http://pucir.inflibnet.ac.in:8080/jspui/handle/123456789/335 Fri, 01 May 2026 20:32:52 GMT 2026-05-01T20:32:52Z http://pucir.inflibnet.ac.in:8080/jspui/handle/123456789/364 Title: The Role of Maternal Care Services on Feeding Practices Among Under Five Children in India, Nepal and Bangladesh Authors: Ranjan, Mukesh Abstract: In South Asia, one in two children under the age of five are stunted or wasted due to malnutrition, which affects one in three children globally. There are close linkages between maternal health care services and child feeding practices which needs to be investigated. Materials and Method The present study analyzed two rounds of Demographic Health Surveys cross-sectional data carried out between year 2005 and 2016 in three selected South Asian countries viz. India, Nepal, and Bangladesh respectively. This study is based on children under 5 years of age which are nested within mothers aged 15–49 years. Inferential statistical analysis like Chi-square was used to test the association, and regression model was used to analyze the effect of mother’s Maternal and Child Health care services utilization on the child’s feeding score after controlling for socio-economic and demographic factors. The objective of this study was to investigate the effect of utilization of maternal care services on child feeding practices in India, Nepal, and Bangladesh. Results Our result shows that mother's secondary or higher level of education, more than four-antenatal care visits, and deliverying in a health facility was associated with a higher chance of child feeding practices. Multivariate linear regression revealed that education, antenatal care visits, and postnatal care visits had positive and significant effect on child feeding, while mothers who were 15–19 years of age were less likely to feed child. The results from this analysis imply that there are various regional and national influences on the determination of mothers’ practices on child feeding. Furthermore, there are other factors that indicate that mother’s practices are influenced by situational and time factors. Conclusion Overall, with multiple maternal and child health care contacts with the health system, there is an opportunity to promote child feeding practices. The study results are critical and emphasises the need for making strategies and policies for better nutritional outcome and child feeding practices. Disadvantaged women in terms of education, antenatal care, birth at a health institution, and postnatal visits must be targeted to improve child feeding practices. Tue, 03 Oct 2023 00:00:00 GMT http://pucir.inflibnet.ac.in:8080/jspui/handle/123456789/364 2023-10-03T00:00:00Z http://pucir.inflibnet.ac.in:8080/jspui/handle/123456789/363 Title: TAMIL NADU DISTRICT LEVEL HOUSEHOLD AND FACILITY SURVEY (2012-13) Authors: Ranjan, Mukesh Abstract: This state report of Tamil Nadu pertains to the fourth round of District Level Household and Facility Survey (DLHS-4) 2012-13 following the preceding three rounds undertaken by the Ministry of Health and Family Welfare (MoHFW), Government of India (GoI). In the past (Round-I in 1998-99, Round-II in 2002-04, and Round-III in 2007-08) with the main objective to provide reproductive and child health related database at district level in India. The data from these surveys have been useful in setting the benchmarks and examining the progress the country after the implementation of RCH programme. In addition, the evidences generated by these surveys have been useful for the purpose of monitoring and evaluation of the ongoing programmes and the aspect of planning of suitable strategies by the central and state governments. In view of the completion of eight years of National Rural Health Mission (2005- 12), that it was felt there was a need to focus on the achievements and improvements. The Ministry of Health and Family Welfare, Government of India, therefore initiated the process of conducting DLHS-4 and designated the International Institute for Population Sciences (IIPS) as the nodal agency to carry out the survey. MoHFW provided funds for implementation of DLHS- 4, guided by a duly constituted Technical Advisory Committee (TAC). Wed, 01 Jan 2014 00:00:00 GMT http://pucir.inflibnet.ac.in:8080/jspui/handle/123456789/363 2014-01-01T00:00:00Z http://pucir.inflibnet.ac.in:8080/jspui/handle/123456789/362 Title: Infant Mortality among Tribes Population in India: Regional Analysis from Multiple Surveys Authors: Ranjan, Mukesh Abstract: Present paper tries to understand the levels, trends and regional variation of infant mortality rate (IMR) among one of the disadvantaged caste group that is, Scheduled Tribes (STs) of central and eastern Indian region of the country. The analysis was based on National Family Health Surveys: 1993-2006, Sample Registration Survey: 1992-2005, Census of India: 2001-2011 and Rural Health Statistics: 2012 data. Results indicate that the tribes of central and eastern Indian states of Jharkhand, Madhya Pradesh, Odisha and Chhattisgarh had relatively higher levels of infant mortality rate. Trend analysis of IMR among tribal children showed that except Odisha the pace of infant mortality transition were stagnant in other three states and the levels of IMR among tribal families were higher than 80 infant deaths per 1000 live births in all the four states. In all states of the region, only ten percent of deliveries among tribal women took place in an institution and nearly half of the tribal women utilised Antenatal Care (ANC) services. Gap in literacy rate between tribes and general population ranges between nine percent in Jharkhand to twenty-one percent in Odisha. Mon, 01 Jan 2018 00:00:00 GMT http://pucir.inflibnet.ac.in:8080/jspui/handle/123456789/362 2018-01-01T00:00:00Z http://pucir.inflibnet.ac.in:8080/jspui/handle/123456789/357 Title: Pro-poor policies and improvements in maternal health outcomes in India Authors: Ranjan, Mukesh Abstract: Since 2005, India has experienced an impressive 77% reduction in maternal mortality compared to the global average of 43%. What explains this impressive performance in terms of reduction in maternal mortality and improvement in maternal health outcomes? This paper evaluates the effect of household wealth status on maternal mortality in India, and also separates out the performance of the Empowered Action Group (EAG) states and the Southern states of India. The results are discussed in the light of various pro-poor programmes and policies designed to reduce maternal mortality and the existing supply side gaps in the healthcare system of India. Using multiple sources of data, this study aims to understand the trends in maternal mortality (1997–2017) between EAG and non EAG states in India and explore various household, economic and policy factors that may explain reduction in maternal mortality and improvement in maternal health outcomes in India. Methods: This study triangulates data from different rounds of Sample Registration Systems to assess the trend in maternal mortality in India. It further analysed the National Family Health Surveys (NFHS). NFHS-4, 2015–16 has gathered information on maternal mortality and pregnancy-related deaths from 601,509 households. Using logistic regression, we estimate the association of various socio-economic variables on maternal deaths in the various states of India. Results: On an average, wealth status of the households did not have a statistically significant association with maternal mortality in India. However, our disaggregate analysis reveals, the gains in terms of maternal mortality have been unevenly distributed. Although the rich-poor gap in maternal mortality has reduced in EAG states such as Bihar, Odisha, Assam, Rajasthan, the maternal mortality has remained above the national average for many of these states. The EAG states also experience supply side shortfalls in terms of availability of PHC and PHC doctors; and availability of specialist doctors. Fri, 01 Jan 2021 00:00:00 GMT http://pucir.inflibnet.ac.in:8080/jspui/handle/123456789/357 2021-01-01T00:00:00Z