Chauhan Bal Govind, Verma Raj Kumar, Alagarajan Manoj, Chauhan Satish Kumar
Population Research Centre, Gokhale Institute of Politics and Economics, Pune, India.
Population Council, New Delhi, India.
Community Health Equity Res Policy. 2022 Oct;43(1):31-43. doi: 10.1177/0272684X211004925. Epub 2021 Mar 20.
This paper examines the effect of maternal healthcare utilization on early neonatal, neonatal and post-neonatal mortality in India using the recent round of National Family Health Survey (NFHS-4) data. At the national level, for the last live birth of women during the five year preceding the survey, the early neonatal mortality rate was about 16, neonatal mortality rate was 19 and post-neonatal mortality was 7 per thousand live births. Also, only one-fifth of women who had a birth in the past five years received full antenatal care (ANC), 83 percent women received safe delivery and 65 percent women received post-natal care. Findings of the study indicate that full ANC and postnatal care were significantly associated with early neonatal and neonatal mortality. However, no significant association between safe delivery and newborn mortality were found after adjusting the socio-economic and demographic characteristics. Therefore, for a policy point of view, there is a dire need to strengthen supply dependent factors regarding public awareness, accessibility, and affordability of maternal and child healthcare services. It is also necessary to focus on increasing utilization along with continuum of care of maternal and child healthcare services to sustain the reduction in mortality during infancy.
本文利用最新一轮的全国家庭健康调查（NFHS - 4）数据，研究了印度孕产妇医疗保健利用情况对早期新生儿、新生儿及新生儿后期死亡率的影响。在国家层面，对于调查前五年内妇女的最后一次活产，早期新生儿死亡率约为每千例活产16例，新生儿死亡率为19例，新生儿后期死亡率为7例。此外，在过去五年内生育的妇女中，只有五分之一的人接受了全程产前护理（ANC），83%的妇女接受了安全分娩，65%的妇女接受了产后护理。该研究结果表明，全程产前护理和产后护理与早期新生儿及新生儿死亡率显著相关。然而，在调整社会经济和人口特征后，未发现安全分娩与新生儿死亡率之间存在显著关联。因此，从政策角度来看，迫切需要加强与公众意识、孕产妇和儿童医疗保健服务的可及性及可负担性相关的供应依赖因素。还必须注重提高孕产妇和儿童医疗保健服务的利用率以及持续护理，以维持婴儿期死亡率的降低。
