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EXAMINING INTER-GENERATIONAL DIFFERENTIALS IN MATERNAL HEALTH CARE SERVICE UTILIZATION: INSIGHTS FROM THE INDIAN DEMOGRAPHIC AND HEALTH SURVEY

Published online by Cambridge University Press:  19 July 2013

PRASHANT KUMAR SINGH  and
LUCKY SINGH
PRASHANT KUMAR SINGH
Affiliation:
International Institute for Population Sciences (IIPS), Mumbai, India
LUCKY SINGH*
Affiliation:
School of Health Systems Studies, Tata Institute of Social Sciences (TISS), Mumbai, India
*
1Corresponding author. Email: lucky_5bhu@yahoo.com
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Summary

This study examines the association between age cohort and utilization of maternal health care services in India, before and after adjusting for individual, household and contextual factors. Using data from the Demographic and Health Survey 2005–06, women were classified into three distinct age cohorts based on their age at childbirth: 15–24, 25–34 and 35–49 years. Binary logistic regression models were applied to assess the influence of women's age cohort on receiving full antenatal care (ANC) and skilled birth attendance (SBA). The analytical sample included the women who delivered their most recent birth at any time in the 5 years preceding the survey. Women belonging to the younger age cohort were found to be disadvantaged in receiving full ANC, whereas increasing age of women was negatively associated with receiving SBA. Low level of education, low mass media exposure, low autonomy, belonging to deprived social groups, poor economic status and residence in the central region were found to be major constraining factors in receiving full ANC and SBA for women in India. The findings support the need for ‘age-sensitive’ interventions that tailor programmes and incentives to women's health care needs through the reproductive life-stage. Urgent efforts are needed to ensure that women who are illiterate and those belonging to low autonomy and low socioeconomic groups receive the recommended maternal health care benefits.

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Articles
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Journal of Biosocial Science , Volume 46 , Issue 3 , May 2014 , pp. 366 - 385
Copyright
Copyright © Cambridge University Press 2013 

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