Analysing Determinants of Institutional Delivery in NFHS-5: A Comprehensive Study in India with a Focus on Caste Dynamics

IF 1.3 Q1 AREA STUDIES

Millennial Asia Pub Date : 2024-04-29 DOI:10.1177/09763996241236243

Subhajeet Singh Sardar, Mridul Mandal, Subhasis Bhattacharya

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引用次数: 0

Abstract

The benefit of institutional delivery not only impacts maternal health but also reduces newborn mortality and increases overall well-being. This study focused on differences in the determinants of delivering at institution settings in India, with specific importance given to mothers within different caste groups. This is one area that was given less importance in the existing literature, particularly in studies that focused on the determinants of institutional delivery in India. Using data from the National Family Health Survey 5 (NFHS-5), the research explores factors influencing the choice between institutional and non-institutional delivery. Using logistic regression, and after removing influential and large residual observations (outliers), the analysis reveals that sociocultural determinants, including caste, religion, economic status and maternal education, significantly impact delivery preferences. Mothers from Scheduled Castes and Other Caste categories exhibit a higher likelihood of opting for institutional delivery. Economic factors, partner support, family size, maternal education, health-seeking behaviours, age, perceived distance to health facilities and media engagement also play crucial roles. Comparative analyses across caste groups emphasize the influence of wealth and education on institutional delivery choices. The findings underscore the need for having targeted interventions addressing diverse sociocultural contexts to improve maternal healthcare outcomes and reduce health disparities in India. Efforts should focus on awareness campaigns and overcoming challenges to promote the benefits of institutional delivery.

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分析 NFHS-5 中机构服务提供的决定因素：以种姓动态为重点的印度综合研究

住院分娩的好处不仅影响产妇健康，还能降低新生儿死亡率，提高整体福利。本研究重点关注印度住院分娩决定因素的差异，尤其重视不同种姓群体中母亲的情况。在现有文献中，尤其是在关注印度住院分娩决定因素的研究中，对这一领域的重视程度较低。本研究利用第五次全国家庭健康调查（NFHS-5）的数据，探讨了影响产妇选择住院分娩还是非住院分娩的因素。利用逻辑回归法，在剔除有影响的和大的残差观测值（异常值）后，分析结果显示，社会文化决定因素，包括种姓、宗教、经济状况和产妇教育，对分娩偏好有显著影响。在册种姓和其他种姓的母亲选择住院分娩的可能性更高。经济因素、伴侣支持、家庭规模、孕产妇教育、寻求健康的行为、年龄、对医疗机构距离的感知以及媒体参与也起着至关重要的作用。对不同种姓群体的比较分析强调了财富和教育对选择住院分娩的影响。研究结果突出表明，有必要针对不同的社会文化背景采取有针对性的干预措施，以改善印度孕产妇的医疗保健结果并缩小健康差距。工作重点应放在提高认识运动和克服挑战上，以宣传住院分娩的好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Millennial Asia AREA STUDIES-

CiteScore

4.50

自引率

12.50%

发文量

期刊介绍： Millennial Asia: An International Journal of Asian Studies is a multidisciplinary, refereed biannual journal of the Association of Asia Scholars (AAS)–an association of the alumni of the Asian Scholarship Foundation (ASF). It aims to encourage multifaceted, multidisciplinary and interdisciplinary research on Asia, in order to understand its fast changing context as a growth pole of global economy. By providing a forum for Asian scholars situated globally, it promotes dialogue between the global academic community, civil society and policy makers on Asian issues. The journal examines Asia on a regional and comparative basis, emphasizing patterns and tendencies that go beyond national borders and are globally relevant. Modern and contemporary Asia has witnessed dynamic transformations in cultures, societies, economies and political institutions, among others. It confronts issues of collective identity formation, ecological crisis, rapid economic change and resurgence of religion and communal identifies while embracing globalization. An analysis of past experiences can help produce a deeper understanding of contemporary change. In particular, the journal is interested in locating contemporary changes within a historical perspective, through the use of interdisciplinary and multidisciplinary approaches. This way, it hopes to promote comparative studies involving Asia’s various regions. The journal brings out both thematic and general issues and the thrust areas are: Asian integration, Asian economies, sociology, culture, politics, governance, security, development issues, arts and literature and any other such issue as the editorial board may deem fit. The core fields include development encompassing agriculture, industry, regional trade, social sectors like health and education and development policy across the region and in specific countries in a comparative perspective.