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ISMSCON - 2021


              OS24: THE INFLUENCE OF  WOMEN  AUTONOMY  AND
              DIFFERENT SOCIO-DEMOGRAPHIC FACTORS ON THE
              UTILIZATION OF SERVICES DURING DELIVERY IN THE RURAL

              INDIA: EVIDENCE FROM NFHS-4, INDIA

                                              T. B. Singh, Divyanshu Srivastav
                            Centre of Bio-Statistics, Institute of Medical Sciences, Banaras Hindu University.
                                                 Email: diivyanshuu@gmail.com


             Keywords: Women’s autonomy, Institutional delivery, Post Natal Care.
             Abstract

             Maternal health revolves around the health and wellness of women, particularly when they are pregnant,
             at the time they give birth, and during child-raising. Maternal healthcare services- Institutional delivery &
             PNC care.
             Objective:

             The present study aims to examine the association between women’s decision-making autonomy and
             utilization of services during delivery among the currently married women in rural India.

             Methodology:
             Descriptive statistics were carried out to understand the distribution of the samples. Bivariate percentage
             distribution was estimated to assess the prevalence of maternal healthcare services by the independent
             variables, and the differences were later tested by Pearson’s chi-square statistic.  Binary logistic regression
             analysis was done to examine the crude and adjusted association between women’s autonomy and
             utilization of services during delivery among the currently married women in rural India. The regression
             results were presented by the relative risk (RR) with 95% confidence interval calculated for significant
             risk factors.
             Result:

             This study shows the percentage of institutional delivery of  low,  medium and high decision making
             autonomy is 74%, 75% and 77% respectively. As regards PNC check-ups  this percentage  is 59%,
             67% and 68% respectively. In institutional delivery, women with high autonomy had 5% while medium
             autonomy had 11% more risk than the women with low autonomy. While for PNC care, women with high
             autonomy had 24% and medium autonomy had 22% more risk than women with low autonomy.
             Conclusion and Recommendation:

             The result of this study indicates that Institutional delivery and PNC care both are significant with respect
             to decision making autonomy. Women having institutional delivery going for PNC check-ups is low in
             every decision-making autonomy group. WHO and government recommended institutional delivery and
             PNC check-ups in rural region of INDIA is low, ideally it should have been 100%.

















             CONFERENCE SOUVENIR                                                                               59
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