Gendered Decision-Making and Healthcare Choices: A Case Study of Maternal Services in Bihar

Subhajeet Singh Sardar () and Subhasis Bhattacharya ()
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Subhajeet Singh Sardar: Triveni Devi Bhalotia College
Subhasis Bhattacharya: Sidho-Kanho-Birsha University

A chapter in Gender (In)equality and Social Development, 2025, pp 49-65 from Springer

Abstract: Abstract This study explores the complex dynamics of maternal healthcare utilization in Bihar, India, with a specific focus on antenatal care (ANC) services. The study identifies the influence of gendered decision-making on ANC utilization, synthesizing data from the National Family Health Survey (NFHS-5) conducted in 2019–21. Utilizing logistic regression models, the research dissects factors affecting ANC visits, considering variables such as decision-making authority, media exposure, caste, age, household size, religion, wealth index, education, and place of residence. Results reveal disparities in ANC utilization, with decision-making dynamics significantly impacting outcomes. Caste, age, wealth index, education, and media exposure emerge as critical determinants. For instance, Scheduled Caste/Scheduled Tribe mothers face higher vulnerability, while higher education and media exposure positively correlate with ANC utilization. Urban–rural differentials and religious influences also contribute to variations. The study employs a robust statistical approach, evidenced by a likelihood ratio test and goodness-of-fit indicators. The findings underscore the multifaceted nature of maternal healthcare utilization, emphasizing the need for targeted interventions considering gender, socio-economic, and cultural dimensions.

Keywords: Maternal health; Gender; Antenatal care; NFHS 5; Logistic regression (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:spr:sprchp:978-981-96-7979-9_4

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DOI: 10.1007/978-981-96-7979-9_4

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