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@article{188263,
        author = {Dr Nishant Sagar and Muskan and Aparna Kumari},
        title = {A Comprehensive Study of Socio-Economic Determinants of Antenatal care dropout in Bihar},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {7},
        pages = {1026-1037},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=188263},
        abstract = {This study analyses antenatal care (ANC) dropout and its socioeconomic determinants in Bihar, focusing on differences between aspirational and non-aspirational districts using NFHS-5 data. Out of total 13,823 women, the study finds a 53.13% ANC dropout, with aspirational districts (54.98%) showing higher dropout compared to non-aspirational districts (52.15%). Division-wise, Kosi reports the highest dropout at 56.18%, while Saran has the lowest at 45.08%. Analysis shows that women with lower education, poorer wealth, rural residence, Scheduled Caste, and higher birth order are more likely to discontinue care. Aspirational districts have stronger associations of ANC dropout with education, caste, and wealth. Primary education, caste categories and pregnancy intention are significant only in aspirational districts. These findings address the need for targeted, community-based interventions to address sociocultural barriers, ensuring optimum ANC visits. Digital interventions especially in high prevalent districts and among high-risk groups can provide an effective way to monitor registration, number of visits and follow up. Simple interventions like reminder model using mobile phones for pregnant women and health care provider can be effective to improve maternal and child health.},
        keywords = {ANC dropout, Maternal health, Aspirational Districts Programme, Socioeconomic Determinants},
        month = {December},
        }