[논문]Has India’s national rural health mission reduced inequities in maternal health services? A pre-post repeated cross-sectional study

Vellakkal, Sukumar; Gupta, Adyya; Khan, Zaky; Stuckler, David; Reeves, Aaron; Ebrahim, Shah; Bowling, Ann; Doyle, Pat

doi:10.1093/heapol/czw100

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

Health policy and planning, v.32 no.1, 2017년, pp.79 - 90

Vellakkal, Sukumar (Center for Chronic Diseases and Injuries, Public Health Foundation of India, Gurgaon, Haryana, Postal code 122002, India) , Gupta, Adyya (Center for Chronic Diseases and Injuries, Public Health Foundation of India, Gurgaon, Haryana, Postal code 122002, India) , Khan, Zaky (Center for Chronic Diseases and Injuries, Public Health Foundation of India, Gurgaon, Haryana, Postal code 122002, India) , Stuckler, David (Department of Sociology, University of Oxford, Oxford, OX1 3UQ, United Kingdom) , Reeves, Aaron (Department of Sociology, University of Oxford, Oxford, OX1 3UQ, United Kingdom) , Ebrahim, Shah (Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine 15-17 Tavistock place, London, WC1H 9SH, United Kingdom) , Bowling, Ann (Department of Health Sciences, University of Southampton, Southampton, SO17 1BJ, United Kingdom) , Doyle, Pat (Department of Health Sciences, University of Southampton, Southampton, SO17 1BJ, United Kingdom)

Abstract ▼ AI-Helper

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 education tertiles, adjusted for maternal age, rural-urban, caste, parity and state-level fixed effects, were estimated.Results: Inequities in institutional delivery declined between pre-NRHM Period 1 (1995–99) and pre-NRHM Period 2 (2000–04), but thereafter demonstrated steeper decline in post-NRHM periods. Uptake of institutional delivery increased among all socioeconomic groups, with (1) greater effects among the lowest and middle wealth and education tertiles than highest tertile, and (2) larger equity impacts in the late post-NRHM period 2011–12 than in the early post-NRHM period 2007–08. No positive impact on the uptake of ANC was found in the early post-NRHM period 2007–08; however, there was considerable increase in the uptake of, and decline in inequity, in uptake of ANC in most states in the late post-NRHM period 2011–12.Conclusion: In high-focus states, NRHM resulted in increased uptake of maternal healthcare, and decline in its socioeconomic inequity. Our study suggests that public health programs in developing country settings will have larger equity impacts after its almost full implementation and widest outreach. Targeting deprived populations and designing public health programs by linking maternal and child healthcare components are critical for universal access to healthcare.

주제어

참고문헌 (55)

Attanasio O Gómez LC Heredia P Vera-Hernandez M. 2005 The short-term impact of a conditional cash subsidy on child health and nutrition in Colombia . Report Summary: Familias 3 .
Barros AJ Hirakata VN. 2003 Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio . BMC Medical Research Methodology 3 : 21. 14567763
Carvalho N Thacker N Gupta SS Salomon JA 2014 More evidence on the impact of India's conditional cash transfer program, Janani Suraksha Yojana: quasi-experimental evaluation of the effects on childhood immunization and other reproductive and child health outcomes . PloS One 9 : e109311. 25303078
Ernstsen L Strand BH Nilsen SM , 2012 Trends in absolute and relative educational inequalities in four modifiable ischaemic heart disease risk factors: repeated cross-sectional surveys from the Nord–Trøndelag Health Study (HUNT) 1984–2008 . BMC Public Health 12 : 266. 22471945
Filmer D Pritchett LH. 2001 Estimating wealth effects without expenditure dataâ€”Or tears: An application to educational enrollments in states of India . Demography 38 : 115 – 32 . 11227840
Gertler P. 2000 Final Report: The Impact of Progesa on Health . Washington, DC : International Food Policy Research Institute .
Gopalan SS Varatharajan D. 2012 Addressing maternal healthcare through demand side financial incentives: experience of Janani Suraksha Yojana program in India . BMC Health Services Research 12 : 319. 22978630
Government of Chhattisgarh . 2009 Notification of JSY Guidelines, dated 14/07/2009.
Government of India . 2014a. Janai Surksha Yojana, National Health Mission, Ministry of Health and Family Welfare, Government of India. http://nrhm.gov.in/nrhm-components/rmnch-a/maternal-health/janani-suraksha-yojana/background.html .
Government of India . 2014b. National Health Mission, Ministry of Health & Family Welfare, New Delhi. Available from: http://nrhm.gov.in/nhm/about-nhm.html .
Government of India . 2016 National Rural Health Mission: Meeting People’s Health Needs in Rural Areas, Framework for Implementation 2005-2012, Ministry Of Health And Family Welfare, New Delhi. Accessed on 14th January 2016. http://nrhm.gov.in/images/pdf/about-nrhm/nrhm-framework -implementation/nrhm-fra mework-latest.pdf .
Guanais FC. 2013 The combined effects of the expansion of primary health care and conditional cash transfers on infant mortality in Brazil, 1998-2010 . American Journal of Public Health 103 : 2000 – 6 . 24028257

