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Figure 1.

Flow diagram of sample population from national Indian datasets: MDS - Million Death Study, DLHS-2 - second round District Level Health Survey [18].

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Table 1.

Definition of model variables.

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Figure 2.

Conceptual framework of factors associated with maternal survival.

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Table 2.

Sample characteristics of women, 15–49 years (n = 148 097).

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Figure 3.

Predicted probability of maternal death by % skilled attendant coverage over health-facility admission.

Datasouce: Indian MDS 2001–2003 and DLHS-2. Regression models adjusted for: fixed effects - receipt of antenatal care, age, , education, place of residence (rural/urban), district level standard of living, and interaction between health-facility admission and skilled attendant coverage; random effects - district cluster, state cluster. Presented with 95% CI. Women (n = 139 321) in districts (n = 593) in states (n = 35); random effects , , , .

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Figure 4.

Predicted probability of maternal death by % skilled attendant coverage over (4a) delivery in health-facility and (4b) health-facility admission in sub-population of obstetric hemorrhage.

Datasouce: Indian MDS 2001–2003 and DLHS-2. Adjusted for receipt of antenatal care, age, , education, place of residence (rural/urban), district level standard of living, and interaction between skilled attendant coverage and (4a) delivery in a health-facility or (4b) health-facility admission. Presented with 95% CI. (4a) Women (n = 139 417) in districts (n = 593) in states (n = 35); random effects (4b) Women (n = 17 391) in districts (n = 593) in states (n = 35); random effects , , , .

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Figure 5.

Odds ratio of maternal death by exposure at 50% skilled attendant coverage.

Datasource: MDS and DLHS-2 2001–2003. All regression models adjusted for: fixed effects - receipt of antenatal care, age, , education, place of residence (rural/urban), district level standard of living, and interaction between main exposure and skilled attendant coverage; random effects - district cluster, state cluster. (1) Main exposure: health-facility admission (1a–1d - linear combinations of coefficients after estimation of this regression model) (2) Main exposure: delivery in health-facility (Routine) (3) Main exposure: health-facility admission; main outcome: hemorrhage in subpopulation.

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