Page 102 - 5th APA Conference Program Book Final

40% of the deliveries took place at home. Similarly, in rural UP, 25.8% women had atleast 4ANC visits against 9.3%
in NFHS-3 and 11% women consumed 100 or more IFA-tablets. Around half of the rural women in UP had timely
initiation of breast feeding showing a significant increase from NFHS-3(7.1%). These indicators have a direct impact
on maternal and child morbidity and mortality, key indicators of development measured globally.

1709 The Role of Women Autonomy and Male engagement in Maternal Healthcare
Services in India, 2015-16.

Trupti Patil

Indian Institute of Technology, MUMBAI, India

Categories

3. Fertility, Fecundity, Reproductive Health and Reproductive Rights

Abstract

Cultural norms encourage male dominance and discourage women from taking part in the decision making
process. It is unclear whether women empowerment conflicts with male involvement in MCH that results in the joint
decision for maternal healthcare utilization. To have a better understanding of maternal health outcomes the study
examines the relationship between women’s autonomy and husbands’ involvement in maternal health care. The
study utilized data from the fourth round of the national family health survey (NFHS-4), 2015-16. Women’s autonomy
was measured through four dimensions: domestic decision-making autonomy, movement autonomy, economic
autonomy and sexual autonomy. Maternal health care utilization was measured through contraceptive use, full
antenatal care and delivery care (place of delivery and assisted delivery), while husband’s involvement was
measured through his presence in an antenatal care(ANC) visit. Multivariate regression analysis was used to
compare male involvement across varying levels of women’s autonomy index, and its effect on maternal health care
utilization was assessed. Our study concluded that economic autonomy of women was positively associated with
ANC visit and institutional delivery whereas movement autonomy negatively associated with husband’s presence
during ANC visit.

129 Determinants of delay in first pregnancy: Evidence from a cohort study in Bihar,
India

Ravita Yadav, Preeti Dhillon
International Institute for Population Sciences, Mumbai, India

Categories

3. Fertility, Fecundity, Reproductive Health and Reproductive Rights

Abstract

Background: The course of transition from adolescence to motherhood is an important phase that exposes girls
to the risk of reproduction at an early age. The study aims to examine the factors affecting delaying the first
pregnancy among adolescents and youth in Bihar. It also examines the effect of decision making, self-efficacy,
and family life/sex education during adolescence in delaying first pregnancy

Methods: The current study is based on the analysis of available secondary data from a state-level cohort survey –
UDAYA in Bihar and other published research studies and reviews. The association between selected background

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