Determinants of utilization of reproductive health care services in India : involving men in maternal health
Thesis (M.P.P.)--Georgetown University, 2011.; Includes bibliographical references.; Text (Electronic thesis) in PDF format. While the global maternal mortality ratio has significantly declined since 1990, a large number of women still die in child birth, with most of these deaths occurring in sub-Saharan Africa and South Asia. Evidence suggests that use of maternal health care services during delivery can substantially avert maternal mortality. This paper uses India's 2005-06 National Family Health Survey (NFHS-3) household data to investigate the economic, demographic and socio-cultural factors that determine a woman's use of professional delivery care services in India. Recognizing evidence which suggests that men are the key decision makers in India, this paper tests the impact of a husband's involvement in a woman's pregnancy on her use of these services, as its main variable of interest. A husband's involvement is measured by his presence at a woman's antenatal visit to the health clinic. The multivariate regression analysis undertaken in this paper finds that a woman whose husband is present at her antenatal visit is 17.06 percentage points more likely to deliver in a health facility. Further, the analysis also finds factors such as a mother's education level, place of residence (urban/rural) and household wealth to be significant in determining a woman's use of professional delivery care services. These results are important for designing policies aimed at increasing the use of maternal health care services in India and highlight the importance of involving men (husbands) as an integral part of reproductive health care interventions.
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