Page 104 - 5th APA Conference Program Book Final

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morbidity and it has adverse impact on women’s health. The inequality in income among people affects the
maternal health care utilization.

Data and Methodology: The present study based on the third and fourth round of National Family Health Survey
data. Bi-variate and multivariate logistic regression analysis has been used to estimate the relationship of
utilization of maternal health care with socio-economic characteristics. Concentration index and concentration
curve have used to show the health-related income inequality.

Results: The result shows that place of residence, wealth quantile, education and exposure to mass media are
dominant explanatory variables which were contributing approx 3 to 5 times higher share in overall inequality in
utilization of maternal health care in India during 2005-16. In India the utilization of skilled birth services and
postnatal care services were accelerated, and reached 83% and 64% respectively. However, the utilization of full
antenatal care was just 22%, which still need a special attention for the betterment of maternal and child health.

1568 Increasing Caesarean Delivery in Private Health Facilities is a Growing Concern
in India

SHRISTI GUHA, JYOTI DAS

INTERNATIONAL INSTITUTE FOR POPULATION SCIENCES, MUMBAI, India

Categories

3. Fertility, Fecundity, Reproductive Health and Reproductive Rights

Abstract

The study examines the partnership of private and public caesarean along with their respective share in
expenditures. The correlates of out of pocket expenditure on caesarean births were also studied. Multivariate
logistic regression, TOBIT regression model, MAN WHITTNEY test and categorical regression were applied on the
th
75 round of NSSO data. Caesarean births in private health centers are more than the public health centers which
shows that institutional factors have played a very important role behind the increasing rates of caesarean delivery.
However, there is a great variation across the states of India. These variations show variation in quality, accessibility
and affordability of maternal care services across the states of India It has also been observed that the number of
caesarean deliveries in private among Muslims are very less as compared to the Hindus. The share of expenditure
on public caesarean delivery is more in case of poor states and low in richer states. Caesarean births being more in
private sector health facilities not only increase the cost of care but also leads to unnecessary risks to women. Thus
the government should ensure that the caesarean deliveries are performed according to medical indications in
both public and private sector.

1552 Sex and Premarital Sex in India

Pragati Ubale, Lahu Rathod
International Institute for Population Sciences, Mumbai, Mumbai, India