자료유형  

 학위논문

Control Number  

0017163656

International Standard Book Number  

9798384449294

Dewey Decimal Classification Number  

614

Main Entry-Personal Name  

Suri, Pooja.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of California, Berkeley., 2024

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2024

Physical Description  

154 p.

General Note  

Source: Dissertations Abstracts International, Volume: 86-04, Section: B.

General Note  

Advisor: Dow, William H.

Dissertation Note  

Thesis (Ph.D.)--University of California, Berkeley, 2024.

Summary, Etc.  

요약In low-and middle-income countries (LMICs), women often struggle to access health services through the perinatal period. In addition to supply-side geographical access and financial barriers, in many settings there are also constraints arising from a combination of complex family structures, low female agency, social norms, and a lack of information on the importance of seeking timely care. This combination of factors makes it challenging for policymakers to improve maternal and infant health, as typical policies focus on the supply-side, i.e. reducing cost of care, and improving accessibility. This dissertation presents results from three empirical studies conducted in India on the role of household members in decision-making in accessing perinatal care.The first paper examines the dynamics between new mothers and their caregivers (spouse, mother, and mother-in-law) in making caregiving decisions for postnatal maternal and infant care. The second paper uses a randomized controlled trial to investigate the impact of targeted health messaging and social learning on antenatal care visits and iron and folic acid tablet consumption among pregnant women co-residing with their mothers-in-law. The third paper uses a cluster randomized trial to evaluate the effectiveness of a mobile messaging service delivering postnatal care information to households, and its impact on maternal and infant health outcomes.In the first paper, I find that birthing women are more likely to name their caregivers (rather than themselves) as sole decision-makers for infant and maternal care, though agreement between the mother and caregiver on who is the decision-maker is low. I also find that the identity of the primary caregiver significantly affects maternal mental well-being, with lower well-being when the primary caregiver is their mother-in-law. The second paper demonstrates that involving mothers-in-law in a health messaging education intervention increases health-seeking behaviors and improves post-delivery outcomes. In the third paper, I find that a mobile messaging service delivering postnatal care information to the entire household has a positive impact on maternal and infant health outcomes.Collectively, these papers highlight the importance of considering the influence of family members, particularly the mother-in-law, in designing effective health interventions in LMICs. However, further research is needed to understand the factors that influence behaviors and to develop ways to address and modify strongly held priors and social norms that may hinder health-seeking behaviors. Additionally, this research focuses on the perinatal period, but future avenues of research can explore how this dynamic affects other health behaviors such as family planning and childhood nutrition, as well as resulting morbidity.

Subject Added Entry-Topical Term  

Public health.

Subject Added Entry-Topical Term  

Womens studies.

Subject Added Entry-Topical Term  

Asian studies.

Subject Added Entry-Topical Term  

Obstetrics.

Index Term-Uncontrolled  

Decision-making

Index Term-Uncontrolled  

Health policy

Index Term-Uncontrolled  

Maternal and child health

Index Term-Uncontrolled  

Low-and middle-income countries

Index Term-Uncontrolled  

India

Added Entry-Corporate Name  

University of California, Berkeley Public Health

Host Item Entry  

Dissertations Abstracts International. 86-04B.

Electronic Location and Access  

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Control Number  

joongbu:657880