Contextual Influences on Reproductive Health Service Use in Uttar Pradesh

Citation

Stephenson, Rob & Tsui, Amy Ong (2002). Contextual Influences on Reproductive Health Service Use in Uttar Pradesh. Studies in Family Planning, 33(4), 309-320.

Abstract

This study examines the determinants of the use of four types of reproductive health-care services in Uttar Pradesh, India: contraceptive services, antenatal care, delivery in a medical institution, and services dealing with reproductive tract and sexually transmitted infections. The analysis uses a multilevel modeling strategy to assess the presence of household- and community-level variation in service use. The influence of community-level characteristics and reproductive health-care service attributes on service use is examined. The results highlight strong community-level influences on service use, although the type of community effect varies by service type. The role of some individual and household factors in determining a person's use of services is mediated by the characteristics of the community in which the individual lives. The results demonstrate the need to look beyond individual factors when examining health-care-seeking behavior, and illustrate that there is no singular "community" effect on service use.

URL

http://dx.doi.org/10.1111/j.1728-4465.2002.00309.x

Reference Type

Journal Article

Year Published

2002

Journal Title

Studies in Family Planning

Author(s)

Stephenson, Rob
Tsui, Amy Ong