Factors determining institutional delivery in rural India

• Main Author: Manas Pratim Roy
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Medical Journal of Dr. D.Y. Patil Vidyapeeth
• Subjects: antenatal visit; india; institutional delivery; national family health survey
• Online Access: http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2020;volume=13;issue=1;spage=53;epage=56;aulast=Roy

Introduction: For reducing maternal deaths, institutional delivery (ID) is a recognized strategy. India has introduced a combination of performance-based incentive and conditional transfer under Janani Suraksha Yojana to boost ID. The present study aims to find out factors deciding ID in rural India. Methods: Data were from nationally representative National Family Health Survey 4 (2015–2016). States were compared individually and in groups. Correlation was used for analysis. Results: Number of antenatal care visits (r = 0.807), early registration (r = 0.820), and consumption of 100 or more iron-folic acid tablets (r = 0.765) were significantly related to ID. Northeast states performed poorly, Nagaland being the worst performer (24% ID). Conclusion: Strategy for encouraging ID should focus around components of antenatal checkup, particularly in Northeast states.