National improvements in quality of prenatal healthcare across states and territories in India from 2006 to 2021: a systematic analysis.
Aim: This study aimed to assess changes in India's prevalence of low birth weight (LBW) infants relating to the quality of prenatal healthcare, coverage of the Integrated Child Development Services Scheme (ICDS) and maternal factors from 2006 to 2021. Subject and methods: Data from India's demograph...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 33; no. 3; pp. 565 - 577 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Mar2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=184471958&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 184471958 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Mar2025 vid: 33 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 184471958 10.1007/s10389-023-02015-y ppf: 565 ppct: 12 formats: tig: atl: National improvements in quality of prenatal healthcare across states and territories in India from 2006 to 2021: a systematic analysis. aug: au: Lin, Kelly Chen, Ethan Taylor, Isobel Hunter, Steven Sun, Jing affil: https://ror.org/02sc3r913 School of Medicine and Dentistry, Griffith University, 4222, Gold Coast, Australia https://ror.org/02sc3r913 Institute for Integrated and Intelligent Systems, Griffith University, 4222, Gold Coast, Australia https://ror.org/02sc3r913 Menzies Health Institute Queensland, Griffith University, 4222, Gold Coast, Australia su: India Health services accessibility Medical quality control Malnutrition Teenage pregnancy Population geography Prenatal care Government programs Sociodemographic factors Medical care costs Anemia Maternal health services Body mass index Parasitic diseases Disease prevalence Chi-squared test Descriptive statistics Low birth weight Systematic reviews State health plans Quality assurance Resource-limited settings Birth weight sug: subj: Health services accessibility Medical quality control Malnutrition Teenage pregnancy Population geography Prenatal care Government programs Sociodemographic factors Medical care costs India Anemia Maternal health services Body mass index Parasitic diseases Disease prevalence Chi-squared test Descriptive statistics Low birth weight Systematic reviews State health plans Quality assurance Resource-limited settings Birth weight keyword: Adolescent pregnancies ICDS benefits Medical and Health Sciences Paediatrics and Reproductive Medicine Public Health and Health Services Pregnancy benefits Adolescent pregnancies ICDS benefits Medical and Health Sciences Paediatrics and Reproductive Medicine Public Health and Health Services Pregnancy benefits ab: Aim: This study aimed to assess changes in India's prevalence of low birth weight (LBW) infants relating to the quality of prenatal healthcare, coverage of the Integrated Child Development Services Scheme (ICDS) and maternal factors from 2006 to 2021. Subject and methods: Data from India's demographic health survey (DHS) were analysed at three times points – 2006, 2016 and 2021. States were classified as 'low healthcare spending and resource (HSR)' or 'high HSR'. Chi-square analysis was conducted to identify differences between quality of prenatal healthcare, coverage of pregnancy benefits, prevalence of LBW infants and changes in maternal factors across three time points and between low HSR and high HSR states. Factor analysis was subsequently used to devise a quality of pregnancy healthcare index, while multi-level analysis was conducted to identify the influence of quality of pregnancy healthcare on LBW and the influence of adolescent pregnancies on quality of prenatal healthcare at both individual and state levels. Results: A significant reduction in LBW infants was found from 2006 to 2021, while significant improvements in quality of prenatal healthcare, coverage of ICDS pregnancy benefits and maternal factors were identified. Significantly poorer quality of pregnancy health was consistently identified across low HSR states, with mothers reporting having received fewer aspects of standard and advanced prenatal care. Prevalence of adolescent (under 20 years) pregnancies remained above 30%, and adolescent pregnancies significantly predicted worse scores in quality of prenatal care. Conclusion: Significant disparity in quality of prenatal healthcare is still evident between low and high HSR states. Adolescent pregnancies also remain as a critical issue that needs to be addressed in India, predicting poor access to prenatal healthcare, yielding a lower score on standard and advanced prenatal care subscales. Further government and community-based efforts are required to bridge the gap in the accessibility and quality of prenatal care between low HSR and high states in India. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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