Do individual and programme factors matter in the utilization of maternal care services in rural India?

Thankam Sunil, University of Texas at San Antonio
S. Rajaram, J.S.S. Institute of Economic Research
Lisa K. Zottarelli, Texas Woman's University

In the present study, we use the theoretical model developed by Andersen and Newman (1973) to understand the utilization of maternal care services in rural areas of India. This theoretical model accommodates individual, and program (or system factors) to study health care utilization. Data collected through the National Family Health Survey-2 are used in the present study. The study results suggest that in addition to individual characteristics, program and system factors influence the utilization of maternal care in rural areas. Program factors, particularly educational activities promoting the benefits of maternal care services carried out through Mahila Mandal and Anganwadi Centers, are important in increasing the use of maternal care services in rural areas. Additionally, the results indicate that the mere presence of a private health care facility need not necessarily improve utilization. Increase in utilization is observed among households if the health worker visited these households during pregnancy.