Sanjeev Sridharan|Arnab Dey|Aparna Seth|Dharmendra Chandurkar|Kultar Singh|Katherine Hay|Rachael Gibson
Towards an understanding of the multilevel factors associated with maternal health care utilization in Uttar Pradesh, India
St. Michael's Hospital|University of Toronto|Sambodhi Research and Communications|Sambodhi Research and Communications|Sambodhi Research and Communications|Sambodhi Research and Communications|St. Michael's Hospital|University of Toronto
paper explores multilevel factors associated maternal health utilization indias populous state uttar pradesh 3 key utilization practices registration pregnancy receipt antenatal care delivery home examined district individual level predictors data based 5666 household surveys conducted part baseline evaluation uttar pradesh technical support unit uptsu programthis intervention aims assist government uttar pradesh increasing efficiency effectiveness equity service delivery across continuum reproductive maternal newborn child adolescent health rmncha outcomesthe paper employs multilevel models control individuals nested within districts order understand predictors maternal health care utilizationthe study identifies several individuallevel predictors health care utilization including literacy woman husbands schooling age marriage socioeconomic factors key predictors pregnancy registration include husbands schooling 149 95 ci 126176 bank account 136 95 ci 111168 owning house 228 95 ci 185280 factors affecting antenatal care include womans literacy 149 95 ci 128173 respondent job last year 139 95 ci 110177 owning house 283 95 ci 227353 home delivery tends associated womans literacy 062 95 ci 054072 marriage age 15 younger 148 95 ci 126173interventions equity considerations need disrupt existing patterns health gradient successful implementation interventions necessitate understanding mechanisms disrupt unequal utilization patterns target domains disadvantage knowledge key predictors utilization aid implementation complex interventions