Abstract
BackgroundA number of studies have assessed the effectiveness of antenatal care (ANC) on uptake of institutional delivery care. However, none address the issue of association between the different components of ANC i.e. ANC component which is independent of health care delivery systems (timing and number of ANC visits), ANC components which depends on health care delivery systems (specific ANC procedures that women receive) with institutional delivery.MethodsData for the study has been taken from the DHS conducted in the six selected South and South-East Asian countries during 1998–2013. The two dimensions of ANC are the key predictors. The outcome variable is a binary variable, where zero '0' denotes a home delivery and one '1' denotes an institutional delivery. In addition to probit estimation biprobit estimation method has been used to correct for the possible endogeneity.FindingsAnalysis suggests that both the factors show a positive effect on institutional delivery but the level of associations are different. Probit estimation for each country suggests that the association is higher for the factor- which depends on health care delivery systems than the other factor. After correction of endogeneity through biprobit estimation we get the true associations for both the dimensions and it confirms that the ANC components which depends on health care delivery systems is more associated with the utilization of institutional delivery than the other factor.ConclusionsThe content of care may fulfill the women’s need and expectations while visiting for ANC care. The study suggests that the quality of antenatal care must be improved which depends on health care delivery systems to motivates the women to utilize the institutional delivery.
Highlights
The number of women who die each year from pregnancy-related complications and childbirth has declined from 532,000 in 1990 to 303,000 in 2015 [1]
The study suggests that the quality of antenatal care must be improved which depends on health care delivery systems to motivates the women to utilize the institutional delivery
The aim of this paper is to explore the uptake of antenatal care (ANC) care services during pregnancy, and its influence through the two specified dimensions to promote institutional delivery in the six selected South and South-East Asian countries
Summary
The number of women who die each year from pregnancy-related complications and childbirth has declined from 532,000 in 1990 to 303,000 in 2015 [1]. The developing countries have 14 times higher maternal mortality ratio as compared to the developed countries [2]. South Asia alone accounts for 66,000 maternal deaths a year, which is around 22% of the global total [1]. In South and South-East Asia women from poor household had higher levels of home deliveries compared to women in Sub-Saharan Africa [5]. A number of studies have assessed the effectiveness of antenatal care (ANC) on uptake of institutional delivery care. None address the issue of association between the different components of ANC i.e. ANC component which is independent of health care delivery systems (timing and number of ANC visits), ANC components which depends on health care delivery systems (specific ANC procedures that women receive) with institutional delivery
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