Background
Methods
Data
Outcome variables
Independent variables
Variable | Categories |
---|---|
Type of residence | Rural and Urban |
State-wise residence | EAG states and Other states (non-EAG states)a |
Religion | Hindu, Muslim and Others (Christians, Sikhs, Buddhists, Jain, Jewish, Parsi, and others) |
Social group | Scheduled Caste (ST), Scheduled Tribe (ST) and Others (non-SC/ST)b |
Maternal Education | No education, Primary, Secondary and Higher |
Wealth Quintile | Poorest, Poorer, Middle, Richer and Richest |
Maternal age (in completed years) | ≤19 years and 20–24 years |
Birth order | 1, 2 and 3+ (birth order three and above) |
Mass media exposure | No exposure (accesses none of the three modes of mass media namely newspaper/magazine, radio, television/cinema) and Any exposure (access to any of the three media) |
Survey Round | NFHS-1, NFHS-2, NFHS-3 and NFHS-4 |
Statistical analysis
Results
Trends in sample characteristics
Variables | NFHS-1 | NFHS-2 | NFHS-3 | NFHS-4 | Total a |
---|---|---|---|---|---|
Number | 17,335 | 14,243 | 16,047 | 63,351 | 110,976 |
Type of residence | |||||
Rural | 79.37 | 79.67 | 76.36 | 75.09 | 76.53 |
Urban | 20.63 | 20.33 | 23.64 | 24.91 | 23.47 |
State-wise residence | |||||
EAG states | 45.48 | 46.74 | 49.84 | 47.50 | 47.43 |
Other states | 54.52 | 53.26 | 50.16 | 52.50 | 52.57 |
Religion | |||||
Hindu | 81.39 | 81.30 | 80.64 | 80.02 | 80.49 |
Muslim | 14.09 | 14.66 | 15.52 | 15.85 | 15.37 |
Others | 4.52 | 4.03 | 3.83 | 4.13 | 4.13 |
Social group | |||||
Scheduled caste | 13.51 | 20.44 | 21.28 | 22.14 | 20.45 |
Scheduled tribe | 9.85 | 9.75 | 9.32 | 11.19 | 10.53 |
Others | 76.63 | 69.81 | 69.39 | 66.67 | 69.02 |
Educational level | |||||
No Education | 62.05 | 50.42 | 41.92 | 19.31 | 33.25 |
Primary | 15.96 | 17.13 | 16.64 | 14.35 | 15.29 |
Secondary | 20.62 | 26.36 | 38.63 | 58.22 | 45.43 |
Higher | 1.37 | 6.09 | 2.80 | 8.12 | 6.03 |
Wealth Quintile | |||||
Poorest | 20.40 | 21.25 | 22.49 | 21.66 | 21.53 |
Poorer | 23.17 | 23.47 | 23.55 | 24.62 | 24.09 |
Middle | 22.54 | 22.22 | 22.07 | 23.01 | 22.70 |
Richer | 20.21 | 19.95 | 19.73 | 19.40 | 19.64 |
Richest | 13.69 | 13.11 | 12.14 | 11.32 | 12.04 |
Maternal age | |||||
≤ 19 | 44.46 | 43.20 | 42.07 | 31.77 | 36.71 |
20–24 | 55.54 | 56.80 | 57.93 | 68.23 | 63.29 |
Birth order | |||||
1 | 44.78 | 44.69 | 47.14 | 57.78 | 52.53 |
2 | 32.68 | 32.91 | 34.47 | 33.28 | 33.31 |
3+ | 22.54 | 22.40 | 18.39 | 8.94 | 14.16 |
Mass media exposure | |||||
No exposure | 51.75 | 44.03 | 28.02 | 21.91 | 30.29 |
Any exposure | 48.25 | 55.97 | 71.98 | 78.09 | 69.71 |
Trends in the utilization of maternal health care services
Trends in the prevalence of full ANC utilization by background characteristics
