ArticleScientific reports2025
Trends and determinants of maternal health services utilization in India from 2015 to 2021.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Access to support services in prenatal and postnatal care settings for women facing domestic violence in rural India.Journal of ethnic & cultural diversity in social work · 2026Article
- Awareness and utilization of antenatal care services: A comparative study between educated and uneducated mothers.Bioinformation · 2026Article
- Socioeconomic and regional disparities in postnatal care utilization in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey 2022.PLOS global public health · 2026Article
- Inequities in the continuum of maternal care in Mexico: trends before and after COVID-19.International journal for equity in health · 2025Article
- Protocol for a process and implementation evaluation of the SMARThealth pregnancy hybrid type 2 cluster randomised controlled trial.Women's health (London, England)Article
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3 authors.
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Abstract
Continuum of care (CoC) in maternal health services refers to a pathway spanning from pregnancy and childbirth to post-pregnancy, covering routine antenatal care (ANC), institutional delivery (ID), and post-natal services (PNC). The current study aims to investigate the distribution, trends, dropouts, and determinants of maternal health services (ANC, ID, and PNC) utilization along the CoC pathway using NFHS-4 and NFHS-5 datasets from 2015 to 2021. The binary logistic regression examined the association between the continuum of maternal health services utilization and the predictor variables. The complete CoC utilization was 50% during NFHS 5, an 11.3%-point increase from NFHS-4. During the same period, the largest dropout was in the uptake of full ANC (41.5%). Odds of completing CoC were higher among women aged 25-34 (AOR:1.18; 95% CI: 1.09-1.27), with higher education (AOR:1.74; 95% CI: 1.58-1.92), urban women (AOR:1.09; 95% CI:1.01-1.19), in richer household (AOR: 1.42; 95% CI: 1.29-1.56), and with health insurance (AOR: 1.24; 95% CI: 1.15-1.35). Strengthening the public health system and addressing bottlenecks of government maternal health schemes remains an important consideration for improving the continuum of maternal care in India. Context-specific multi-sectoral strategies may be leveraged to increase the uptake of maternal health services, especially in high-focus states.
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