scholarly journals A SPATIAL ANALYSIS OF MATERNAL AND CHILD HEALTH IN UTTAR PRADESH, INDIA: EVIDENCE FROM NATIONAL FAMILY HEALTH SURVEY 4 (2015-16)

2021 ◽  
Vol 9 (11) ◽  
pp. 1006-1017
Author(s):  
Nilofer Wahid ◽  
◽  
Syed Naushad Ahmad ◽  
Tarique Anwar ◽  
Wahengbam Bigyananda Meitei ◽  
...  

Mother needs special medical care during pregnancy, delivery, and after delivery; as a mother, she is more prone to adverse health outcomes or death due to the unsafe and unhygienic methods of managing pregnancy and childbirth. According to the World Health Organization reports, globally, 0.53 million maternal deaths occur annually, out of which 0.12 million (22%) deaths occur only in India. A newborn child needs regular health check-ups as well as nutrition supplements to avoid deficiency diseases and illness. Child health is a foundation for adult health and well-being; therefore, it is imperative to certify good health. Healthy children assure healthy adults who, in turn, ensure good progress and development of the Country (Usmani and Ahmad, 2017). According to NHM, around 81% of under-five child death occurs in one year of birth that marks approximately 10.5 lakh newborn demises; however, 57% of under-five deaths occur in the first one month of life, constituting 7.3 lakh neo-natal deaths annually within the Country. Data and methods: data from National Family Health Survey-4 (2015-2016) on maternal and child health indicators for 75 districts of Uttar Pradesh state were used. Spatial analysis namely Moran\'s-I and LISA were applied to evaluate the maternal and child health indicators through all the districts of the state. Result: Each indicator portrayed prominent coverage variation across the Uttar Pradesh districts in this analysis. Among all the districts, the lowest ANC occurrence was observed mainly in the central part, PNC in the eastern region, SBA in 20 districts mainly of the western and eastern part. The prevalence of full immunization among the children was very high, primarily in the districts of the East region; high PNC among the children was perceived in the districts of eastern, central, and Bundelkhand part of the state. PNC prevalence among the women was found to be highest in the western part of Uttar Pradesh.

2017 ◽  
Vol 5 (6) ◽  
pp. 1910-1921
Author(s):  
KhJitenkumar Singh ◽  
◽  
Apoorva Nambiar ◽  
Damini Yadav ◽  
Swati Kadian ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Akif Mustafa ◽  
Chander Shekhar

Abstract Background Maternal and child health services, like antenatal care, skilled birth attendance and postnatal care, are crucial to improve maternal and neonatal health outcomes. Numerous studies have been conducted on the distribution of utilization of maternal and child healthcare (MCH) services in India with respect to socioeconomic and demographic characteristics. But no study has analyzed the utilization of MCH services with a focus on the topography of a given region (hilly/plain). The present study analyzes the utilization of MCH services in the hilly-Himalayan region of India in comparison to the rest of the country. Methods Data from India’s National Family Health Survey-4 (2015–16), on 190,898 women, was utilized for analysis in the present study. The association between the utilization of MCH services and the topography of the region of residence (hilly/plain) was analyzed by calculating adjusted odds ratios (AOR) with 95% confidence interval (95%CI) and predicted probabilities using a two-level random intercept logistic regression model. Results It was found that the utilization of MCH services was significantly lower in the hilly regions compared to the plain regions. Women living in hilly areas (AOR: 0.42, 95%CI: 0.39–0.45) had 58% lower odds of receiving skilled birth attendance (SBA) than those living in plain areas. Similarly, the odds of receiving PNC, ANC, and full immunization were also lower in the hilly regions compared to the plain regions. The utilization of MCH services was alarmingly low in the rural-hilly regions. The odds of receiving two tetanus injections before birth were 71% lower for women in the rural-hilly areas (AOR: 0.39, 95% CI: 0.36–43) than those in the rural-plain areas. Predicted probabilities also showed that women in the hilly regions were less likely to receive MCH services compared to their counterparts in the plain regions. Conclusion Except for the consumption of Iron Folic Acid (IFA) and the utilization of AWC services/ICDS (Integrated Child and Development Services), all other MCH services were significantly underutilized in the hilly regions compared to the plain regions. This calls for the attention of and concentrated efforts by policy makers and stakeholders, with a special focus on the rural-hilly regions. We firmly believe that the results of the present study have important policy implications.


