Abstract
BackgroundThe post national health mission era has been recognized for India’s accelerating improvement in maternal health care utilization. Concurrent investigations with the purview of examining inequalities in maternal care utilisation have rigorously examined across various socio-economic groups, focusing on Muslim women. The present study examined socio-economic differentials in maternal health care utilisation among Muslims and the delineated factors which are contributing for these inequalities.MethodsStudy used the data from National Family Health Survey (NFHS) conducted in 2005-06 and 2015-16. the present study applied concentration index and Wagstaff-type decomposition analysis to measure and decompose the inequality in maternal health services.ResultsThis study found that utilisation of full antenatal care (full ANC), skilled attendants at birth (SBAs) and postnatal care was increased during 2005-06 to 2015-16. However, the least improvement was observed in full antenatal care whereas substantial improvement was achieved in utilising skilled attendants at birth. Further, the poor and non-poor gap in maternal health care utilisation mostly prevailed among the educated, urban resident, other backward castes among Muslims. The inequality has been declined largely in SBA utilisation compared to full ANC and PNC, especially in the southern India. Higher education, mass media exposure, higher birth order and urban residence contribute and explain most of these inequalities in maternal care among Muslim womenConclusionsDespite the fact that free and cash benefitted health programmes, wealth, mass media exposure and education etc welfare programs benefitted a large number of citizens, it also produced most of the inequalities among Muslims in India. The results focus on the significance of wealth, education, and mass media exposure in bridging the socioeconomic gap in maternal health care utilization among Muslims.
Highlights
The post national health mission era has been recognized for India’s accelerating improvement in maternal health care utilization
Despite the fact that free and cash benefitted health programmes, wealth, mass media exposure and education etc welfare programs benefitted a large number of citizens, it produced most of the inequalities among Muslims in India
The results focus on the significance of wealth, education, and mass media exposure in bridging the socioeconomic gap in maternal health care utilization among Muslims
Summary
The post national health mission era has been recognized for India’s accelerating improvement in maternal health care utilization. The present study examined socio-economic differentials in maternal health care utilisation among Muslims and the delineated factors which are contributing for these inequalities. Target 3.1 of the Sustainable Development Goals (SDGs) asks for the global maternal mortality ratio (MMR) to be reduced to less than 70 per 100,000 by 2030, with no nation having an MMR greater than 140 per 100,000 [3]. The global maternal mortality ratio (MMR) fell by 44% between 1990 and 2015, from 385 to 216 maternal deaths per 100,000 live births [3] Notwithstanding this achievement, the globe fell well short of the Millennium Development Goals aim of reducing global MMR by 75% by 2015 [2, 3].
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