Effect of behavior change communication through women’s groups on maternal health care practices in rural India: A hierarchical modeling approach

Raj Kumar Verma, Population Council, India

The aim of this study is to assess the effect of various activities done under various federations of self-help groups structure along with other contextual factors on delivery care behavior of rural and marginalized women. There is a hierarchical nature of functionality and various intervention activities done through SHG federations. Furthermore, it is assumed that women's characteristics are highly correlated within groups, and groups’ characteristics are highly correlated within gram panchayat. This study is part of the larger evaluation and utilizes the information collected from 1505 eligible women, who were currently married, 15-49 years of age, and had given birth in the 12 months prior to the survey, from 346 SHGs of 26 intervention blocks. A hierarchical model is used to take into account the influences of these clusters as well as the interaction between them. Multilevel analysis results suggest that around 6-15 percent of the variance in the maternal health outcome indicators are explained at the VO level, around 6-12 percent of variance at the block level. Further, women and SHGs level characteristics like education, wealth, caste, FLW contacts, increased exposure to the health intervention activities, groups’ collective action are the important predictors for correct practice around maternal health.

Keywords: Demographic and social surveys, Outcome and impact evaluations, Sexual and Reproductive Health and Rights, Multi-level modeling

See paper.

  Presented in Session 178. Empowerment and Equity in Sexual and Reproductive Health Care Services