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Table 4 Determinants of reproductive health care utilization among urban poor

From: Reproductive healthcare utilization in urban poor settlements of Delhi: Baseline survey of ANCHUL (Ante Natal and Child Health care in Urban Slums) project

Socio-demographic indicators

Possession of ANC card (n = 596 RDM)

Adequate ANC visits (4 and above) (n =596 RDM)

Some ANC visit (1 and above) (n =596 RDM)

ANC registration in the first trimester (n = 417 RDM)

Facility based childbirth (n = 596 RDM)

Post-partum visit to health facility (n = 596 RDM)

Use of modern contraception (n = 596 RDM)

Socio-economic Position

       

  Poorest (ref)

1

1

1

1

1

1

1

  Second

1.13 (0.62, 2.03)

1.22 (0.64, 2.33)

1.13 (0.63, 2.03)

1.20 (0.57, 2.49)

1.18 (0.65, 2.14)

2.16 (1.20, 3.91)

1.19 (0.59, 2.40)

  Middle

2.55 (1.35, 4.85)

3.31 (1.75, 6.27)

2.55 (1.35, 4.85)

0.92 (0.45, 1.88)

2.16 (1.13, 4.14)

1.91 (1.05, 3.48)

1.90 (0.93, 3.87)

  Fourth

2.65 (1.34, 5.24)

3.83 (1.95, 7.53)

2.65 (1.34, 5.24)

1.00 (0.48, 2.11)

3.89 (1.85, 8.18)

2.76 (1.48, 5.17)

1.82 (0.86, 3.82)

  Least poor

1.99 (0.96, 4.15)

5.86 (2.82 12.19)

1.99 (0.96, 4.15)

1.80 (0.81, 3.97)

4.87 (2.12, 11.16)

3.18 (1.62, 6.26)

1.78 (0.78, 4.06)

0.

<0.001

0.006

0.31

0.0003

0.009

0.35

Cluster vulnerability score (0–10)

1 (0.84, 1.2)

0.85 (0.72, 1.00)

1 (0.84, 1.2)

0.85 (0.72 , 0.99)

0.87 (0.76, 0.99)

1.12 (1.00, 1.26)

0.95 (0.73, 1.23)

0.98

0.057

0.99

0.041

0.04

0.05

0.68

Interval OR-80

-

0.31- 2.29

-

0.44 - 1.65

0.65 -1.17

1.12-1.12

Distance of cluster from PUHC (in km)

1.70 (0.68, 4.25)

1.30 (0.56, 3.03)

1.7 (0.68, 4.25)

1.09 (0.48, 2.47)

1.42 (0.68, 2.94)

0.59 (0.32, 1.07)

1.34 (0.37, 4.86)

0.25

0.55

0.25

0.84

0.35

0.081

0.66

Family size

       

  Up to 5 members

1

1

1

1

1

1

1

  More than 5

1.02 (0.63, 1.67)

0.92 (0.58, 1.45)

1.02 (0.63, 1.67)

1.04 (0.62, 1.76)

0.34 (0.20, 0.59)

0.56 (0.36, 0.88)

1.60 (0.94, 2.72)

0.93

0.71

0.92

0.88

<0.001

0.012

0.081

Religion

       

  Non-muslim

1

1

1

1

1

1

1

  Muslim

0.95 (0.54, 1.68)

0.85 (0.49, 1.46)

0.95 (0.54, 1.68)

0.91 (0.49, 1.68)

0.44 (0.25, 0.76)

0.88 (0.53, 1.46)

1.11 (0.60, 2.06)

0.87

0.55

0.87

0.768

0.003

0.623

0.74

Caste

       

  SC/ST (ref)

1

1

1

1

1

1

1

  OBC

0.76 (0.43, 1.32)

1.09 (0.65, 1.84)

0.76 (0.43. 1.32)

1.42 (0.79, 2.56)

1.05 (0.59, 1.86)

1.80 (1.10, 2.94)

0.57 (0.30, 1.08)

  General

0.78 (0.49, 1.22)

0.88 (0.57, 1.35)

0.78 (0.50, 1.23)

1.36 (0.84, 2.21)

1.50 (0.92, 2.43)

1.94 (1.30, 2.88)

0.94 (0.58, 1.52)

0.42

0.66

0.489

0.35

0.23

0. 003

0.20

Family type

       

  Extended

1

1

1

1

1

1

1

  Nuclear

0.66 (0.39, 1.14)

1.71 (1.03, 2.84)

0.67 (0.39, 1.14)

1.22 (0.70, 2.11)

0.60 (0.34, 1.07)

0.46 (0.29, 0.73)

2.28 (1.26, 4.15)

0.14

0.04

0.14

0.48

0.083

0.001

0.006

Age (3 year interval)

1.12 (0.96, 1.31)

1.1 (0.94, 1.28)

1.12 (0.96, 1.31)

1.04 (0.88, 1.24)

1.14 (0.96, 1.35)

1.14 (1.00, 1.32)

1.12 (0.94. 1.32)

0.15

0.23

0.16

0.64

0.127

0.065

0.21

Literacy

       

  Illiterate

1

1

1

1

1

1

1

  Literate women

0.57 (0.31, 1.05)

0.80 (0.45, 1.44)

0.57 (0.31, 1.06)

1.10 (0.58, 2.10)

1.23 (0.69, 2.18)

1.43 (0.81, 2.52)

1.07 (0.55, 2.06)

0.075

0.46

0.075

0.77

0.49

0.21

0.84

Parity

       

  Multiparous

1

1

1

1

1

1

1

  Primi / First child

2.03 (1.29, 3.19)

1.28 (0.85. 1.92)

2.03 ( 1.29, 3.19)

1.35 (0.86, 2.13)

1.68 (1.02, 2.76)

1.65 (1.12, 2.43)

0.70 (0.43, 1.14)

0.002

0.25

0.002

0.19

0.04

0.011

0.154

ICC (unadjusted), 95 %CI

.084 (0.035, 0.189)

0.126 (0.062 0.238)

0.85 (0.35, 0.189)

0.087 (0.32, 217)

0.09 (0.47, 0.2)

0.011 (0.0002, 0.28)

0.19 (0.11, 0.34)

P value for ICC = 0

<0.001

<0.001

<0.001

0.002

<0.001

0.27

<0.001

Model (Variance and SE of

0.13 (0.127)

0.299 (0.1512)

0.360 (0.166)

0.132 (0.1257)

0.0265 (1.004)

1.17e-34 (1.41e-16)

1.05 (0.402)

cluster), Median OR

2.63

1.68

1.77

1.41

1.16

0

2.66

  1. ANC Antenatal care, PW Pregnant women, RDM Recently delivered mothers i.e., in the past 6 months), PUHC Primary Urban Health Centre, SC/ST Scheduled caste and Scheduled tribe, OBC Other Backward class, ICC Intra-cluster correlation coefficient