Factors associated with underutilization of antenatal care in India: Results from 2019-2021 National Family Health Survey

Despite progress in recent years, full antenatal care utilization in India continues to be relatively low and inequitable, particularly between states and districts. In 2015-2016, for example, only 51% of women aged 15-49 in India attended antenatal care at least four times during pregnancy. Using d...

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Bibliographic Details
Published in:PloS one 2023-05, Vol.18 (5), p.e0285454-e0285454
Main Authors: Thakkar, Nandan, Alam, Prima, Saxena, Deepak
Format: Article
Language:English
Subjects:
Attended births
Birth order
Births
Childbirth & labor
Confidence intervals
Education
Evaluation
Female
Health care
Health care disparities
Health care reform
Health risks
Health services
Health Services Accessibility
Health Surveys
Households
Humans
India - epidemiology
Iterative methods
Maternal & child health
Maternal Health Services
Maternal mortality
Medical care
Medical personnel
Medicine and Health Sciences
Multivariate analysis
Parent educational background
Patient Acceptance of Health Care
People and Places
Poverty
Pregnancy
Pregnancy, Multiple
Prenatal Care
Regression analysis
Regression models
Research and Analysis Methods
Rural areas
Socioeconomic Factors
Statistical analysis
Surveys
Trends
Utilization
Variables
Womens health
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Summary:Despite progress in recent years, full antenatal care utilization in India continues to be relatively low and inequitable, particularly between states and districts. In 2015-2016, for example, only 51% of women aged 15-49 in India attended antenatal care at least four times during pregnancy. Using data from the fifth iteration of India's National Family Health Survey, our study aims to explore factors related to the underutilization of antenatal care in India. Data from the most recent live birth in the past five years among women aged 15-49 years were included in our analysis (n = 172,702). Our outcome variable was "adequate antenatal care visits", defined as four or more antenatal visits. Utilizing Andersen's behavioral model, 14 factors were identified as possible explanatory variables. We used univariate and multivariate binary logistic regression models to analyze the association between explanatory variables and adequate visits. Associations were considered statistically significant if p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0285454