Variables | Prevalence (%) of full ANC utilization | Percentage change | |||||||
---|---|---|---|---|---|---|---|---|---|
NFHS-1 | NFHS-2 | NFHS-3 | NFHS-4 | Total a | NFHS-1 to NFHS-2 | NFHS-2 to NFHS-3 | NFHS-3 to NFHS-4 | NFHS-1 to NFHS-4 | |
Type of residence | |||||||||
Rural | 21.23 | 22.19 | 26.27 | 42.53 | 34.02 | 0.96 | 4.08 | 16.26 | 21.3 |
Urban | 42.05 | 48.96 | 52.02 | 56.36 | 52.94 | 6.91 | 3.06 | 4.34 | 14.31 |
State-wise residence | |||||||||
EAG states | 9.13 | 8.78 | 14.80 | 27.69 | 20.56 | −0.35 | 6.02 | 12.89 | 18.56 |
Other states | 39.21 | 44.17 | 49.80 | 62.53 | 54.60 | 4.96 | 5.63 | 12.73 | 23.32 |
Religion | |||||||||
Hindu | 25.26 | 27.14 | 32.56 | 45.55 | 38.08 | 1.88 | 5.42 | 12.99 | 20.29 |
Muslim | 23.35 | 26.87 | 29.40 | 45.54 | 37.72 | 3.52 | 2.53 | 16.14 | 22.19 |
Others | 37.22 | 40.30 | 39.98 | 55.95 | 48.65 | 3.08 | −0.32 | 15.97 | 18.73 |
Social group | |||||||||
Scheduled caste | 20.31 | 22.06 | 27.95 | 46.20 | 37.68 | 1.75 | 5.89 | 18.25 | 25.89 |
Scheduled tribe | 15.02 | 14.69 | 21.81 | 43.41 | 33.08 | −0.33 | 7.12 | 21.6 | 28.39 |
Others | 27.80 | 31.07 | 35.12 | 46.33 | 39.51 | 3.27 | 4.05 | 11.21 | 18.53 |
Educational level | |||||||||
No Education | 14.74 | 12.36 | 14.78 | 27.15 | 18.40 | −2.38 | 2.42 | 12.37 | 12.41 |
Primary | 31.83 | 28.12 | 29.54 | 39.17 | 34.87 | −3.71 | 1.42 | 9.63 | 7.34 |
Secondary | 50.21 | 46.67 | 49.44 | 52.13 | 51.25 | −3.54 | 2.77 | 2.69 | 1.92 |
Higher | 69.27 | 70.23 | 76.35 | 58.69 | 61.74 | 0.96 | 6.12 | −17.66 | −10.58 |
Wealth Quintile | |||||||||
Poorest | 9.94 | 10.12 | 13.05 | 27.03 | 20.22 | 0.18 | 2.93 | 13.98 | 17.09 |
Poorer | 15.09 | 15.72 | 20.81 | 41.93 | 31.63 | 0.63 | 5.09 | 21.12 | 26.84 |
Middle | 24.47 | 27.10 | 33.55 | 52.02 | 42.02 | 2.63 | 6.45 | 18.47 | 27.55 |
Richer | 34.63 | 40.21 | 47.47 | 56.28 | 49.43 | 5.58 | 7.26 | 8.81 | 21.65 |
Richest | 54.74 | 59.40 | 63.76 | 61.08 | 60.11 | 4.66 | 4.36 | −2.68 | 6.34 |
Maternal age | |||||||||
≤ 19 | 23.39 | 23.92 | 30.23 | 46.50 | 36.02 | 0.53 | 6.31 | 16.27 | 23.11 |
20–24 | 27.24 | 30.46 | 33.90 | 45.73 | 39.87 | 3.22 | 3.44 | 11.83 | 18.49 |
Birth order | |||||||||
1 | 29.69 | 35.23 | 40.13 | 49.73 | 44.23 | 5.54 | 4.9 | 9.6 | 20.04 |
2 | 24.87 | 26.34 | 29.93 | 42.88 | 36.08 | 1.47 | 3.59 | 12.95 | 18.01 |
3+ | 18.21 | 14.36 | 16.96 | 33.27 | 22.62 | −3.85 | 2.6 | 16.31 | 15.06 |
Mass media exposure | |||||||||
No exposure | 12.95 | 11.29 | 14.03 | 24.95 | 17.74 | −1.66 | 2.74 | 10.92 | 12 |
Any exposure | 39.02 | 40.49 | 39.48 | 51.88 | 47.46 | 1.47 | −1.01 | 12.4 | 12.86 |
Total | 25.53 | 27.63 | 32.35 | 45.98 | 38.46 | 2.1 | 4.72 | 13.63 | 20.45 |
Trends in the prevalence of SBA utilization by background characteristics
Variables | Prevalence (%) of skilled birth attendance | Percentage change | |||||||
