Institutional Delivery over Repeated Number of Births in India

Over the past decade indeed, there is a near-absence of studies that have identified the determinants of consistent use of institutional delivery services for all births within a woman. Hence, the objective of this study is to explain the consistency of institutional delivery in the country by considering all births within women using NFHS 2005-06 data. To fulfil the objective multilevel binary logistic regression model and multivariate multilevel analytical approach has been applied. Result shows that children, born 2-4 years back from the date of survey were less likely to deliver in an institution than recent born child. Compare to second order birth, first order birth were more likely to deliver in an institution. A strong positive effect of women education and wealth index on all three births in an institutional delivery was also pronounced. Significant economic differentials were found for institutional delivery for all three births. Mother belongs to upper wealth quintile had less more chance to deliver all three births in an institution. Result shows that child those who have born 2-4 years back from the date of survey were less likely to deliver in an institution than recent born child. For third last birth place of delivery, child age had no important effect.