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New evidence on the impact of the quality of prenatal care on neonatal and infant mortality in India.

Authors
  • Upadhyay, Ashish Kumar1
  • Singh, Abhishek1
  • Srivastava, Swati1
  • 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
439–451
Identifiers
DOI: 10.1017/S0021932019000543
PMID: 31496456
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Evidence on the impact of the quality of prenatal care on childhood mortality is limited in developing countries, including India. Therefore, using nationally representative data from the latest round of the National Family Health Survey (2015-16), this study examined the impact of the quality of prenatal care on neonatal and infant mortality in India using a multivariable binary logistic regression model. The effect of the essential components of prenatal care services on neonatal and infant mortality were also investigated. The results indicate that improvement in the quality of prenatal care is associated with a decrease in neonatal (OR: 0.93, 95% CI: 0.91-0.97) and infant (OR: 0.94, 95% CI: 0.92-0.96) mortality in India. Tetanus toxoid vaccination, consumption of iron-folic acid tablets during pregnancy and having been weighed during pregnancy were statistically associated with a lower risk of neonatal and infant mortality. Educating women on pregnancy complications was also associated with a lower risk of neonatal mortality. No effect of blood pressure examination, blood test and examination of the abdomen during pregnancy were found on either of the two indicators of childhood mortality. Although the coverage of prenatal care has increased dramatically in India, the quality of prenatal care is still an area of concern. There is therefore a need to ensure high-quality prenatal care in India.

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