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Geographic Inequities in Coverage of Maternal and Child health Services in Haryana State of India

  • Shankar PrinjaEmail author
  • Deepak Balasubramanian
  • Atul Sharma
  • Rakesh Gupta
  • Saroj Kumar Rana
  • Rajesh Kumar
Article
  • 22 Downloads

Abstract

Introduction India aims to achieve universal health coverage, with a focus on equitable delivery of services. There is significant evidence on extent of inequities by income status, gender and caste. In this paper, we report geographic inequities in coverage of reproductive, maternal and child health (MCH) services in Haryana state of India. Methods Cross-sectional data on utilization of maternal, child health and family planning services were collected from 12,191 women who had delivered a child in the last one year, 10314 women with 12–23 months old child, and 45864 eligible couples across all districts in Haryana state. Service coverage was assessed based on eight indicators − 6 for maternal health, one for child health and one for family planning. Inter- and intra-district inequalities were compared based on four and three indicators respectively. Results Difference in coverage of full ante-natal care, full immunization and contraceptive prevalence rate between districts performing best and worst was found to be 54%, 65% and 63% respectively. More than one-thirds of the sub-centres (SCs) in Panchkula, Ambala, Gurgaon and Mewat districts had their ante-natal care coverage less than 50% of the respective district average. Similarly, a significant proportion of SCs in Mewat, Panipat and Hisar districts had full immunization rate below 50% of the district average. Conclusion Widespread inter- and intra-district inequities in utilization of MCH services exist. A comprehensive geographical targeting to identify poor performing districts, community development blocks and SCs could result in significant equity gains, besides contributing to quick achievement of sustainable development goals.

Keywords

Maternal and child health Family planning Healthcare services coverage Geographic inequities Inter-district inequities Intra-district inequities 

Notes

Funding

The study was funded by the National Rural Health Mission, Department of Health and Family Welfare, Government of Haryana. The funding agency had no role in the study design, collection of data, analysis or report writing.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

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Supplementary material 1 (PDF 23 KB)
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Supplementary material 2 (PDF 95 KB)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Shankar Prinja
    • 1
    Email author
  • Deepak Balasubramanian
    • 1
  • Atul Sharma
    • 1
  • Rakesh Gupta
    • 2
  • Saroj Kumar Rana
    • 1
  • Rajesh Kumar
    • 1
  1. 1.School of Public HealthPost Graduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.Department of Health and Family WelfareNational Rural Health MissionPanchkulaIndia

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