Praveen Kumar Pathak|Abhishek Singh|S. V. Subramanian
Economic Inequalities in Maternal Health Care: Prenatal Care and Skilled Birth Attendance in India, 1992–2006
International Institute for Population Sciences|International Institute for Population Sciences|Harvard University
use maternal health care limited india despite several programmatic efforts improvement since late 1980s use maternal health care typically patterned socioeconomic cultural contours however clear perspective socioeconomic differences time contributed towards use maternal health care indiausing data three rounds national family health survey nfhs conducted 19922006 analyse trends patterns utilization prenatal care pnc first trimester four antenatal care visits skilled birth attendance sba among poor nonpoor mothers disaggregated area residence india three contrasting provinces namely uttar pradesh maharashtra tamil nadu addition investigate relative contribution public private health facilities meeting demand sba especially among poor mothers also examine role salient socioeconomic demographic cultural factors influencing aforementioned outcomes bivariate analyses concentration curve concentration index logistic regression multinomial logistic regression models used understand trends patterns predictors two outcome variables results indicate sluggish progress utilization pnc sba india selected provinces 19922006 enormous inequalities utilization pnc sba observed largely disadvantage poor multivariate analysis suggests growing inequalities utilization two outcomes across different economic groupsthe use pnc sba remains disproportionately lower among poor mothers india irrespective area residence province despite several governmental efforts increase access coverage delivery services poor clear poor use sba b even sba likely use private providers