All ETDs from UAB

Advisory Committee Chair

Maja Altarac

Advisory Committee Members

Charles Cowan

Russell Kirby

Lynn Sibley

Shailender Swaminathan

Document Type


Date of Award


Degree Name by School

Doctor of Public Health (DrPH) School of Public Health


Caste among Hindus in India is a non-modifiable socio-demographic characteristic, often the basis of segregation and discrimination. Despite the provision of subsidized maternal and child healthcare services, utilization in rural Uttar Pradesh (UP), India is poor. Studies showed that upper caste (UC) women were more likely to utilize healthcare services than the lower caste (LC) women but this association is inadequately researched. We explored whether caste was a determinant of utilization of maternal healthcare (MH) and neonatal healthcare (NH) services among rural Hindu women and neonates in Maitha, UP, India. Data from the ‘Morbidity and Performance Assessment’ study for 482 women who were pregnant during Jan 1998-Jan 1999 and their 464 live born singleton neonates were analyzed. Through multivariable logistic regression analysis we estimated the crude odds ratios of higher utilization of maternal/neonatal healthcare services by UC women/neonates compared to the LC women/neonates. Odds ratios were adjusted for neonate’s gender, maternal age, parity, literacy, number of living sons/brothers, and socio-economic status.

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