Does Physical Accessibility Influences an Uptake of Maternal and Child Health Care Services Among Women Living in Urban Slums of India?
Abstract
Purpose Safe motherhood programmes tend to prioritize the need for skilled care during delivery, including ante natal care. Access to maternal and child health care is affected by multitude of factors such as availability,... [ view full abstract ]
Purpose
Safe motherhood programmes tend to prioritize the need for skilled care during delivery, including ante natal care. Access to maternal and child health care is affected by multitude of factors such as availability, distance, cost and quality of services and socio-economic and cultural factors. The purpose of this research paper is to examine an association of indicators of physical accessibility with number of Ante Natal Care (ANC) visit made and institutional delivery adopted by the women of urban slums of Rajasthan.
Method
Data from the primary household survey conducted in the year 2015 was used. This paper examines the geographic distance factors associated with the number of ANC services and uptake of institutional delivery among women (aged 15-49 years) in the urban slums of Rajasthan, India. The distance travelled by the women for ANC services and for institutional delivery was accounted and then categorized into intervals of 0-4 km, 5-9 km, and more than 10 Km. Means were reported for the continuous variables (Number of ANC Visits, Institutional Deliveries) and proportions are reported for categorical variables (Distance to health facility) with standard deviations. Bi-variate analysis was done and then regression analysis was done to see the association of variables such as distance travelled, type of transport used and time taken to reach the health facility with the number of ANC visits and institutional delivery uptake by the women of urban slums. Findings indicate that kilometer increase in the distance to the nearest health facility decreases the probability of institutional delivery by 0.7 percent.
Conclusion
The present study highlights that physical accessibility factors such as mode of transportation, time taken to reach the facility and distance of the health facility affects the number of ANC visits by the women and for institutional deliveries.
Authors
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Divya Vyas
(Indian Institute of Health Management Research (IIHMR) university, Jaipur, India)
Topic Areas
I. Urbanization AND Health: what interactions? 1.1 New paradigms, concepts, methods, and t , II. Urban Health at the intersection of urban environment, social determinants and places , V. Health indicators, spatial analysis and mapping: new tools, new methods 5.1 Spatial ana , Topic #15
Session
UH-BE-O-01 » Urban Health - Behaviors - 01 (08:00 - Saturday, 2nd April, TBA)
Paper
ICUH_2016-Divya_Vyas__India__Abstract_2.docx
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