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Promoting institutional deliveries in rural India : the role of antenatal-care services

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Title: Promoting institutional deliveries in rural India : the role of antenatal-care services
Authors: Sugathan, K.S.
Mishra, Vinod K.
Retherford, Robert D.
LC Subject Headings: Prenatal care - India
Rural health services - India
Health facilities - Utilization - India
Issue Date: 2001
Publisher: Mumbai, India: International Institute for Population Sciences and Honolulu: East-West Center
Series/Report no.: National family health survey subject reports ; no. 20
Abstract: This report examines the role of existing antenatal-care services in promoting institutional delivery in rural areas. The analysis is based on NFHS-1 results from four Indian states Andhra Pradesh, Gujarat, Bihar, and Rajastan. Mothers who receive antenatal check-ups are two to five times more likely to give birth in a medical institution than mothers who did not receive antenatal check-ups. Mother's age and education and child's birth order also have strong effects on the likelihood of institutional delivery, and household standard of living has a substantial effect in most cases. Contrary to expectation, access to health services does not generally have a statistically significant effect. These results suggest that it may be possible to increase institutional deliveries by promoting antenatal check-ups without having to build additional hospitals.

The NFHS Subject Reports is a series summarizing secondary analysis of data from the 1992-93 National Family Health Survey (NFHS) in India. The NFHS collected information from nearly 90,000 Indian women on a range of demographic and health topics. Conducted under the auspices of the Indian Ministry of Health and Family Welfare, the survey provides national and state-level estimates of fertility, infant and child mortality, family planning practice, maternal and child health, and the utilization of services available to mothers and children. IIPS conducted the survey in cooperation with consulting organizations and 18 population research centers throughout India. The East-West Center and a U.S.-based consulting firm, Macro International, provided technical assistance, and the United States Agency for International Development (USAID) provided financial support.

Printed copies are available from the East-West Center Research Program, Population and Health Studies. Single copies are available free by airmail and may be reproduced for educational use.
Description: For more about the East-West Center, see
Pages/Duration: 38 pages
Appears in Collections:National Family Health Survey Subject Reports

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