Background
Methods
Data source
Research ethics
Measures
Dependent variable
Independent variables
NFHS Survey questions | NFHS response categories | Recoded response categories |
---|---|---|
Men’s Characteristics | ||
Educational level
| Variable included five categories: no education, primary education (pre-primary to the completion of 5th grade of schooling), secondary education (6th grade to the completion of 10th grade); higher secondary and above higher secondary (beyond 10th grade). No education will be used as the reference category. | 1 = no education; 2 = primary education; 3 = secondary education; 4 = higher secondary and above higher secondary (beyond 10th grade). |
Caste
| Variable included five categories: scheduled caste, scheduled tribe, other backward classes, none of them, don’t know. ‘None of them’ will be used as the reference category. | 1 = scheduled caste; 2 = scheduled tribe; 3 = other backward classes; 4 = none of them |
Religion
| Variable included nine categories: Hindu, Muslim, Christian, Sikh, Buddhist, Jain, Jewish, No religion, Other. Hindu will be used as the reference category. | 1 = Hindu; 2 = Muslim; 3 = Others |
Age
| Continuous variable representing respondent’s age. | 0 = 15–24 years’ old; 1 = 25 and above |
Age at marriage
| Continuous variable representing respondent’s age at marriage. | 0 = Men married below 18 years of age; 1 = Men married at 18 years of age or older coded as 1. |
Work status
| Based on the question regarding whether the respondent is currently working. | 0 = No work; 1 = Currently employed |
Knowledge of pregnancy-related issues
| Score created based on whether a health worker spoke to the male respondent on the following topics during the pregnancy: bleeding, convulsions, prolonged labour. The index includes 3 questions, and the score will range from 0 to 3 | |
Women’s Characteristics
| ||
Male attendance at antenatal care
“Was your husband present during any antenatal check-up for your most recent child?” | Responses categories: Yes; No | 0 = No; 1 = Yes |
Educational level
| Variable included five categories: no education, primary education (pre-primary to the completion of 5th grade of schooling), secondary education (6th grade to the completion of 10th grade); Higher secondary and above higher secondary (beyond 10th grade). No education will be used as the reference category. | 1 = no education; 2 = primary education; 3 = secondary education; 4 = Higher secondary and above higher secondary (beyond 10th grade). |
Age
| Continuous variable representing respondent’s age. | Used without recoding |
# of children ever born
| Continuous variable representing number of children | 0 = None; 1 = At least one child |
Pregnancy complications
| Variable created based on response (yes/no) to any one of the following survey questions: During pregnancy, had difficulty with daylight vision; during pregnancy had swelling on legs, body, face; had convulsions not from fever. Respondents who answered yes to any of these questions were coded as 1, otherwise as 0. | 0 = No complications 1 = Had at least one complication during pregnancy |
Women’s Autonomy
| Adapted from Thapa et al. (2013)* ● People who usually decides on respondent’s healthcare ● People who usually decides on large household purchases ● People who usually decides on visits to family and relatives. ● Whether woman is allowed to go to health facility; marketplace and outside the community ● Has a bank/savings account. Has money that the respondent alone can decide to use. | Score will be created from responses to each of the questions, and the score will range from 0 to 4. |
