Table 2.
Socioeconomic differentials observed among women with regards to quality ANC accessed as captured by NFHS-4 (2015–16).
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| BACKGROUND VARIABLES | NO ANC | INADEQUATE ANC | ADEQUATE ANC | |||||
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| % | 95% CI | % | 95% CI | % | 95% CI | |||
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| Mother’s age at child birth | χ2 = 138.1; p = <0.01 | |||||||
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| less than 19 (n = 13,849) | 15.4 | [14.6,16.3] | 62.1 | [60.8,63.3] | 22.5 | [21.4,23.6] | ||
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| 20–24 (n = 75,353) | 15.1 | [14.7,15.5] | 60.4 | [59.7,61.0] | 24.6 | [24.0,25.2] | ||
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| 25–29 (n = 62,536) | 17.5 | [17.1,18.0] | 58.2 | [57.6,58.9] | 24.3 | [23.7,24.8] | ||
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| 30–34 (n = 26,772) | 22.0 | [21.2,22.7] | 55.9 | [54.9,56.8] | 22.2 | [21.3,23.1] | ||
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| 35–39 (n = 9,412) | 30.2 | [28.8,31.6] | 53.8 | [52.2,55.4] | 15.9 | [14.7,17.2] | ||
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| 40–49 (n = 2,976) | 44.6 | [42.1,47.1] | 44.9 | [42.5,47.4] | 10.5 | [8.9,12.3] | ||
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| Women’s education | χ2 = 902.3; p = <0.01 | |||||||
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| no schooling (n = 55,460) | 34.8 | [34.2,35.4] | 55.3 | [54.7,55.9] | 9.9 | [9.5,10.3] | ||
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| less than 5 years (n = 11,701) | 19.4 | [18.4,20.5] | 62.5 | [61.1,63.9] | 18.1 | [16.9,19.3] | ||
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| 5–7 (n = 29,971) | 14.6 | [14.0,15.2] | 63.1 | [62.2,64.0] | 22.3 | [21.5,23.2] | ||
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| 8–9 (n = 34,576) | 12.7 | [12.1,13.2] | 62.3 | [61.4,63.2] | 25 | [24.2,25.9] | ||
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| 10–11 (n = 22,124) | 8.9 | [8.3,9.5] | 58.4 | [57.3,59.5] | 32.7 | [31.7,33.8] | ||
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| 12 or more years (n = 37,066) | 6.4 | [6.0,6.8] | 56.6 | [55.7,57.4] | 37 | [36.2,37.9] | ||
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| Parity | χ2 = 1002.6; p = <0.01 | |||||||
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| 1 (n = 61,807) | 10.6 | [10.2,10.9] | 59.3 | [58.6,60.0] | 30.1 | [29.5,30.8] | ||
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| 2 to 3 (n = 95,548) | 16.7 | [16.3,17.1] | 59.6 | [59.1,60.2] | 23.7 | [23.2,24.2] | ||
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| 4 to 5 (n = 24,879) | 33.1 | [32.3,34.0] | 57.1 | [56.2,58.0] | 9.7 | [9.1,10.3] | ||
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| 6 or more (n = 8,664) | 47.3 | [45.9,48.8] | 48.5 | [47.0,49.9] | 4.2 | [3.6,4.9] | ||
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| Economic Status | χ2 = 1131.5; p = <0.01 | |||||||
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| Poorest (n = 46,782) | 37.7 | [37.0,38.5] | 54.4 | [53.6,55.1] | 7.9 | [7.5,8.3] | ||
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| Poorer (n = 43,739) | 19.5 | [18.9,20.1] | 63.2 | [62.5,64.0] | 17.3 | [16.7,17.9] | ||
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| Middle (n = 38,393) | 11.9 | [11.4,12.4] | 61.9 | [61.1,62.7] | 26.2 | [25.4,27.0] | ||
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| Richer (n = 33,212) | 8.2 | [7.7,8.7] | 59.8 | [58.8,60.8] | 32 | [31.0,33.0] | ||
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| Richest (n = 28,772) | 5.1 | [4.6,5.7] | 54.5 | [53.4,55.6] | 40.4 | [39.3,41.5] | ||
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| Religion | χ2 = 48.7; p = <0.01 | |||||||
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| Hindu (n = 138,343) | 17.6 | [17.3,18.0] | 58.9 | [58.4,59.4] | 23.5 | [23.1,23.9] | ||
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| Muslim (n = 29,309) | 20.3 | [19.4,21.3] | 58.8 | [57.7,59.9] | 20.9 | [19.9,21.9] | ||
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| Others (n = 23,246) | 10.9 | [9.8,12.0] | 57.3 | [55.6,59.1] | 31.8 | [30.1,33.5] | ||
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| Caste | χ2 = 66.4; p = <0.01 | |||||||
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| Others (n = 34,705) | 12 | [11.4,12.6] | 58.9 | [57.9,59.8] | 29.1 | [28.2,30.1] | ||
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| SC (n = 35,170) | 19.3 | [18.6,19.9] | 59.1 | [58.2,60.0] | 21.6 | [20.8,22.5] | ||
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| ST (n = 37,889) | 21.6 | [20.7,22.6] | 59.4 | [58.3,60.5] | 19 | [18.1,19.9] | ||
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| OBC (n = 74,060) | 19 | [18.5,19.4] | 58.1 | [57.5,58.6] | 23 | [22.5,23.5] | ||
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| Place of residence | χ2 = 596.9; p = <0.01 | |||||||
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| Rural (n = 143,065) | 21.1 | [20.8,21.5] | 59.3 | [58.9,59.8] | 19.5 | [19.1,19.9] | ||
