{"title":"Analysing Determinants of Institutional Delivery in NFHS-5: A Comprehensive Study in India with a Focus on Caste Dynamics","authors":"Subhajeet Singh Sardar, Mridul Mandal, Subhasis Bhattacharya","doi":"10.1177/09763996241236243","DOIUrl":null,"url":null,"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.","PeriodicalId":41791,"journal":{"name":"Millennial Asia","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Millennial Asia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/09763996241236243","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AREA STUDIES","Score":null,"Total":0}
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.
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.