Author(s):  
Dr.V.Pugazhenthi

National Family Health Survey-5 (NFHS-5) fieldwork for India was conducted in two phases, during the years between 2019 and 2021 by 17 Field Agencies and gathered information from 636,699 households, 724,115 women, and 101,839 men. Information was gathered from 27,929 households, 25,650 women, and 3,372 men from Tamil Nadu and in Thanjavur from 826 households, 687 women, and 83 men. This research paper points out the health indicators in which Thanjavur District improved over the earlier NFHS and over the State as well as Country level averages in the NFHS-5. As per The NFHS -4 the sex ratio has raised marginally to 1053 and in the NFHS-5, sharply raised to 1112. The sex ratio of the country is also remarkably high crossing 1000 mark, first time in the Indian statistical history in the NFHS-5. NFHS-5 reveals positive note that the child sex ratio restoration back to 934. It reflects the changing mindset proliferating in the district towards the female. Amidst the negative mindset towards upbringing girl children in the state of Tamil Nadu, revealed by the reduced child sex ratio of 878 in NFHS -5 from 954 in NFHS-4 in Tamil Nadu a sharp positive increase in the child sex ratio in Thanjavur is fair enough to the fair sex. On the other hand, the reason for the reduction in the child sex ratio in the rest of the state of Tamil Nadu needs an immediate attention comparing the previous NFHS. It is also to be noted here that even the country level child sex ratio also is in increasing trend as per the present NFHS comparing its earlier survey. KEYWORDS: National Family Health survey, Government sponsored health insurance schemes, health insurance, Sex ratio, child sex ratio, AB-PMJAY.


2019 ◽  
Vol 12 (4) ◽  
pp. 299-314
Author(s):  
Naresh Kumar ◽  
Ritu Rani

Purpose The purpose of this paper is to examine the regional variations in maternal and child health all over India. The Maternal and Child Health Index (MCHI) is constructed to find the extent of variations in maternal and child health status for the States and Union Territories (UTs) of India. Design/methodology/approach The Wroclow taxonomic technique was used to construct the MCHI for the States and UTs of India. In all, 29 variables were selected for the construction of MCHI. All the variables were taken from National Family Health Survey-4 (NFHS, 2017) of India. Findings The findings suggest that there are wide variations in MCHI all over India. In India, Kerala topped in terms of MCHI followed by Jammu & Kashmir. Nagaland is on the bottom of the list followed by Bihar and Uttar Pradesh. High values of MCHI (> 0.4) are posing a serious concern for all States/UTs in India. Social implications The existence of inequality in MCHI for India is truly posing a serious inquiry regarding the healthcare system in India. The outcome of the study demands that time has come to adopt a human rights approach to the right to health in India. The findings of the study could be used by the health policy makers in India. Originality/value This study shows the existence of wide variations in the quality of maternal and child health all over India. The quantification of the quality of maternal and child health is needed to improve the health of the population in India. Little research has been done on the issue of quality of maternal and child health in India. This study is an important contribution to the current knowledge of quality of maternal and child health in India.


2006 ◽  
Vol 39 (2) ◽  
pp. 189-199 ◽  
Author(s):  
R. C. YADAVA ◽  
S. S. SHARMA

Summary.Most studies of closed birth intervals are regarding their variation at specific orders among females. This paper attempts to study the nature of the distributions of consecutive closed birth intervals. Data from the Uttar Pradesh National Family Health Survey 1998–99 (NFHS-2) were analysed. It was found that, under certain assumptions, the postpartum amenorrhoea period and menstruating interval are negatively associated, indicating that socio-cultural factors are affecting the menstruating interval.


2019 ◽  
Vol 7 ◽  
pp. 100313 ◽  
Author(s):  
Laxmi Kant Dwivedi ◽  
Kajori Banerjee ◽  
Nidhi Jain ◽  
Mukesh Ranjan ◽  
Priyanka Dixit

2019 ◽  
Vol 9 (1) ◽  
pp. 07-11
Author(s):  
Unaib Rabbani ◽  
Maryam Huda ◽  
Aysha Zahidie ◽  
Fauziah Rabbani

Background: Rapid urbanization has led to emergence of squatter settlements with poor infrastructure and compromised basic amenities. These conditions expose vulnerable groups like women and children to serious health risks. This paper presents the status of maternal and child health in a squatter settlement of Karachi.Methods: Health and Demographic Surveillance System was established in Sultanabad, a squatter settlement of Karachi. Households were eligible to be enrolled if there was a married woman of 15-49 years of age. Data on socio-demographic, maternal and child health indicators was collected during a round of surveillance using a structured questionnaire adapted from Measure Demographic and Health Survey Phase III and Pakistan Demographic and Health Survey 2012-13. Analysis was done using SPSS version 19. Results: A total of 730 women completed the interview. Among them 87% women sought antenatal care during last pregnancy and 79% of the women delivered in a facility. Contraceptive prevalence rate was 32%. Proportion of children exclusively breast fed till six months of age was 63%. Almost 86% children of 12-23 months were fully immunized. Prevalence of stunting among children under five was 40%. Conclusion: In Sultanabad, maternal and child health indicators were relatively better as compared to national statistics. However in the presence of available health facilities, the low contraceptive prevalence and high proportion of stunted children in the community is alarming. This requires urgent attention primarily addressing social determinants of health within the local context.


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