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Little women: Essays on maternal nutrition, social hierarchy, and health in India.

机译：小女人：印度孕产妇营养，社会等级和健康的论文。

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This thesis is a collection of four papers on maternal health in India, its causes, its implications for population health, and the inadequacy of government response.;The first chapter introduces the dissertation and its themes. The second chapter defines the scope of maternal malnutrition in India: it provides, to my knowledge, the first estimates of pre-pregnancy underweight and weight gain during pregnancy. By applying reweighting techniques, it finds that 42.2% of pre-pregnant women are underweight, and that they gain only about 7 kilograms during pregnancy. This paper further documents the surprising fact that maternal nutrition is better in sub-Saharan Africa than it is in India.;The third chapter is co-authored with Reetika Khera and Dean Spears, and examines an important cause of poor maternal nutrition in India: low intrahousehold status of young women. It documents how differences in social status between women in joint rural households lead to differences in nutrition during pregnancy. These differences in maternal nutrition are in part responsible for differences in the heights of their children: the children of lower-ranking mothers in joint rural households are about a quarter of a standard deviation shorter than their cousins born to higher-ranking mothers.;The fourth chapter suggests population level health consequences of poor maternal nutrition in India. It documents a correlation between cohort height, a measure of health and human capital, and neonatal mortality in the cohort's year of birth, a measure of maternal health. These findings contribute what are, to my knowledge, the first evidence from within a developing country of associations between neonatal mortality and height.;The final chapter is a qualitative study of India's Janani Suraksha Yojana (JSY), a conditional cash transfer for women who give birth in health facilities, rather than at home. This qualitative study from a rural district in Uttar Pradesh sheds light on why the program has not improved health outcomes, including neonatal mortality. The program is narrowly focused on delivery, rather than on promoting health in pregnancy. Health service providers are focused on capturing economic rents associated with the program, rather than on providing maternity care.
机译：本文是关于印度孕产妇保健，其原因，其对人口健康的影响以及政府反应不足的四篇论文的集合。第一章介绍了论文及其主题。第二章定义了印度孕产妇营养不良的范围：据我所知，它提供了对孕前体重不足和怀孕期间体重增加的初步估计。通过应用体重增加技术，它发现42.2％的怀孕前女性体重过轻，并且她们在怀孕期间仅增重7公斤左右。本文进一步记录了令人惊讶的事实，即撒哈拉以南非洲地区的孕产妇营养要比印度好。第三章与Reetika Khera和Dean Spears合着，探讨了印度孕产妇营养不良的一个重要原因：年轻妇女的家庭内部地位低。它记录了农村联合家庭妇女之间的社会地位差异如何导致孕期营养差异。孕产妇营养的这些差异部分原因是其子女身高的差异：农村联名家庭中低等母亲的子女的标准差比其高等母亲所生的表亲短约四分之一。第四章提出印度孕产妇营养不良对人口健康的影响。它记录了队列的高度，健康和人力资本的度量与队列出生年份的新生儿死亡率（母亲的健康度量）之间的相关性。据我所知，这些发现为发展中国家死亡率和身高之间的关联提供了第一批证据。最后一章是对印度人Janani Suraksha Yojana（JSY）的定性研究，这是针对有条件的女性进行有条件现金转移的在医疗机构而不是在家分娩。这项来自北方邦农村地区的定性研究阐明了该计划为何未能改善包括新生儿死亡率在内的健康结果。该计划的重点是分娩，而不是促进怀孕健康。卫生服务提供者侧重于获取与该计划相关的经济租金，而不是提供产妇护理。

著录项

  • 作者

    Coffey, Diane.;

  • 作者单位

    Princeton University.;

  • 授予单位 Princeton University.;
  • 学科 Demography.;Public health.;Public policy.;South Asian studies.;Asian history.;Obstetrics.;Womens studies.
  • 学位 Ph.D.
  • 年度 2015
  • 页码 168 p.
  • 总页数 168
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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