Maternal health care in India: some observations from RSOC, NFHS-3 and DLHS-3


  • Nadiya Muzaffar Department of Sociology, AMU, Aligarh, India



Antenatal care (ANC), Institutional delivery, Maternal health


Maternal health is a key indicator of women’s health and status. Strengthening of maternal health care services is very important to ensure safe motherhood. The maternal health care services include antenatal care, natal care and postnatal care. Absence of proper maternal health care leads to various complications and eventually maternal death. World Health Organization, in its World Health Report 2005, suggests that poor maternal conditions account for the fourth leading cause of death for women worldwide, after HIV/AIDS, malaria, and tuberculosis. Situated within this background, this paper locates the status of maternal health care in India and identifies the changes that have occurred within the maternal health care services since last one decade. This paper is based on the secondary sources in general and the data provided by Rapid Survey on Children (RSOC 2013-14), District Level Household and Facility Survey (DLHS-3, 2007-08) and National Family Health Survey (NFHS-3, 2005-06) in particular. The data shows that maternal health care differs with the socio-cultural background like income, age, caste and place of residence. After having a comparison of the data provided by the three different surveys, it was observed that since the last decade the percentage of institutional deliveries has increased for both rural and urban areas. There has been an increase in the proportion of postnatal care received by women within 48 hours of discharge/ delivery. The Iron and Folic Acid (IFA) intake for 90 days or more has not improved by more than 0.5 percent. In India still about 30 percent women aged (20-24) married before the legal minimum marriage age of 18. Percentage of women receiving ANC from government health facility has decreased and for private facility it has increased when we compare the data from all the three surveys.


World Health Organization. The World health report, Make every mother and child count. 2005.

World Health Organization. Making Pregnancy Safer. Geneva: WHO. 2004.

World Health Organization. International statistical classification of diseases and related health problems, 10th revision (ICD-10), 10th Revision, Volume 2, Instruction manual, 2010 Edition, World Health Organization. 2011. Available at Accessed on 5 July 2014.

Akram M. Maternal health in India: An overview. In: Akram M, ed. Maternal health in India: contemporary issues and challenges. Jaipur: Rawat publications, 2014:19.

Millennium Development Goals-India Country Report. Available at Accessed on 12 July 2014.

World Health Organisation. Women and Health: Today’s Evidence Tomorrow’s Agenda, 2009. Available at Accessed on 5 July 2012.

Doyal L. Gender equity in health: debates and dilemmas. Social Science and Medicine. 2000;51:931-9.

Graham H. Women, Health and the Family. Brighton: Wheatsheaf. 1984.

Costello A, Osrin D, Manandhar D. Reducing maternal and neonatal mortality in the poorest communities. British Medical Journal, 2004;329:1166-8.

Ministry of Women and Child Development Government of India. Rapid Survey on Children (RSOC) 2013-2014. Fact Sheet: India. 2015. Available at Accessed on 22 September 2015.

International Institute for Population Sciences (IIPS). District Level Household and Facility Survey (DLHS-3) 2007-08: India, Mumbai: IIPS, 2010.

International Institute for Population Sciences (IIPS), National Family Household Survey (NFHS 3) 2005–06, India, Volume I, Mumbai. 2007.

Say L, Raine R. A Systematic Review of Inequalities in the Use of Maternal Health Care in Developing Countries: Examin¬ing the Scale of the Problem and the Importance of Context. Bulletin World Health Organization. 2007;85: 812-9.

Simkhada B, Vanteijlingen ER, Porter M, Simkhada P. Factors Affecting the Utilization of Antenatal Care in Developing Countries: Systematic Review of the Literature. Journal of Advanced Nursing. 2008;61:244-260.

Rani M, Bonu S, Harvey S. Differentials in the Quality of Antenatal Care in India. Int J Qual Health Care. 2008;20:62-71.

Pallikadavath S, Foss M, Stones RW. Antenatal Care: Provision and Inequality in Rural North India, Social Science & Medicine. 2004;59:1147–58.

Maine D, Rosenfield A. The safe motherhood initiative: why has it stalled? Am. J. Public Health. 1999;89:480-2.

United Nations. The World`s Women: Trends and statistics 1970-1990. New York. 1991.

MacGregor MW. Maternal anaemia is a factor in prematurity and perinatal mortality. Scottish Medical Journal, 1963;8:134.

Gran SM, Ridella SA, Petzold AS, Falkner F. Maternal hematologic levels and pregnancy outcomes. Seminers in Perinatology. 1981;5:155-62.

Murphy JF, O'Riordan J, Newcombe RG, Coles EC, Pearson JF. Relation of haemoglobin Levels in first and second trimesters to outcome of pregnancy. Lancet. 1986;1:992-5.

Scholl TO, Hedigr ML, Fischer RL, Schaerer JW. Anaemia versus iron deficiency; increased risk of preterm delivery in a perspective study. American Journal of Clinical Nutrition. 1992;55:958-992.

Pebley AR, Goldman N, Rodriguez G. Prenatal and delivery care and childhood immunization in Guatemala: do family and community matter? Demography. 1996;33(2),231-47.

Ekwempu CC, Maine D, Olorukoba MB, Essien ES, Kisseka MN. Structural adjustment and health in Africa. Lancet. 1990;366:56-7.

Skordis- Worrall J, Pace N, Bapat U, Das S, More NS, Joshi W, et al. Maternal and neonatal health expenditure in Mumbai slums (India): a cross sectional study. BMC Public Health. 2011;11:150.

MoHFW (Ministry of Health and Family Welfare. Rural Health Statistics in India, New Delhi: Government of India. 2012.






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