title: Intra-urban differentials in the utilization of reproductive healthcare in India, 1992-2006.
abstract: This paper examines trends in three reproductive healthcare indicators- namely, antenatal care, medical assistance at delivery, and contraceptive use among the urban poor and non-poor in India using data from the National Family Health Surveys, 1992-1993 and 2005-2006. The urban poor and non-poor are derived from composite wealth indices based on a set of economic proxies. Results indicate that the estimates of poor and non-poor are reliable. During the last 14 years, the service coverage in all three indicators has increased in the country, among both the urban poor and non-poor. However, the utilization of reproductive health services is concentrated among the urban non-poor cutting across the states, with the exception of Kerala. While the non-poor/poor gap in antenatal care and medical assistance at delivery remained large over the years, the gap in contraceptive use has narrowed down cutting across states. After adjusting for other confounders, household poverty was found to be a significant barrier in the utilization of reproductive healthcare services across the states. It has been observed that the utilization of reproductive healthcare services followed a continuum of rural total, urban poor, and urban non-poor.
authors.affiliation: International Institute for Population Sciences, Deonar, Mumbai, India. abhi85_iips@rediffmail.com
authors.forename: Abhishek
authors.initials: A
authors.lastname: Kumar
authors.forename: Sanjay K
authors.initials: SK
authors.lastname: Mohanty
mesh_terms: D002947:Cities; D003268:Contraception Behavior / Q000639:trends; D036861:Delivery, Obstetric / Q000706:statistics & numerical data / Q000639:trends; D005260:Female; D006801:Humans; D007194:India; D008427:Maternal Health Services / Q000706:statistics & numerical data / Q000639:trends; D011203:Poverty / Q000706:statistics & numerical data; D011204:Poverty Areas; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data / Q000639:trends; D034121:Reproductive Health Services / Q000706:statistics & numerical data* / Q000639:trends; D012424:Rural Population; D012959:Socioeconomic Factors; D014505:Urban Population