Caste, Social Inequalities and Maternal Healthcare Services in India: Evidence from the National Family and Health Survey

Abstract

This study examines the level of access and utilization of maternal care health services among different socially disadvantaged groups in India. The study uses the data from the National Family Health Survey conducted in 2015–2016. We have used descriptive statistics and bivariate analysis to assess the trends and prevalence of maternal healthcare services among different social groups. Using logistic regression, we have estimated the association of different socio-economic variables on maternal healthcare services among different socially disadvantaged groups in India. The results suggest tremendous inequality in access to maternal healthcare services among socially disadvantaged groups in India. It was found that several factors such as women’s education, working status, household wealth quintile and mass media exposure significantly impact access and utilization of maternal healthcare services among various socially disadvantaged groups. In addition, the Scheduled Caste and Scheduled Tribe women are subjected to socio-economic discrimination at multiple levels, and their maternal healthcare situation remains highly fragile. The social identity and caste-based socio-economic inequalities remain a major challenge in India to assure universal access to maternal healthcare services.