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Background: Maternal deaths among young women (15-24 years) shares 38% of total maternal mortality in India. Utilizing maternal health care services can reduce a substantial proportion of maternal mortality. However, there is a paucity of studies focusing on young women in this context. This paper therefore aimed to examine the trends and determinants of full antenatal care (ANC) and skilled birth attendance (SBA) utilization among young married women in India.
Methods: The study analysed data from the four rounds of National Family Health Surveys conducted in India during the years 1992–93, 1998–99, 2005–06 and 2015–16. Young married women aged 15-24 years with at least one live birth in the three years preceding the survey were considered for analysis in each survey round. We used descriptive statistics to assess the prevalence and trends in full ANC and SBA use. Pooled multivariate logistic regression was conducted to identify the demographic and socioeconomic determinants of the selected maternity care services.
Results: The use of full ANC among young mothers increased from 27% to 46% in India, and from 9% to 28% in EAG (Empowered Action Group) states during 1992-2016. SBA utilization was 88% and 83% during 2015-16 by showing an increment of 20% and 50% since 1992 in India and EAG states, respectively. Findings from multivariate analysis revealed significant difference in the use of selected maternal health care services by maternal age, residence, education, birth order and wealth quintile. Additionally, Muslim women, women belonging to scheduled caste (SC)/ scheduled tribe (ST) social group, and women unexposed to mass media were less likely to utilize both the maternal health care services. Concerning the time effect, the odds of the utilization of full ANC and SBA among young women was found to increase over time.
Conclusions: Utilization of full ANC remained unacceptably low, specifically in EAG states. Programmatic interventions, targeting women residing in EAG states, adolescents, illiterate, poor and Muslim and SC/ST women would help to increase full ANC utilization and to maintain the increasing trend of SBA use.
Keywords
Maternal health care, antenatal care, skilled birth attendance, young women, India, NFHS, pooled data
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CURRENT STATUS: Published
View the published article at BMC Pregnancy and Childbirth.
No community comments so far
Editorial decision: Revise before sending to peer reviewers
On 11 Jan, 2021
Editor assigned
On 29 Dec, 2020
Editor invited
On 29 Dec, 2020
Submission checks complete
On 22 Jul, 2020
Version 2
Posted 12 Nov, 2020
No comments provided
Editorial decision: Major revision
On 19 Dec, 2020
Review #3 received
Received 16 Dec, 2020
Reviewer #3 agreed
On 11 Dec, 2020
Reviewer #2 agreed
On 03 Dec, 2020
Review #2 received
Received 03 Dec, 2020
Review #1 received
Received 02 Dec, 2020
Reviewer #1 agreed
On 17 Nov, 2020
Reviewers invited
Invitations sent on 13 Nov, 2020
Editor assigned
On 07 Nov, 2020
Editor invited
On 07 Nov, 2020
Submission checks complete
On 22 Jul, 2020
No comments provided
Reviewer #3 agreed
On 09 Oct, 2020
Review #3 received
Received 09 Oct, 2020
Editorial decision: Major revision
On 09 Oct, 2020
Review #1 received
Received 06 Oct, 2020
Review #2 received
Received 29 Sep, 2020
Reviewer #2 agreed
On 17 Sep, 2020
Reviewer #1 agreed
On 14 Sep, 2020
Editor assigned
On 14 Aug, 2020
Reviewers invited
Invitations sent on 14 Aug, 2020
Editor invited
On 07 Aug, 2020
Submission checks complete
On 23 Jul, 2020
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Subject Areas
Maternal & Fetal Medicine
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A new preprint design is coming!
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See the published version of this preprint at BMC Pregnancy and Childbirth.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Pregnancy and Childbirth.
No community comments so far
Editorial decision: Revise before sending to peer reviewers
On 11 Jan, 2021
Editor assigned
On 29 Dec, 2020
Editor invited
On 29 Dec, 2020
Submission checks complete
On 22 Jul, 2020
Version 2
Posted 12 Nov, 2020
No comments provided
Editorial decision: Major revision
On 19 Dec, 2020
Review #3 received
Received 16 Dec, 2020
Reviewer #3 agreed
On 11 Dec, 2020
Reviewer #2 agreed
On 03 Dec, 2020
Review #2 received
Received 03 Dec, 2020
Review #1 received
Received 02 Dec, 2020
Reviewer #1 agreed
On 17 Nov, 2020
Reviewers invited
Invitations sent on 13 Nov, 2020
Editor assigned
On 07 Nov, 2020
Editor invited
On 07 Nov, 2020
Submission checks complete
On 22 Jul, 2020
No comments provided
Reviewer #3 agreed
On 09 Oct, 2020
Review #3 received
Received 09 Oct, 2020
Editorial decision: Major revision
On 09 Oct, 2020
Review #1 received
Received 06 Oct, 2020
Review #2 received
Received 29 Sep, 2020
Reviewer #2 agreed
On 17 Sep, 2020
Reviewer #1 agreed
On 14 Sep, 2020
Editor assigned
On 14 Aug, 2020
Reviewers invited
Invitations sent on 14 Aug, 2020
Editor invited
On 07 Aug, 2020
Submission checks complete
On 23 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Maternal & Fetal Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Pregnancy and Childbirth.
Background: Maternal deaths among young women (15-24 years) shares 38% of total maternal mortality in India. Utilizing maternal health care services can reduce a substantial proportion of maternal mortality. However, there is a paucity of studies focusing on young women in this context. This paper therefore aimed to examine the trends and determinants of full antenatal care (ANC) and skilled birth attendance (SBA) utilization among young married women in India.
Methods: The study analysed data from the four rounds of National Family Health Surveys conducted in India during the years 1992–93, 1998–99, 2005–06 and 2015–16. Young married women aged 15-24 years with at least one live birth in the three years preceding the survey were considered for analysis in each survey round. We used descriptive statistics to assess the prevalence and trends in full ANC and SBA use. Pooled multivariate logistic regression was conducted to identify the demographic and socioeconomic determinants of the selected maternity care services.
Results: The use of full ANC among young mothers increased from 27% to 46% in India, and from 9% to 28% in EAG (Empowered Action Group) states during 1992-2016. SBA utilization was 88% and 83% during 2015-16 by showing an increment of 20% and 50% since 1992 in India and EAG states, respectively. Findings from multivariate analysis revealed significant difference in the use of selected maternal health care services by maternal age, residence, education, birth order and wealth quintile. Additionally, Muslim women, women belonging to scheduled caste (SC)/ scheduled tribe (ST) social group, and women unexposed to mass media were less likely to utilize both the maternal health care services. Concerning the time effect, the odds of the utilization of full ANC and SBA among young women was found to increase over time.
Conclusions: Utilization of full ANC remained unacceptably low, specifically in EAG states. Programmatic interventions, targeting women residing in EAG states, adolescents, illiterate, poor and Muslim and SC/ST women would help to increase full ANC utilization and to maintain the increasing trend of SBA use.
Figure 1
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