Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.

<h4>Objectives</h4>Studies have widely documented the socioeconomic inequalities in maternal and child health related outcomes in developing countries including India. However, there is limited research on the inequalities in advice provided by public health workers on maternal and child...

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Autores principales:	Abhishek Singh, Saseendran Pallikadavath, Faujdar Ram, Reuben Ogollah
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1db68986f2cb4ae3a33872c1a27c1a55
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spelling	oai:doaj.org-article:1db68986f2cb4ae3a33872c1a27c1a552021-11-18T07:05:24ZInequalities in advice provided by public health workers to women during antenatal sessions in rural India.1932-620310.1371/journal.pone.0044931https://doaj.org/article/1db68986f2cb4ae3a33872c1a27c1a552012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23028688/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objectives</h4>Studies have widely documented the socioeconomic inequalities in maternal and child health related outcomes in developing countries including India. However, there is limited research on the inequalities in advice provided by public health workers on maternal and child health during antenatal visits. This paper investigates the inequalities in advice provided by public health workers to women during antenatal visits in rural India.<h4>Methods and findings</h4>The District Level Household Survey (2007-08) was used to compute rich-poor ratios and concentration indices. Binary logistic regressions were used to investigate inequalities in advice provided by public health workers. The dependent variables comprised the advice provided on seven essential components of maternal and child health care. A significant proportion of pregnant women who attended at least four ANC sessions were not advised on these components during their antenatal sessions. Only 51%-72% of the pregnant women were advised on at least one of the components. Moreover, socioeconomic inequalities in providing advice were significant and the provision of advice concentrated disproportionately among the rich. Inequalities were highest in the case of advice on family planning methods. Advice on breastfeeding was least unequal. Public health workers working in lower level health facilities were significantly less likely than their counterparts in the higher level health facilities to provide specific advice.<h4>Conclusion</h4>A significant proportion of women were not advised on recommended components of maternal and child health in rural India. Moreover, there were enormous socioeconomic inequalities. The findings of this study raise questions about the capacity of the public health care system in providing equitable services in India. The Government of India must focus on training and capacity building of the public health workers in communication skills so that they can deliver appropriate and recommended advice to all clients, irrespective of their socioeconomic status.Abhishek SinghSaseendran PallikadavathFaujdar RamReuben OgollahPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 9, p e44931 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Abhishek Singh Saseendran Pallikadavath Faujdar Ram Reuben Ogollah Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.
description	<h4>Objectives</h4>Studies have widely documented the socioeconomic inequalities in maternal and child health related outcomes in developing countries including India. However, there is limited research on the inequalities in advice provided by public health workers on maternal and child health during antenatal visits. This paper investigates the inequalities in advice provided by public health workers to women during antenatal visits in rural India.<h4>Methods and findings</h4>The District Level Household Survey (2007-08) was used to compute rich-poor ratios and concentration indices. Binary logistic regressions were used to investigate inequalities in advice provided by public health workers. The dependent variables comprised the advice provided on seven essential components of maternal and child health care. A significant proportion of pregnant women who attended at least four ANC sessions were not advised on these components during their antenatal sessions. Only 51%-72% of the pregnant women were advised on at least one of the components. Moreover, socioeconomic inequalities in providing advice were significant and the provision of advice concentrated disproportionately among the rich. Inequalities were highest in the case of advice on family planning methods. Advice on breastfeeding was least unequal. Public health workers working in lower level health facilities were significantly less likely than their counterparts in the higher level health facilities to provide specific advice.<h4>Conclusion</h4>A significant proportion of women were not advised on recommended components of maternal and child health in rural India. Moreover, there were enormous socioeconomic inequalities. The findings of this study raise questions about the capacity of the public health care system in providing equitable services in India. The Government of India must focus on training and capacity building of the public health workers in communication skills so that they can deliver appropriate and recommended advice to all clients, irrespective of their socioeconomic status.
format	article
author	Abhishek Singh Saseendran Pallikadavath Faujdar Ram Reuben Ogollah
author_facet	Abhishek Singh Saseendran Pallikadavath Faujdar Ram Reuben Ogollah
author_sort	Abhishek Singh
title	Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.
title_short	Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.
title_full	Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.
title_fullStr	Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.
title_full_unstemmed	Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.
title_sort	inequalities in advice provided by public health workers to women during antenatal sessions in rural india.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/1db68986f2cb4ae3a33872c1a27c1a55
work_keys_str_mv	AT abhisheksingh inequalitiesinadviceprovidedbypublichealthworkerstowomenduringantenatalsessionsinruralindia AT saseendranpallikadavath inequalitiesinadviceprovidedbypublichealthworkerstowomenduringantenatalsessionsinruralindia AT faujdarram inequalitiesinadviceprovidedbypublichealthworkerstowomenduringantenatalsessionsinruralindia AT reubenogollah inequalitiesinadviceprovidedbypublichealthworkerstowomenduringantenatalsessionsinruralindia
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Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.

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