상세보기
Guin G Sahu B Khare S 2012 Trends in maternal mortality and impact of Janani Suraksha Yojana (JSY) on maternal mortality ratio in a tertiary referral hospital . The Journal of Obstetrics and Gynecology of India 62 : 307 – 11 . 23730035

상세보기
Gulliford M Figueroa-Munoz J Morgan M , 2002 What does 'access to health care' mean? The Journal of Health Services Research & Policy 7 : 186 – 8 . 12171751

상세보기
Gupta SK Pal DK Tiwari R , 2012 Impact of Janani Suraksha Yojana on institutional delivery rate and maternal morbidity and mortality: an observational study in India . Journal of Health, Population, and Nutrition 30 : 464.
Harper S, Lynch J. 2006 In: Oakes J Kaufman JS (ed). Measuring Inequalities in Health. In Methods in Social Epidemiology . San Francisco : Jossey-Bass .
International Institute for Population Sciences (IIPS) and Macro International . 2007 National Family Health Survey (NFHS-3), 2005–06: India : Vol. I Mumbai : IIPS .
International Institute for Population Sciences (IIPS) and Macro International (IIPS) . 2010 Report on the District Level Household and Facility Survey Round-3, 2007–08: India. Mumbai .
Joe W. 2014 Intersectional inequalities in immunization in India, 1992–93 to 2005–06: a progress assessment . Health Policy and Planning . 30 : 407 – 22 . 24740707
Joshi R. 2009 . Perinatal and Neonatal Mortality in Rural Punjab A Community Based Case-Control Study. Working Papers/eSocialSciences.
Khang YH Yun SC Lynch JW. 2008 Monitoring trends in socioeconomic health inequalities: it matters how you measure . BMC Public Health 8 : 66. 18284701
Kunst AE Mackenbach JP. 1990 Measuring socioeconomic inequalities in health , in Measuring socioeconomic inequalities in health . Geneva : World Health Organization .
Lagarde M Haines A Palmer N. 2009 The impact of conditional cash transfers on health outcomes and use of health services in low and middle income countries . The Cochrane Database of Systematic Reviews 4 : CD008137 .
Lahariya C. 2009 Cash incentives for institutional delivery: linking with antenatal and post natal care may ensure ‘continuum of care’ in India . Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine 34 : 15. 19876449
Langlois ÉV Miszkurka M Ziegler D Karp I Zunzunegui MV 2013 Protocol for a systematic review on inequalities in postnatal care services utilization in low-and middle-income countries . Systematic Reviews 2 : 1 – 8 . 23295105
Lim SS Dandona L Hoisington JA , 2010 India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation . The Lancet 375 : 2009 – 23 .
Maluccio J Flores R. 2005 Impact Evaluation of a Conditional Cash Transfer Program: The Nicaraguan Red de ProtecciÃ³n Social . Nicaragua : International Food Policy Research Institute .
Martines J Paul VK Bhutta ZA , 2005 Neonatal survival: a call for action . The Lancet 365 : 1189 – 97 .
Mazumdar S Mills A Powell-Jackson T. 2012 . Financial incentives in health: New evidence from India's Janani Suraksha Yojana.
Modugu HR Kumar M Kumar A Millett C 2013 State and socio-demographic group variation in out-of-pocket expenditure, borrowings and Janani Suraksha Yojana (JSY) programme use for birth deliveries in India . BMC Public Health 12 : 1048.
Morris SS Olinto P Flores R Nilson EA Figueiró AC 2004 Conditional cash transfers are associated with a small reduction in the rate of weight gain of preschool children in northeast Brazil . The Journal of Nutrition 134 : 2336 – 41 . 15333725

상세보기
Pallikadavath S Foss M Stones RW. 2004 Antenatal care: provision and inequality in rural north India . Social Science & Medicine 59 : 1147 – 58 . 15210087

