Level of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: Findings from India

<h4>Background</h4> Diligent monitoring of inequalities in the coverage of essential reproductive, maternal, new-born and child health related (RMNCH) services becomes imperative to smoothen the journey towards Sustainable Development Goals (SDGs). In this study, we aim to measure the ma...

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Autores principales:	Sumirtha Gandhi, Tulasi Malini Maharatha, Umakant Dash, Suresh Babu M.
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7f9f73036bcf44f9a9c9567971dbad09
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spelling	oai:doaj.org-article:7f9f73036bcf44f9a9c9567971dbad092021-11-25T06:11:03ZLevel of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: Findings from India1932-6203https://doaj.org/article/7f9f73036bcf44f9a9c9567971dbad092021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589169/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> Diligent monitoring of inequalities in the coverage of essential reproductive, maternal, new-born and child health related (RMNCH) services becomes imperative to smoothen the journey towards Sustainable Development Goals (SDGs). In this study, we aim to measure the magnitude of inequalities in the coverage of RMNCH services. We also made an attempt to divulge the relationship between the various themes of governance and RMNCH indices. <h4>Methods</h4> We used National Family Health Survey dataset (2015–16) and Public Affairs Index (PAI), 2016 for the analysis. Two summative indices, namely Composite Coverage Index (CCI) and Co-Coverage (Co-Cov) indicator were constructed to measure the RMNCH coverage. Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were employed to measure inequality in the distribution of coverage of RMNCH. In addition, we have used Spearman’s rank correlation matrix to glean the association between governance indicator and coverage indices. <h4>Results & conclusions</h4> Our study indicates an erratic distribution in the coverage of CCI and Co-Cov across wealth quintiles and state groups. We found that the distribution of RII values for Punjab, Tamil Nadu, and West Bengal hovered around 1. Whereas, RII values for Haryana was 2.01 indicating maximum inequality across wealth quintiles. Furthermore, the essential interventions like adequate antenatal care services (ANC4) and skilled birth attendants (SBA) were the most inequitable interventions, while tetanus toxoid and Bacilli Calmette- Guerin (BCG) were least inequitable. The Spearman’s rank correlation matrix demonstrated a strong and positive correlation between governance indicators and coverage indices.Sumirtha GandhiTulasi Malini MaharathaUmakant DashSuresh Babu M.Public Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sumirtha Gandhi Tulasi Malini Maharatha Umakant Dash Suresh Babu M. Level of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: Findings from India
description	<h4>Background</h4> Diligent monitoring of inequalities in the coverage of essential reproductive, maternal, new-born and child health related (RMNCH) services becomes imperative to smoothen the journey towards Sustainable Development Goals (SDGs). In this study, we aim to measure the magnitude of inequalities in the coverage of RMNCH services. We also made an attempt to divulge the relationship between the various themes of governance and RMNCH indices. <h4>Methods</h4> We used National Family Health Survey dataset (2015–16) and Public Affairs Index (PAI), 2016 for the analysis. Two summative indices, namely Composite Coverage Index (CCI) and Co-Coverage (Co-Cov) indicator were constructed to measure the RMNCH coverage. Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were employed to measure inequality in the distribution of coverage of RMNCH. In addition, we have used Spearman’s rank correlation matrix to glean the association between governance indicator and coverage indices. <h4>Results & conclusions</h4> Our study indicates an erratic distribution in the coverage of CCI and Co-Cov across wealth quintiles and state groups. We found that the distribution of RII values for Punjab, Tamil Nadu, and West Bengal hovered around 1. Whereas, RII values for Haryana was 2.01 indicating maximum inequality across wealth quintiles. Furthermore, the essential interventions like adequate antenatal care services (ANC4) and skilled birth attendants (SBA) were the most inequitable interventions, while tetanus toxoid and Bacilli Calmette- Guerin (BCG) were least inequitable. The Spearman’s rank correlation matrix demonstrated a strong and positive correlation between governance indicators and coverage indices.
format	article
author	Sumirtha Gandhi Tulasi Malini Maharatha Umakant Dash Suresh Babu M.
author_facet	Sumirtha Gandhi Tulasi Malini Maharatha Umakant Dash Suresh Babu M.
author_sort	Sumirtha Gandhi
title	Level of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: Findings from India
title_short	Level of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: Findings from India
title_full	Level of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: Findings from India
title_fullStr	Level of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: Findings from India
title_full_unstemmed	Level of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: Findings from India
title_sort	level of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: findings from india
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/7f9f73036bcf44f9a9c9567971dbad09
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Level of inequality and the role of governance indicators in the coverage of reproductive maternal and child healthcare services: Findings from India

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