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Abortion care seeking in India: patterns and predictors.

Authors
  • Sharma, Palak1
  • Pradhan, Manas Ranjan1
  • 1 International Institute for Population Sciences, Mumbai, India. , (India)
Type
Published Article
Journal
Journal of Biosocial Science
Publisher
Cambridge University Press
Publication Date
May 01, 2020
Volume
52
Issue
3
Pages
353–365
Identifiers
DOI: 10.1017/S002193201900049X
PMID: 31500676
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Unsafe abortions remain a considerable public health problem and continue to be a leading cause of maternal morbidity and mortality throughout the world. This study assessed whether women's choice of type of health care facility for abortion in India varied by their socio-demographic and economic characteristics, and aimed to determine the significant predictors of choice of health care facility. Data were taken from the 2015-16 Indian National Family and Health Survey (NFHS-4). The study sample included women aged 15-49 years, irrespective of their marital status, who had terminated their last pregnancy by induced abortion in the five years before the survey (N = 6876). A bivariate analysis was carried out to assess the pattern in the choice of health care facility type for an abortion, and a multinomial logistic regression model was fitted to assess the predictors affecting the choice of health care facility type for an abortion. The results showed that, at the time of the 2015-16 survey, women in India went to private facilities more than public facilities for abortion care, irrespective of their age, distance to facility and financial constraints. The probability of visiting a private facility increased with women's age, gestational age and the wealth quintile. A wide variation in choice of health facility for abortion care by socioeconomic characteristics was observed.

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