Household characteristics
| ||
Wealth quintile
a
| This variable includes five categories: Poorest, Poorer, Middle, Richer, Richest. | 1 = Poorest; 2 = Poorer; 3 = Middle; 4 = Richer; 5 = Richest |
Family type
| Based on the question, what is your relationship to the household head. | 0 = Joint family (those who reported any other relationship to household head); 1 = Nuclear family (those who reported themselves or wife as household head) |
Place of residence
| This variable included two categories: Rural, Urban | 0 = Urban; 1 = Rural |
Region
| State variable will be recoded into regions based on categorization of National Family and Health Survey-4 (IIPS, 2017). South will be used as the reference category. | 1 = North (Chandigarh, Delhi, Haryana, Himachal Pradesh, Jammu & Kashmir, Punjab, Rajasthan, Uttarakhand) 2 = Central (Chattisgarh, Madhya Pradesh, Uttar Pradesh) 3 = East (Bihar, Jharkhand, Odisha, West Bengal) 4 = North East (Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim, Tripura) 5 = West (Dadar & Nagar Haveli, Daman & Diu, Goa, Gujarat, Maharashtra) 6 = South (Andaman & Nicobar Islands, Andhra Pradesh, Karnataka, Kerala, Lakshadweep, Puducherry, Tamil Nadu, Telangana) |
Distance to health facility
| This variable included two categories: Distance to health facility is not a problem, is a big problem | 0 = Distance to Health facility not a problem 1 = Distance to Health facility is a big problem |
Statistical analyses
Results
State | Male partner present (%) | State | Male partner present (%) |
---|---|---|---|
India | 85.35 | ||
Andhra Pradesh | 85.92 | Nagaland | 66.18 |
Assam | 82.13 | Orissa | 90.37 |
Bihar | 81.24 | Punjab | 89.79 |
Goa | 90.63 | Rajasthan | 80.75 |
Gujarat | 85.38 | Tamil Nadu | 92.32 |
Haryana | 89.43 | Telangana | 86.36 |
Himachal Pradesh | 89.05 | West Bengal | 91.98 |
Jammu | 90.72 | Uttar Pradesh | 76.83 |
Karnataka | 83.46 | New Delhi | 87.19 |
Kerala | 94.81 | Arunachal Pradesh | 75.68 |
Madhya Pradesh | 81.33 | Tripura | 95.63 |
Maharashtra | 85.32 | Uttaranchal | 86.21 |
Manipur | 79.79 | Sikkim | 93.39 |
Meghalaya | 62.24 | Jharkhand | 81.48 |
Mizoram | 58.80 | Chhattisgarh | 90.05 |
Regions
| |||
North | 86.15 | ||
Central | 79.82 | ||
East | 87.40 | ||
North-East | 81.49 | ||
West | 85.48 | ||
South | 88.91 |
Full sample (%) | |
---|---|
Individual level variables
| |
Men’s Characteristics
| |
Educational level
| |
No formal Education | 12.67 |
Primary | 14.19 |
Secondary | 56.67 |
Higher | 16.48 |
Religion
| |
Hindu | 82.17 |
Muslim | 12.68 |
Others | 5.15 |
Caste
| |
Scheduled Castes (SC) | 20.81 |
Scheduled Tribe (ST) | 11.01 |
Other Backward Classes (OBC) | 44.84 |
General | 23.34 |
Age
| |
15–24 years | 8.61 |
25 years and above | 91.39 |
Age at marriage
| |
Less than 18 years | 6.69 |
18 years and older | 93.31 |
Work status
| |
Unemployed | 6.62 |
Currently employed | 93.38 |
Male respondent’s Mean Knowledge of pregnancy-related issues (Mean, SD)
| 1.58 (1.35) |
Women’s Characteristics
| |
Educational level
| |
No education | 21.69 |
Primary | 12.73 |
Secondary | 51.86 |
Higher | 13.72 |
Age (Mean, SD)
| 26.87 (0.05) |
Number of children ever born
| |
None | 34.25 |
At least one child | 65.75 |
