Integration of Reproductive Health Service Utilization and Inclusive Development Programme in Uttar Pradesh, India

Access to benefits from inclusive development programmes, maternal-child health (MCH) care and family planning (FP) services can aid development of country’s health. Early efforts to combine these services are still untested and approved. Structural equation models utilize to examine the effect of inclusive development programme at village level on the relationship between MCH and FP service utilization. A cross-sectional District Level Household Survey (2007-08) covered 76,147 currently married women age 15-44 years through multi-stage stratified probability proportion to size sampling. It was found there were no specific pattern of common exogenous predictors except children ever born (p<0.05), mothers education (p<0.05) and wealth index of households (p<0.05) for the service utilization. Finding suggests that FP, MCH care services and inclusive development programs are introduce and available, the likelihood of adoption of services is higher, compared only one service is available in state. The rationale for integration of family planning and MCH care services with inclusive development programme at village level have been based on three grounds: improving the efficiency and effectiveness of programmes and services; meeting clients need from “one-stop” service; and accelerating the pace of health and demographic outcomes.