---|---|---|---|---|---|---|---|---|---|
NFHS-1 | NFHS-2 | NFHS-3 | NFHS-4 | Total a | NFHS-1 to NFHS-2 | NFHS-2 to NFHS-3 | NFHS-3 to NFHS-4 | NFHS-1 to NFHS-4 | |
Type of residence | |||||||||
Rural | 29.78 | 37.92 | 44.73 | 86.50 | 64.79 | 8.14 | 6.81 | 41.77 | 56.72 |
Urban | 68.39 | 73.72 | 74.10 | 93.50 | 85.03 | 5.33 | 0.38 | 19.4 | 25.11 |
State-wise residence | |||||||||
EAG states | 23.48 | 29.17 | 36.76 | 83.45 | 60.50 | 5.69 | 7.59 | 46.69 | 59.97 |
Other states | 49.65 | 59.28 | 66.50 | 92.58 | 77.69 | 9.63 | 7.22 | 26.08 | 42.93 |
Religion | |||||||||
Hindu | 37.01 | 44.88 | 52.57 | 89.66 | 70.16 | 7.87 | 7.69 | 37.09 | 52.65 |
Muslim | 37.02 | 42.44 | 44.02 | 80.99 | 64.58 | 5.42 | 1.58 | 36.97 | 43.97 |
Others | 53.33 | 61.80 | 63.77 | 88.61 | 75.90 | 8.47 | 1.97 | 24.84 | 35.28 |
Social group | |||||||||
Scheduled caste | 30.45 | 40.71 | 49.16 | 88.14 | 69.94 | 10.26 | 8.45 | 38.98 | 57.69 |
Scheduled tribe | 18.08 | 26.28 | 32.93 | 80.98 | 59.12 | 8.2 | 6.65 | 48.05 | 62.9 |
Others | 41.56 | 49.16 | 55.57 | 89.49 | 71.01 | 7.6 | 6.41 | 33.92 | 47.93 |
Educational level | |||||||||
No Education | 23.14 | 26.65 | 32.00 | 75.70 | 42.86 | 3.51 | 5.35 | 43.7 | 52.56 |
Primary | 48.68 | 48.52 | 49.42 | 82.56 | 66.92 | −0.16 | 0.9 | 33.14 | 33.88 |
Secondary | 69.64 | 68.51 | 70.97 | 92.58 | 86.50 | −1.13 | 2.46 | 21.61 | 22.94 |
Higher | 92.08 | 88.58 | 93.39 | 97.01 | 95.50 | −3.5 | 4.81 | 3.62 | 4.93 |
Wealth quintile | |||||||||
Poorest | 15.54 | 21.70 | 25.80 | 74.84 | 51.92 | 6.16 | 4.1 | 49.04 | 59.3 |
Poorer | 22.73 | 30.30 | 39.93 | 86.20 | 63.14 | 7.57 | 9.63 | 46.27 | 63.47 |
Middle | 34.23 | 45.24 | 54.61 | 92.54 | 72.22 | 11.01 | 9.37 | 37.93 | 58.31 |
Richer | 53.27 | 63.07 | 69.68 | 95.48 | 80.72 | 9.8 | 6.61 | 25.8 | 42.21 |
Richest | 79.12 | 82.73 | 87.78 | 97.17 | 90.57 | 3.61 | 5.05 | 9.39 | 18.05 |
Maternal age | |||||||||
≤ 19 | 35.35 | 42.26 | 50.29 | 88.31 | 65.04 | 6.91 | 8.03 | 38.02 | 52.96 |
20–24 | 39.66 | 47.44 | 52.68 | 88.21 | 72.16 | 7.78 | 5.24 | 35.53 | 48.55 |
Birth order | |||||||||
1 | 45.42 | 57.40 | 63.23 | 91.92 | 78.23 | 11.98 | 5.83 | 28.69 | 46.5 |
2 | 33.94 | 40.65 | 47.11 | 85.20 | 66.00 | 6.71 | 6.46 | 38.09 | 51.26 |
3+ | 28.01 | 27.54 | 30.62 | 75.79 | 45.62 | −0.47 | 3.08 | 45.17 | 47.78 |
Mass media exposure | |||||||||
No exposure | 22.57 | 26.49 | 31.97 | 75.28 | 46.32 | 3.92 | 5.48 | 43.31 | 52.71 |
Any exposure | 22.57 | 59.92 | 59.34 | 91.88 | 79.63 | 37.35 | −0.58 | 32.54 | 69.31 |
Total | 37.75 | 45.20 | 51.67 | 88.24 | 69.54 | 7.45 | 6.47 | 36.57 | 50.49 |
Determinants of maternal health care service utilization among young married women
Variables | Full ANC | SBA | ||
---|---|---|---|---|
Unadjusted OR (95% CI) | Adjusted OR (95% CI) | Unadjusted OR (95% CI) | Adjusted OR (95% CI) | |
