Contextual influences on reproductive health service use in Uttar Pradesh, India

Rob Stephenson, Amy Ong Tsui

Research output: Contribution to journalArticlepeer-review

117 Scopus citations


This study examines the determinants of the use of four types of reproductive health-care services in Uttar Pradesh, India: contraceptive services, antenatal care, delivery in a medical institution, and services dealing with reproductive tract and sexually transmitted infections. The analysis uses a multilevel modeling strategy to assess the presence of household- and community-level variation in service use. The influence of community-level characteristics and reproductive health-care service attributes on service use is examined. The results highlight strong community-level influences on service use, although the type of community effect varies by service type. The role of some individual and household factors in determining a person's use of services is mediated by the characteristics of the community in which the individual lives. The results demonstrate the need to look beyond individual factors when examining health-care-seeking behavior, and illustrate that there is no singular "community" effect on service use.

Original languageEnglish (US)
Pages (from-to)309-320
Number of pages12
JournalStudies in family planning
Issue number4
StatePublished - Dec 2002

ASJC Scopus subject areas

  • Demography
  • Social Sciences (miscellaneous)


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