the lowest administrative levels, literature on spatial pattern of uptake of full CoC is lacking. The present study attempts to focus on the spatial analysis of CoC in maternal health care in India. DATA AND
methodsThe study is based on the fourth round of National Family Health Survey data conducted in 2015-16 in India. The outcome variable used is maternal health continuum of care which includes- at least 4 ANC visits, delivery through skilled birth attendant and postnatal check-up within 48 hours of delivery. Univariate and bivariate Local Indicator of Spatial Association (LISA) maps have been generated to show the spatial pattern of CoC across 640 districts in India. We also employed spatial regression techniques to explore the determinants of CoC.
findingsPercentage of women who followed full CoC was observed to be least for East Kameng (0.0%) district of Arunachal Pradesh and highest in North Goa district (90.4%). Majority of districts where uptake of full CoC was more than 80 percent were found concentrated in southern region on India. Equivalently, findings indicated a strong spatial clustering of full CoC with high-high clusters mostly concentrated in southern districts. Low-low district clusters are concentrated in the states of Uttar Pradesh, Bihar and Madhya Pradesh. For complete CoC the global Moran's I is 0.73 indicating the spatial dependence. The spatial regression analysis suggested that modern contraceptive use, meeting with health worker, urbanization and secondary or above education for women have positive impact on the utilisation of CoC.
conclusionThe spatial pattern indicates district level clustering in uptake of CoC among women. The study suggests policymakers and stakeholders to implement comprehensive interventions at sub-regional levels for ensuring the completion of CoC for women which acts as a preventive measure for adverse outcomes such as-maternal and child mortality.
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