Assessment the relationship of maternal child health accessibility, infant mortality and fertility

Abstract

Equitable provision of health care services and full coverage of health accessibility are the major challenge for developing countries to achieved the sustainable development goal (SDG 3 and 10). A geographical information system (GIS) is an effective platform to knowing how much area and population is covered by the existing MCH (maternal child health) services network for better health care planning. The main aim of this study is to assess the geographical accessibility of MCH services and find out what kind of impact they give on infant mortality and fertility in an EAG district of India. Fot this puprpose, the study used primary as well as secondary data from various sources. This study used buffer zone analysis, service area analysis for MCH health accessibility with the help of geospatial technologies and then multiple regression analysis run for find out the relationship between MCH accessibility, infant moratality and fertility in the study area for uncover the answer. The findings highlights lower accessibility is prevailed in the study area in which 41 percent village was underserved by the buffer zone analysis while 62 percent was underserved by the service area analysis out of 2075 villages in the district. This study also find that health accessibility can explain 53 percent of the infant mortality and IMR may control 33 percent of the children ever born in the district. This study provided the fact that health accessibility increases the educational, health and economic prosperity which give a crucial impact on IMR and through IMR, it affect the fertility.