Survey round | ||||
NFHS-1 (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
NFHS-2 | 1.11* (1.02–1.21) | 0.98 (0.89–1.06) | 1.36** (1.25–1.48) | 1.35** (1.25–1.46) |
NFHS-3 | 1.40** (1.29–1.51) | 1.21** (1.10–1.32) | 1.76** (1.60–1.92) | 1.73** (1.60–1.89) |
NFHS-4 | 2.48** (2.33–2.61) | 1.83** (1.68–1.98) | 12.38** (11.53–13.29) | 13.66** (12.66–14.75) |
Type of residence | ||||
Rural (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
Urban | 2.68** (2.51–2.86) | 1.27** (1.18–1.36) | 3.80** (3.51–4.11) | 1.87** (1.71–2.04) |
State-wise residence | ||||
EAG states (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
Other states | 5.48** (5.16–5.81) | 4.71** (4.46–4.99) | 2.70** (2.51–2.90) | 2.46** (2.30–2.62) |
Religion | ||||
Hindu (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
Muslim | 0.95 (0.88–1.03) | 0.78** (0.72–0.84) | 0.85** (0.79–0.93) | 0.58** (0.54–0.64) |
Others | 1.59** (1.44–1.75) | 0.81** (0.73–0.91) | 1.62** (1.45–1.80) | 0.98 (0.87–1.11) |
Social group | ||||
Scheduled caste (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
Scheduled tribe | 0.73** (0.66–0.80) | 1.00 (0.90–1.10) | 0.57** (0.52–0.63) | 0.68** (0.60–0.75) |
Others | 1.26** (1.18–1.33) | 1.10* (1.03–1.17) | 1.20** (1.13–1.27) | 1.14** (1.06–1.22) |
Educational level | ||||
No Education (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
Primary | 2.58** (2.41–2.77) | 1.50** (1.39–1.61) | 2.74** (2.58–2.92) | 1.53** (1.43–1.64) |
Secondary | 5.60** (5.28–5.93) | 2.15** (2.02–2.30) | 7.84** (7.41–8.29) | 2.25** (2.10–2.40) |
Higher | 11.27** (10.17–12.48) | 3.42** (3.04–3.84) | 29.23** (24.32–35.13) | 4.50** (3.72–5.44) |
Wealth Quintile | ||||
Poorest (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
Poorer | 1.73** (1.60–1.87) | 1.15** (1.06–1.24) | 1.56** (1.47–1.66) | 1.27** (1.18–1.37) |
Middle | 2.98** (2.76–3.21) | 1.44** (1.33–1.56) | 2.52** (2.35–2.69) | 1.72** (1.58–1.87) |
Richer | 4.64** (4.28–5.04) | 1.66** (1.52–1.82) | 4.57** (4.26–4.91) | 2.43** (2.22–2.67) |
Richest | 8.76** (7.98–9.62) | 2.35** (2.10–2.63) | 12.46** (11.30–13.73) | 4.38** (3.86–4.98) |
Maternal age | ||||
≤ 19 (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
20–24 | 1.27** (1.22–1.32) | 1.18** (1.13–1.24) | 1.31** (1.26–1.36) | 1.20** (1.14–1.27) |
Birth order | ||||
1 (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
2 | 0.69** (0.66–0.72) | 0.72** (0.69–0.76) | 0.55** (0.52–0.57) | 0.51** (0.48–0.54) |
3+ | 0.35** (0.33–0.38) | 0.55** (0.51–0.59) | 0.28** (0.26–0.29) | 0.41** (0.38–0.44) |
Mass media exposure | ||||
No exposure (ref) | 1.00 | 1.00 | 1.00 | 1.00 |
Any exposure | 4.57** (4.31–4.85) | 1.67** (1.57–1.78) | 4.29** (4.10–4.49) | 1.30** (1.23–1.38) |