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| Urban (n = 47,833) | 9.6 | [9.0,10.2] | 57.5 | [56.5,58.5] | 32.9 | [31.9,33.9] | ||
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| Region | χ2 = 500.2; p = <0.01 | |||||||
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| South (n = 19,907) | 5.8 | [5.2,6.5] | 52.2 | [51.0,53.4] | 42 | [40.8,43.2] | ||
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| North (n = 36,079) | 13.1 | [12.4,13.8] | 61.6 | [60.8,62.5] | 25.3 | [24.5,26.1] | ||
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| Central (n = 52,952) | 23.4 | [22.8,24.0] | 65.3 | [64.7,65.9] | 11.3 | [10.9,11.8] | ||
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| East (n = 39,243) | 27.7 | [26.9,28.4] | 56.8 | [56.0,57.7] | 15.5 | [14.8,16.2] | ||
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| Northeast (n = 28,825) | 14 | [13.0,15.0] | 63.6 | [62.4,64.7] | 22.5 | [21.4,23.6] | ||
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| West (n = 13,892) | 10 | [9.2,10.9] | 55 | [53.3,56.8] | 35 | [33.3,36.7] | ||
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| High focus states of India | χ2 = 2579.0; p = <0.01 | |||||||
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| Non-High focus states (n = 78,380) | 8.5 | [8.0,8.9] | 55.3 | [54.5,56.1] | 36.2 | [35.4,37.0] | ||
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| High focus states (n = 112,518) | 26 | [25.6,26.4] | 61.9 | [61.5,62.4] | 12.1 | [11.8,12.4] | ||
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| At least 4 ANC visits | χ2 = 139.4; p = 0.000 | |||||||
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| Less than 4 (n = 101,460) | 36.3 | [35.7,36.9] | 63.7 | [63.1,64.3] | 0 | |||
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| Four or more (n = 89,438) | 0 | 54.1 | [53.5,54.8] | 45.9 | [45.2,46.5] | |||
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| Intake of IFA 100+ | χ2 = 4016.9; p = <0.01 | |||||||
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| No (n = 138,082) | 22.9 | [22.5,23.3] | 64.2 | [63.7,64.6] | 13 | [12.6,13.3] | ||
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| Yes (n = 52,816) | 5.9 | [5.5,6.3] | 46.4 | [45.7,47.2] | 47.7 | [46.9,48.5] | ||
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| Place of delivery | χ2 = 381.1; p = <0.01 | |||||||
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| Respondent’s home (n = 37,758) | 41.8 | [40.9,42.7] | 51.5 | [50.7,52.4] | 6.7 | [6.2,7.2] | ||
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| Other’s home (n = 381) | 35.1 | [28.0,43.0] | 52.2 | [44.5,59.8] | 12.7 | [8.5,18.6] | ||
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| Parents’ home (n = 4,013) | 35 | [32.8,37.2] | 53.6 | [51.4,55.9] | 11.4 | [9.9,13.2] | ||
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| Public: govt./munic. hospital (n = 47,772) | 11.1 | [10.6,11.6] | 60.1 | [59.2,61.0] | 28.8 | [28.0,29.6] | ||
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| Public: govt. dispensary (n = 3,152) | 14.8 | [13.0,16.8] | 62.6 | [60.0,65.2] | 22.5 | [20.3,24.9] | ||
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| Public: UHC/UHP/UFWC(n = 2,919) | 17.6 | [15.6,19.9] | 54.4 | [51.8,57.0] | 27.9 | [25.5,30.6] | ||
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| Public: CHC/rural hospital/block PHC (n = 35,265) | 18.8 | [18.2,19.5] | 65.3 | [64.5,66.0] | 15.9 | [15.3,16.5] | ||
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| Public: phc/additional PHC(n = 13,896) | 16.5 | [15.5,17.5] | 62.2 | [60.9,63.6] | 21.3 | [20.2,22.4] | ||
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| Public: sub-centre (n = 2,373) | 15.7 | [13.7,17.9] | 65.2 | [62.1,68.1] | 19.2 | [16.5,22.1] | ||
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| Other public sector health facility (n = 238) | 6.6 | [3.8,11.1] | 63.3 | [54.2,71.5] | 30.1 | [22.5,39.0] | ||
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| Private: hospital/maternity home/clinic (n = 40,701) | 7.9 | [7.5,8.4] | 57.4 | [56.7,58.2] | 34.7 | [33.9,35.5] | ||
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| Other private sector health facility (n = 942) | 14.4 | [11.6,17.7] | 64.7 | [60.3,68.8] | 20.9 | [17.5,24.8] | ||
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| NGO or Trust hospital/clinic (n = 927) | 6.6 | [4.7,9.2] | 52.7 | [47.4,58.0] | 40.7 | [35.2,46.3] | ||
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| other (n = 460) | 22.5 | [17.7,28.2] | 58.4 | [51.9,64.6] | 19.1 | [14.1,25.2] | ||
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| Skilled PNC on day 1 | χ2 = 1262.8; p = <0.01 | |||||||
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| No skilled PNC on day 1 (n = 150,400) | 21.2 | [20.8,21.6] | 58.6 | [58.1,59.1] | 20.2 | [19.8,20.6] | ||
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| Skilled PNC on day 1 (n = 40,498) | 6 | [5.7,6.4] | 59.4 | [58.6,60.3] | 34.5 | [33.7,35.4] | ||
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