Complications during pregnancy
| |
No | 58.07 |
Yes | 41.93 |
Level of Autonomy (Mean, SD)
| 2.55 (1.06) |
Household level variables
| |
Household Wealth Index
| |
Poorest | 16.86 |
Poorer | 19.25 |
Middle | 21.65 |
Richer | 21.17 |
Richest | 21.07 |
Family Type
| |
Joint | 43.34 |
Nuclear | 56.66 |
Place of residence
| |
Urban | 35.37 |
Rural | 64.63 |
Region
| |
North | 13.84 |
Central | 22.66 |
East | 19.65 |
North-East | 3.45 |
West | 17.59 |
South | 22.80 |
Distance to health facility
| |
Not a problem | 78.18 |
Big problem | 27.82 |
Model I | Model II | |||
---|---|---|---|---|
Male partner attendance N = 18,868 | Male partner attendance (adjusted for women’s autonomy) N = 18,868 | |||
AOR | CI | AOR | CI | |
Individual level variables
| ||||
Men’s characteristics
| ||||
Education (ref: No formal education)
| ||||
Primary | 1.072 | (0.877–1.309) | 1.069 | (0.875–1.307) |
Secondary | 1.143 | (0.957–1.365) | 1.149 | (0.962–1.371) |
Higher | 1.283 | (0.974–1.690) | 1.293 | (0.983–1.702) |
Religion (ref: Hindu)
| ||||
Muslim | 1.026 | (0.845–1.246) | 1.050 | (0.862–1.278) |
Others | 0.928 | (0.670–1.287) | 0.922 | (0.663–1.282) |
Caste (ref: General)
| ||||
Scheduled Castes (SC) | 1.147 | (0.954–1.378) | 1.138 | (0.946–1.368) |
Scheduled Tribe (ST) | 0.912 | (0.784–1.060) | 0.920 | (0.792–1.070) |
Other Backward Classes (OBC) | 1.051 | (0.860–1.286) | 1.066 | (0.872–1.303) |
Age (ref: 25 years and above)
| ||||
15–24 years | 0.975 | (0.789–1.206) | 0.959 | (0.775–1.187) |
Age at marriage (Less than 18 years)
| ||||
18 years and older | 1.312** | (1.100–1.566) | 1.304** | (1.093–1.555) |
Work status (ref: Unemployed)
| ||||
Currently employed | 0.923 | (0.734–1.162) | 0.904 | (0.717–1.141) |
Knowledge of pregnancy-related issues
| 1.132*** | (1.085–1.182) | 1.131*** | (1.084–1.181) |
Women’s characteristics
| ||||
Education (ref: No formal education)
| ||||
Primary | 1.016 | (0.854–1.209) | 0.997 | (0.837–1.187) |
Secondary | 1.383** | (1.183–1.617) | 1.335*** | (1.141–1.561) |
Higher | 1.661** | (1.225–2.251) | 1.529** | (1.131–2.068) |
Age
| 1.005 | (0.992–1.018) | 1.002 | (0.989–1.015) |
Number of children ever-born (ref: None)
| ||||
At least one child | 0.981 | (0.844–1.141) | 0.983 | (0.846–1.143) |
Complications during pregnancy (ref: No)
| ||||
Yes | 1.065 | (0.951–1.193) | 1.065 | (0.951–1.193) |
Level of autonomy
| 1.147** | (1.075–1.223) | ||
Household level variables
| ||||
Household Wealth Index (ref: Poorest)
| ||||
Poorer | 1.103 | (0.940–1.293) | 1.100 | (0.937–1.290) |
Middle | 1.228* | (1.026–1.471) | 1.218* | (1.016–1.459) |
Richer | 1.361** | (1.093–1.695) | 1.350** | (1.083–1.683) |
Richest | 1.585** | (1.190–2.110) | 1.558** | (1.170–2.073) |
Family Type (ref: Joint)
| ||||
Nuclear | 1.079 | (0.949–1.228) | 1.043 | (0.917–1.187) |
Place of residence (ref: Urban)
| ||||
Rural | 0.962 | (0.821–1.127) | 0.972 | (0.828–1.140) |
Region (ref: South)
| ||||
North | 0.744** | (0.598–0.925) | 0.746** | (0.600–0.929) |
Central | 0.609*** | (0.506–0.734) | 0.621*** | (0.515–0.750) |
East | 1.033 | (0.833–1.281) | 1.051 | (0.846–1.306) |
North-East | 0.592*** | (0.464–0.757) | 0.588*** | (0.460–0.752) |
West | 0.675** | (0.528–0.863) | 0.687** | (0.538–0.879) |
Distance to health facility (ref: Not a problem)
| ||||
Big problem | 0.946 | (0.822–1.089) | 0.959 | (0.835–1.101) |
Constant | 2.677*** | (1.594–4.495) | 2.209*** | (1.300–3.756) |