Assessment the Relationship of Maternal Child Health Accessibility, Infant Mortality and Fertility in Sagar district, Madhya Pradesh

https://doi.org/10.22146/ijg.33060

Kalyan Sundar Som(1*)

(1) Department of General and Applied Geography, Dr. Harisingh Gour Central University, Sagar, India
(*) Corresponding Author

Abstract


Equitable provision of health care services and full coverage of health accessibility are the major challenge for developing countries to achieve the sustainable development goal (SDG 3 and 10). A geographical information system (GIS) is an effective platform for knowing how much area and population are covered by the existing MCH (maternal child health) services network for better health care planning. The aim of this study is to assess the geographical accessibility of MCH services and how they give impact on infant mortality and fertility in Sagar District. To uncover the answer, this study used buffer zone analysis, service area analysis, and multiple regression analysis.

The findings highlight lower accessibility has prevailed in the study area in which 41 percent village was underserved by the buffer zone analysis while 62 percent was underserved by the service area analysis out of 2075 village. It is diversified from higher accessibility in north western Khurai plain region to lower in the central upland exclude the Sagar community development Block. We also find that health accessibility can explain 53 percent of the infant mortality of the district and IMR may control 33 percent of the children ever born in the district.

The service area and buffer mapped output may have policy implication for the future establishment of the health center and road network. This policy can be helpful for reducing infant mortality and fertility through this they achieved SDG target.


Keywords


Health Accessibility, Service area Analysis, Buffer zone Analysis, Geographic information systems.

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References

Akhtar, R., & Izhar, N. (2010). Global medical geography. Rawat Publication, Jaipur (ISBN-81-316-0198-6).

Al-Taiar, A., Clark, A., Longenecker, J. C., & Whitty, C. J. (2010). Physical accessibility and utilization of health services in Yemen. International journal of health geographics, 9(1), 38.

Blanford, J. I., Kumar, S., Luo, W., & MacEachren, A. M. (2012). It’s a long, long walk: accessibility to hospitals, maternity and integrated health centers in Niger. International journal of health geographics, 11(1), 24.

Boopathy, G. M., Maitra, S., Bhaskar, S., Pratap, R., & Shanti, R. (2014). Millennium Development Goals India Country Report 2014. Social Statistics Division, Ministry of Statistics and Program Implementation, Government of India.

Fatih, K. A. R. A., & EGRESI, I. O. (2013). Accessibility of health care institutions: a case study by using GIS. International Journal, 3(4), 2305-1493.

Frankenberg, E. (1995). The effect of access to health care on infant mortality in Indonesia. Health transition review, 143-163.

Gage, A. J., & Guirlène Calixte, M. (2006). Effects of the physical accessibility of maternal health services on their use in rural Haiti. Population studies, 60(3), 271-288.

Gruber, J., Hendren, N., & Townsend, R. M. (2014). The great equalizer: Health care access and infant mortality in Thailand. American Economic Journal: Applied Economics, 6(1), 91-107.

Joseph, A. E., & Phillips, D. R. (1984). Accessibility and utilization: geographical perspectives on health care delivery. Sage, New York: Harper Row.

Kaplan, H., Hooper, P. L., Stieglitz, J., & Gurven, M. (2015). The causal relationship between fertility and infant mortality. Population in the human sciences: concepts, 361-376.

Lule, E., Ramana, G. N. V., Ooman, N., Epp, J., Huntington, D., & Rosen, J. E. (2005). Achieving the millennium development goal of improving maternal health: determinants, interventions and challenges, The World Bank, New York.

Masoom, M. R. (2017). Ensuring the First Breath: A Growing Accountability of Midwifery in Bangladesh. International Journal of Population Research, 1-7.

Mizen, A., Fry, R., Grinnell, D., & Rodgers, S. E. (2015). Quantifying the Error Associated with Alternative GIS-based Techniques to Measure Access to Health Care Services. AIMS Public Heal, 2(4), 746-61.

Mondal, S. K. (2003). Health Nutrition and Morbidity: A Study of Maternal Behaviour”, Development Evaluation Society of India (DESI). Bookwell Publication, New Delhi, ISBN 81-85040-69-9.

Satia, J., Misra, M., Arora, R., & Neogi, S. (Eds.). (2013). Innovations in maternal health: Case studies from India. SAGE Publications India.

Singh, Susheela, Darroch, Jacqueline E. and Ashford, Lori S. (2014). ADDING IT UP: The cost and benefits of Investigation in Sexual and Reproductive Health 2014. UNFPA and Guttmacher Institute.

Som, K. S., & Mishra, R. P. (2016). Fertility and RCH-Status in Madhya Pradesh: A District Level Analysis. Transactions, 38(2), 281-290.

Som, K. S., & Mishra, R. P. (2016). Trend, Pattern and Determinants of Infant Mortality in Madhya Pradesh: A District Level Analysis. Population Geography, 38(1&2), 45-66.

Taneja, D. K. (2015). Health policies and programme in India. 13 Ed., Doctors Publication, New Delhi, ISBN-81-85975-08-6, 113-175.

Taylor, K. (2016). Delivers: Quality Care for Expectant Moms Results in Fewer Stillbirths. USAID. Retrive from http://blog.usaid.gov/2016/01/usaid-delivers-quality-care-for-expectant-moms-results-in-fewer-stillbirth/ in sep. 2017.

Yamada, T. (1985). Causal relationship between infant mortality and fertility in developed and less developed countries. Southern Economic Journal, 364-370.



DOI: https://doi.org/10.22146/ijg.33060

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