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Maternal Health Care Utilization in Empowered Action Group (EAG) States of India: An Introspection

Hemangini Solanki

MBA Health Management (Second Year)
The IIHMR University, Jaipur

Hanvitha Khambampati

MBA Health Management (Second Year)
The IIHMR University, Jaipur

Arindam Das

Associate Professor
The IIHMR University, Jaipur

Abstract

The magnitude of women’s reproductive health problems in India is a serious matter of concern. Pregnancy related complications are the leading causes of maternal death and disability for women of reproductive age group. Most of the maternal deaths can be saved by strengthening the healthcare facilities. A proper antenatal check-up provides necessary care to the mother and helps identify any pregnancy related complications.The reasons for slow progress in reducing maternal mortality are multi-factorial; they cannot be limited to administrative or managerial issues. The Government of India enlisted eight socio-economically backward states as Empowered Action Group (EAG) states.In realm of socio-economic and demographic influences, factors like religion, caste, education, residence, age, standard of living etc. have significant impact on the reproductive healthcare of women in general and on antenatal care and safe delivery in particular. The data for the present article was derived from the District Level Household and Facility Survey (DLHS-3) conducted during 2007–08. For the analysis, a total of 116,973 currently married women aged 15-44 years residing in EAG states and delivered a child during the three years preceding the survey were extracted from the DLHS-3 data set. Two outcome variables were considered for the analysis that were Full Antenatal care and Safe Delivery. The analysis was carried out using Statistical Package for Social Sciences (SPSS). Univariate, Bivariate and Logistic Regression analysis was performed. It is worth mentioning from the study that in EAG states, the percentage of women who received full ANC is below one-tenth (7 percent) in almost all cases with few exceptions like highest level educated women and husbands of the respondents, high SLI, and women residing in urban areas. A majority of the women who opted for safe delivery were the women who received FANC and women with pregnancy related problems.

Key words: EAG States, SLI, Full ANC, Safe Delivery.

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