ArticlePloS one2023
Assessment of utilisation of government programmes and services by pregnant women in India.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- 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
- Voices, Choices, and Access: A Narrative Review of Reproductive Health Awareness and Strategic Schemes in India and Beyond.Health services insights · 2026Review
- Changing patterns in health-seeking behaviour and prescription practices for treatment of hypertension in nine districts - insights from India Hypertension Control Initiative, 2018-19 and 2023-24.BMC public health · 2025Article
- Association of affirmative action with health and education outcomes and services in India.Proceedings of the National Academy of Sciences of the United States of America · 2025Article
- Identification & management of high-risk pregnancies through Pradhan Mantri Surakshit Matritva Abhiyan in tribal communities of Pune district: Barriers & facilitators.The Indian journal of medical research · 2025Article
- Article
- Utilization of full antenatal care among Scheduled Caste mothers in India, 2015-2021.BMC women's health · 2025Article
- Trends and determinants of maternal health services utilization in India from 2015 to 2021.Scientific reports · 2025Article
- Prevalence and Determinants of Institutional Delivery among Teenage Mothers (15-19 years) in India: Evidences from the NFHS-5 Survey.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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5 authors.
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Abstract
backgroundSince the implementation of various maternal health programs, Maternal Mortality Ratio (MMR) has significantly declined in India through improvements in maternal health services. However, inequality persists at the regional and socio-economic levels. In light of this, the present study aims to assess the existing regional disparities in utilising various government initiatives for safe motherhood in India.
methodsNational-level datasets such as National Family and Health Surveys (NFHS-3 (2005-06); NFHS-4 (2015-16) and NFHS-5(2019-21); Health Management Information System (HMIS), 2019-20; Sample Registrar System (SRS), 2001-2018) were used in the study. In addition, composite Index and inequality measures (Range, Ratio, and Gini) were calculated to examine inequality. At the same time, the Pearson correlation was used to investigate the correlation between various components of maternal health services and Maternal Mortality Rate (MMR).
resultsThe composite index score (0.65) reflects that India is still far behind the targets of the utilisation of maternal health care services. Within the utilisation of services, the Gini coefficient reveals that the least inequality was recorded in skilled birth assistance deliveries (0.03) and institutional deliveries (0.04). In contrast, the highest inequality was recorded in receiving Iron and Folic Acid (IFA) Tablets for 100 days (0.19) and four Antenatal Care (ANC) visits (0.13) among selected states. Based on the composite score for maternal health utilisation, Kerala, Tamil Nadu, Andhra Pradesh, Odisha, and Delhi were amongst the best performers, whereas Bihar, Jharkhand, Uttar Pradesh, and Assam were amongst the worst performers.
conclusionThis indicates that the government's single-minded focus on enhancing institutional deliveries and skilled health-assisted deliveries has detracted from other essential interventions related to maternal health. Therefore, the states with the utilisation of maternal services need to initiate immediate action to increase the ANC and Post-natal Care (PNC utilisation with more attention towards better implementation of existing ANC programmes by the government.
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