Why there is underutilization of four and more antenatal care services despite the colossal rise in institutional deliveries in Bihar, India (Record no. 521943)

000 -LEADER
fixed length control field 02113nam a22001577a 4500
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fixed length control field 230306b ||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Prasad, R.D., Arora, S. and Rajan, I.S.
245 ## - TITLE STATEMENT
Title Why there is underutilization of four and more antenatal care services despite the colossal rise in institutional deliveries in Bihar, India
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Place of publication, distribution, etc Journal of Social and Economic Development
300 ## - PHYSICAL DESCRIPTION
Extent 24(2), Dec, 2022: p. 355-378
520 ## - SUMMARY, ETC.
Summary, etc Despite the colossal rise in institutional delivery (from 20% in 2005–2006 to 64% in 2015–2016), the state of Bihar shows the poorest performance in the country for utilization of four or more antenatal care services (4 or more ANCs) (14%). In this background, the present paper aims to investigate the factors associated with the low uptake of ANCs in Bihar, India. The study analyses a sample of 16,822 women aged 15–49 in Bihar from the fourth round of the National Family Health Survey (NFHS-4) conducted during 2015–2016. Bivariate and multivariate logistic and linear regression analyses are employed to identify the factors associated with the underutilization of 4 or more ANCs in Bihar. Five out of 38 districts of Bihar have more than 20% uptake of 4 or more ANCs while 13 districts have only 7 to 12% of uptake. However, 79% of women had institutional delivery without having 4 or more ANCs. The results from the logistic regression model suggest that mothers who belonged to the richest wealth index (OR = 3.90; 99% CI: 2.98–5.08) and a higher level of education (OR = 3.35; 99% CI: 2.74–4.08) have a greater likelihood of receiving 4 or more ANCs. In order of their importance, focusing on economic, education, and caste inequalities, awareness of pregnancy registration with MCP cards, and avoiding higher-order births are likely to improve the uptake of 4 or more ANCs in Bihar. – Reproduced
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Antenatal care, Institutional delivery, Maternal healthcare, Janani suraksha yojana, Bihar, India.
9 (RLIN) 36534
773 ## - HOST ITEM ENTRY
Main entry heading Journal of Social and Economic Development
906 ## - LOCAL DATA ELEMENT F, LDF (RLIN)
Subject DIP HEALTH SERVICES
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Item type Articles
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Permanent location Current location Date acquired Serial Enumeration / chronology Barcode Date last seen Koha item type
          Indian Institute of Public Administration Indian Institute of Public Administration 2023-03-06 24(2), Dec, 2022: p. 355-378 AR128207 2023-03-06 Articles

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