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Urban-rural differentials in maternal and child health in Andhra Pradesh, India.

INTRODUCTION
The unborn child is totally dependent on the mother; after birth, the child depends completely on the immediate social environment of the family and of the mother in particular. Recently the Indian Government changed its emphasis from family planning programs to family welfare programs. The intention was to promote the maternal and child health (MCH) programs to improve the health of mothers and young children. This study examined urban-rural differentials in MCH, and the factors influencing net change in MCH input, its utilisation and its output between the Indian National Family Health Survey (NFHS)-I and NFHS-II.


METHODS
The NFHS data collected from 4276 ever-married women in the age group 13-49 years in 1992 (NFHS-I) and 4032 ever-married women in the age group 15-49 years in 1998 (NFHS-II) were analysed.


RESULTS
The analysis revealed a positive net change in maternal and child health input, its utilisation and its output in the years 1992-1998.


CONCLUSION
Andhra Pradesh was one of the most successful Indian States in providing MCH services, even though urban-rural differentials still exist. The Indian Government must take the necessary steps to improve MCH programs, including the provision of information and education campaigns, and sending dedicated health personnel to remote and inaccessible rural areas in order to reduce child mortality.