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J Public Health (Oxf). 2013 Dec;35(4):598-606. doi: 10.1093/pubmed/fds108. Epub 2013 Jan 27.

Coverage gap in maternal and child health services in India: assessing trends and regional deprivation during 1992-2006.

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1
Department of Humanities & Social Sciences, Indian Institute of Technology (IIT) Roorkee, Roorkee 247667, Uttarakhand, India.

Abstract

BACKGROUND:

Increasing the coverage of key maternal, newborn and child health interventions is essential, if India has to attain Millennium Development Goals 4 and 5. This study assesses the coverage gap in maternal and child health services across states in India during 1992-2006 emphasizing the rural-urban disparities. Additionally, association between the coverage gap and under-5 mortality rate across states are illustrated.

METHODS:

The three waves of National Family Health Survey (NFHS) conducted during 1992-1993 (NFHS-1), 1998-1999 (NFHS-2) and 2005-2006 (NFHS-3) were used to construct a composite index of coverage gap in four areas of health-care interventions: family planning, maternal and newborn care, immunization and treatment of sick children.

RESULTS:

The central, eastern and northeastern regions of India reported a higher coverage gap in maternal and child health care services during 1992-2006, while the rural-urban difference in the coverage gap has increased in Gujarat, Haryana, Rajasthan and Kerala over the period. The analysis also shows a significant positive relationship between the coverage gap index and under-five mortality rate across states.

CONCLUSION:

Region or area-specific focus in order to increase the coverage of maternal and child health care services in India should be the priority of the policy-makers and programme executors.

KEYWORDS:

India; NFHS; coverage gap; maternal and child health care; public health

PMID:
23359666
DOI:
10.1093/pubmed/fds108
[Indexed for MEDLINE]
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