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Socio-economic and spatial inequalities in delivery care in UP, India

Author Affiliations

  • 1Centre for the Study of Regional Development (CSRD), Jawaharlal Nehru University (JNU), New Delhi-110067, India

Int. Res. J. Social Sci., Volume 6, Issue (9), Pages 23-34, September,14 (2017)

Abstract

India accounts for 19 percent of global maternal deaths, with the most recent statistics showing an average maternal mortality ratio of 167 per 100 000 live births at the national level. Uttar Pradesh is one of the largest contributors of maternal deaths (285 per 100000 lb) (SRS, 2013). The low utilization of delivery care services is main cause of poor maternal health status in state. Moreover, the statistics shows much difference across socio-economic strata of population. Despite the rigorous governmental and non-governmental effort the prevalence of inequality across various socio-economic groups of women is matter of worry for researchers. The present study explores why huge socio-economic inequality exist in utilization of institutional delivery care and what are the main contributing factors of delivery care inequality? The data on the utilization of delivery care has been taken from the two rounds of District Level Household Survey (DLHS 2nd and 3rd). The methods which employ to measure inequality are computation of ratio, concentration index, binary logistic regression and decomposition analysis. The entire state has divided in to four regions for capturing more detailed picture of delivery care. The results reveal that the inequality in utilization of delivery care has reduced across caste, religion, education of women. However, the highest wealth based inequality in non- institutional and unsafe delivery is concentrated in western and eastern region. Furthermore, illiteracy of women, rural place of residence, not received ANC and poor wealth status of household are leading contributors in women not going for institutional delivery.

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