Has India's national rural health mission reduced inequities in maternal health services? A pre-post repeated cross-sectional study.

ABSTRACT:

Background

In 2005, India launched the National Rural Health Mission (NRHM) to strengthen the primary healthcare system. NRHM also aims to encourage pregnant women, particularly of low socioeconomic backgrounds, to use institutional maternal healthcare. We evaluated the impacts of NRHM on socioeconomic inequities in the uptake of institutional delivery and antenatal care (ANC) across high-focus (deprived) Indian states.

Methods

Data from District Level Household and Facility Surveys (DLHS) Rounds 1 (1995-99) and 2 (2000-04) from the pre-NRHM period, and Round 3 (2007-08), Round 4 and Annual Health Survey (2011-12) from post-NRHM period were used. Wealth-related and education-related relative indexes of inequality, and pre-post difference-in-differences models for wealth and

SUBMITTER: Vellakkal S 

PROVIDER: S-EPMC5886191 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature