Page 110 - 5th APA Conference Program Book Final

P. 110

Abstract

Taking care of a mother at the time of pregnancy and during child birth improves the maternal health. As Antenatal
Care (ANC) and institutional delivery has a direct relationship with maternal mortality. Various studies show that
ANC and institutional delivery reduce maternal mortality by reducing the risk factors associated with the maternity
health. Based on the Census 2011 and DLHS4 data the present paper attempts to highlight the socio-economic
determinants which influence the use of ANC, Institutional Delivery and Maternal Mortality Ratio. The major factors
include Singulate Mean Age at Marriage (SMAM), Total Fertility Rate (TFR), women having parity above 3, women
having education below primary, women working as main worker, Schedule Caste and Tribal population, Induced
abortion, Contraceptive prevalence rate and urbanization. The findings highlight that the Total Fertility Rate has a
significant impact on the level of ANC along with education and working status of women. Mean age at Marriage,
Parity of women and contraceptive prevalence are the major deciding factor of level of Institutional Delivery.
Significant regional difference with higher ANC and Institutional Delivery in southern states reflect the lower
Maternal Mortality Rate as compare to Empowered Action Group States.

658 Impact of Microfinance Participation on Women’s Current Fertility, Contraceptive
Use and Desire for Additional Child: Results from National Family Health Survey,
2015-16

Debashree SINHA, Aparajita CHATTOPADHYAY

International Institute for Population Sciences, Mumbai, India

Categories

3. Fertility, Fecundity, Reproductive Health and Reproductive Rights

Abstract

This paper examines the determinants of current fertility, contraceptive use and desire for additional children
among 86,811 non-pregnant and non-menopausal married women in India by analysing NFHS IV, 2015-16 survey
data. We have tried to examine the association between credit program participation with the above mentioned
three outcome variables. Results from multivariate analysis illustrate that women who have taken a loan in cash or
in kind from any microcredit program had been associated with low level of current fertility [OR=0.83, p=0.000, CI
= (0.71,0.91)], increased level of contraceptive use [OR=1.18, p=0.000, CI = (1.10,1.27)] and less desire for
additional children [OR=0.70, p=0.000, CI = (0.63,0.78)]. We, thus recognise the importance of access and use of
financial services and its impact on a woman’s reproductive health. Therefore, we strongly recommend the
integration of the ongoing population and family planning programmes with other socio-economic and welfare
oriented programmes that will provide a holistic and multi-factoral approach to population stabilization and will
also address the ongoing sustainable development goals of no poverty (goal 1), good health and wellbeing (goal
3), gender equality (goal 5) and reduced inequality (goal 10).

652 Contraceptive influencers among currently married women in India, 2015-16

Anjali Bansal, Laxmi Kant Dwivedi

International Institute for Population Sciences, Mumbai, India