상세보기
Panja TK Mukhopadhyay DK Sinha N , 2012 Are institutional deliveries promoted by Janani Suraksha Yojana in a district of West Bengal, India? Indian Journal of Public Health 56 : 69 – 72 . 22684178

상세보기
Pathak PK Singh A Subramanian S. 2010 Economic inequalities in maternal health care: prenatal care and skilled birth attendance in India, 1992–2006 . PLoS One 5 : e13593. 21048964
Planning Commission of India . 2001 Evaluation Study of National Rural Health Mission (NRHM) In 7 States. Programme Evaluation Organisation, Government of India, New Delhi .
Planning Commission . 2011 High Level Expert Group Report on Universal Health Coverage for India, New Delhi .
Randive B Diwan V De Costa A. 2013 India’s conditional cash transfer programme (the JSY) to promote institutional birth: is there an association between institutional birth proportion and maternal mortality? PLoS One 8 : e67452. 23826302
Randive B San Sebastian M De Costa A Lindholm L 2014 Inequalities in institutional delivery uptake and maternal mortality reduction in the context of cash incentive program, Janani Suraksha Yojana: results from nine states in India . Social Science & Medicine 1 – 6 .
Reeves A Gourtsoyannis Y Basu S , 2015 Financing universal health coverage–effects of alternative tax structures on public health systems: cross-national modelling in 89 low-income and middle-income countries . Lancet 386 : 274 – 80 . 25982041
Rivera JA Sotres-Alvarez D Habicht JP Shamah T Villalpando S 2004 Impact of the Mexican program for education, health, and nutrition (Progresa) on rates of growth and anemia in infants and young children: a randomized effectiveness study . JAMA 291 : 2563 – 70 . 15173147

상세보기
Sanneving L Trygg N Saxena D , 2013 Inequity in India: the case of maternal and reproductive health . Global Health Action 6 : 19145 . 23561028
Save the Children . 2010 A Fair Chance At Life: Why Equity Matters For Child Mortality. Web Link: http://www.savethechildren.org.uk/sites/default/files/docs/A_Fair_Chance_at_Life_1.pdf , 2010.
Sen A. 2002 Health: perception versus observation: self reported morbidity has severe limitations and can be extremely misleading . British Medical Journal 324 : 860 – 1 . 11950717
Sharma S Joe W. 2014 National Rural Health Mission: An Unfinished Agenda , edited book, Delhi : Bookwell Publishers .
Shei A Costa F Reis MG Ko AI 2014 The impact of Brazil's Bolsa FamÃlia conditional cash transfer program on children's health care utilization and health outcomes . BMC International Health and Human Rights 14 : 10. 24690131
Spiegelman D Hertzmark E. 2005 Easy SAS calculations for risk or prevalence ratios and differences . American Journal of Epidemiology 162 : 199 – 200 . 15987728

상세보기
Staff Reporter , 2014 Health Mission left in the lurch, says official. URL: http://www.thehindu.com/todays-paper/tp-national/tp-andhrapradesh/health-mission-left-in-the-lurch-says-official/article6433746.ece , in The Hindu.
StataCorp LP . 2014 StataCorp, Intercooled Stata 13.0 for Windows . College Station, TX : StataCorporation .
The World Bank . 2014 The World Bank Data: Health ; Available from: http://data.worldbank.org/indicator , accessed 21 March 2015.
Vellakkal S Subramanian SV Millett C , 2013 Socioeconomic inequalities in non-communicable diseases prevalence in India: disparities between self-reported diagnoses and standardized measures . PLoS One 8 : e68219. 23869213
Vora KS Mavalankar DV Ramani KV , 2009 Maternal health situation in India: a case study . Journal of Health, Population, and Nutrition 27 : 184 – 201 .

상세보기
Wagstaff A Lindelow M Jun G Ling X Juncheng Q 2009 Extending health insurance to the rural population: an impact evaluation of China's new cooperative medical scheme . Journal of Health Economics 28 : 1 – 19 . 19058865

상세보기
Wagstaff A. 2010 Estimating health insurance impacts under unobserved heterogeneity: the case of Vietnam's health care fund for the poor . Health Economics 19 : 189 – 208 . 19248053

상세보기
World Health Organisation . 2005 World Health Report 2005: Make Every Mother and Child Count . Geneva .
World Health Organization . 2010 The World Health Report – Health Systems Financing: The Path to Universal Coverage . Geneva : World Health Organization .

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

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

Abstract ▼ AI-Helper

주제어

참고문헌 (55)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트