Maternal health care in India: access and demand determinants
Abstract
Aim: In this paper, we assess the degree to which the observed consistency in maternal health-care utilization can be accounted for by social and economic demand determinants at individual and household level on the one hand and community access to health services in terms of health, road and education facilities on the other. Data and methods: Data from the three rounds of national family health survey of India (NFHS-1, -2 and -3) conducted in 1992–93, 1998–99 and 2005–06 are used in this analysis. The results of the analysis are presented in two sections. First, statewise profiles of maternal health-care utilization from NFHS-1, -2 and -3 are presented to compare the trends. Second, the influence of demand and access factors estimated from multi-level logistic regression models are presented for selected states of India. Results: Results reveal that inequalities in maternal health-care utilization by socio-economic status have narrowed because of the impact of complementing factors of greater community access, and social and economical advancement in the south Indian states, where overall maternal health-care coverage is at the top end of the scale. In contrast, in the demographically lagging northern states of India, which are at the bottom end of the health coverage scale, both access and socio-economic demand determinants indicate greater inequalities in maternal health-care utilization. Conclusion: Lack of access to health care, slow progress in socio-economic conditions and cultural constraints are major determinants of poor maternal health-care coverage among Indian states.
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Low demand could be attributed to a lack of knowledge and information among the underprivileged population.
“Arokiasamy and Pradhan’s 2013 study emphasized the importance of both service availability and demand for service in healthcare utilization, noting that low demand could be attributed to a lack of knowledge and information among the underprivileged population.[48]”
From Identifying the accessibility barriers for chronic disease management in health care delivery system amongst the Urban Poor of Kolkata, West Bengal, India (2025) · cites this paper as [48]
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Roy, P., & Bardhan, M. (2025) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_1050_24 · Cited by 1 · see citing works
- Authors
- Arokiasamy, P., & Pradhan, J.
- Affiliations
- International Institute for Population Sciences (IIPS)
- National Institute of Technology (NIT)
- Venue
- Primary Health Care Research & Development
- Publisher
- Cambridge University Press (CUP)
- Published
- 2013-01-11
- Volume
- 14
- Issue
- 4
- Pages
- 373-393
- ISSN
- 1463-4236
- 1477-1128
- Cited by
- 27
- References
- 0
- Language
- en
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