Fertility intentions and child health in India: Women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth

This study examines the relationship between women’s prospective fertility intentions and child health, measured via access to healthcare facilities for children and postpartum maternal behaviors that are indicative of future child health. We analyze two waves of nationally representative data (2005...

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Autores principales:	Esha Chatterjee, Christie Sennott
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cf2ebaedc30546849c4698d5e9474fda
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spelling	oai:doaj.org-article:cf2ebaedc30546849c4698d5e9474fda2021-11-11T07:14:37ZFertility intentions and child health in India: Women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth1932-6203https://doaj.org/article/cf2ebaedc30546849c4698d5e9474fda2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8568269/?tool=EBIhttps://doaj.org/toc/1932-6203This study examines the relationship between women’s prospective fertility intentions and child health, measured via access to healthcare facilities for children and postpartum maternal behaviors that are indicative of future child health. We analyze two waves of nationally representative data (2005 and 2012) from the India Human Development Survey (IHDS). The analytic sample includes 3,442 non-pregnant, currently married women aged 18–40 in 2005 who participated in both rounds of the IHDS, and had at least one birth between 2005 and 2012. We investigate the influence of women’s prospective fertility intentions on access to benefits from the Integrated Child Development Services (ICDS), indicators of breastfeeding as recommended by the World Health Organization, and official documentation of births via birth certificates or registration. We find that 58 percent of births among women in the sample were labeled as unwanted. We use an adaptation of propensity score matching—the inverse-probability-weighted regression adjustment (IPWRA) estimator—and show that, after accounting for maternal and household characteristics that are known to be associated with maternal and child health, children who resulted from unwanted births were less likely to obtain any benefits or immunizations from the ICDS, to be breastfed within one hour of birth, and to have an official birth certificate. Results from this study have direct policy significance given the evidence that women’s fertility intentions can have negative implications for child health and wellbeing in the short and longer term.Esha ChatterjeeChristie SennottPublic 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 Esha Chatterjee Christie Sennott Fertility intentions and child health in India: Women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth
description	This study examines the relationship between women’s prospective fertility intentions and child health, measured via access to healthcare facilities for children and postpartum maternal behaviors that are indicative of future child health. We analyze two waves of nationally representative data (2005 and 2012) from the India Human Development Survey (IHDS). The analytic sample includes 3,442 non-pregnant, currently married women aged 18–40 in 2005 who participated in both rounds of the IHDS, and had at least one birth between 2005 and 2012. We investigate the influence of women’s prospective fertility intentions on access to benefits from the Integrated Child Development Services (ICDS), indicators of breastfeeding as recommended by the World Health Organization, and official documentation of births via birth certificates or registration. We find that 58 percent of births among women in the sample were labeled as unwanted. We use an adaptation of propensity score matching—the inverse-probability-weighted regression adjustment (IPWRA) estimator—and show that, after accounting for maternal and household characteristics that are known to be associated with maternal and child health, children who resulted from unwanted births were less likely to obtain any benefits or immunizations from the ICDS, to be breastfed within one hour of birth, and to have an official birth certificate. Results from this study have direct policy significance given the evidence that women’s fertility intentions can have negative implications for child health and wellbeing in the short and longer term.
format	article
author	Esha Chatterjee Christie Sennott
author_facet	Esha Chatterjee Christie Sennott
author_sort	Esha Chatterjee
title	Fertility intentions and child health in India: Women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth
title_short	Fertility intentions and child health in India: Women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth
title_full	Fertility intentions and child health in India: Women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth
title_fullStr	Fertility intentions and child health in India: Women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth
title_full_unstemmed	Fertility intentions and child health in India: Women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth
title_sort	fertility intentions and child health in india: women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/cf2ebaedc30546849c4698d5e9474fda
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Fertility intentions and child health in India: Women’s use of health services, breastfeeding, and official birth documentation following an unwanted birth

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