Abhishek Singh|Chitresh Kumar|R. K.|Laxman Singh
Factors associated with maternal healthcare services utilization in nine high focus states in India: a multilevel analysis based on 14 385 communities in 292 districts
Tata Institute of Social Sciences|International Institute for Population Sciences|Indian Institute of Technology Roorkee|Tata Institute of Social Sciences|International Institute for Population Sciences|Indian Institute of Technology Roorkee|Indian Institute of Technology Roorkee|Tata Institute of Social Sciences|International Institute for Population Sciences|Tata Institute of Social Sciences|International Institute for Population Sciences|Indian Institute of Technology Roorkee
studies often ignored examining role community districtlevel factors utilization maternity healthcare services particularly indian contexts social determinants health framework emphasizes role governance government policies measures rarely incorporated singlelevel individual analysis study examines factors associated maternal healthcare utilization nine high focus states india shares half total maternal deaths country accounting individual household community districtlevel characteristicsthe required data extracted third round nationally representative district level household facility survey conducted 200708 multilevel analyses applied three maternity outcomes namely four antenatal care visits skilled birth attendance postnatal care birthresults show along individualhouseholdlevel factors community districtlevel factors influence pattern utilization maternal healthcare services significantly community level odds maternal healthcare utilization lower rural areas communities high concentration poor illiterate women moreover average population coverage primary health centres phcs availability labour room phc percentage registered pregnancies significant factors district level influenced use maternity care services study also found strong association extent previous use maternal healthcare effect subsequent usage patternsthis study highlights role strengthening public health infrastructure district level study area promoting awareness available healthcare services subsidized schemes community reach rural underprivileged communities apply participatory approach programme officials issues delve