Page 31 - IIMV Newsletter Edition Dec 25

Research@IIMV

segments differ in their usage intention. Technology Readiness
Index (TRI2.0) and relevant statistical tools are utilised to achieve
the research goals. The findings reveal that technology motivators
are more significant than inhibitor dimensions, and users are divided
into four segments based on their readiness levels, which ultimately
impact their intention to use Connected Vehicle Technology. These
insights offer valuable guidance for automakers, technology
providers, and policymakers to facilitate the widespread adoption
of connected vehicles and plan the future of transportation systems.

Click here to read the paper.

Excess neonatal mortality among private facility

births in rural parts of high-mortality states of
India: Demographic analysis of a national survey

Diane Coffey, Nikhil Srivastav, Aditi Priya, Asmita Verma, Nathan
Franz, Alok Kumar, Dean Spears

Social Science and Medicine (ABDC – A)

Almost one-fourth of neonatal deaths occur in India, many of them in
the Empowered Action Group (EAG) states. Research has compared
facility births with home births, with limited investigation of
mortality differences between births at public and private facilities.
We ask how early-life mortality in the rural population of the EAG
states and the rest of India differs according to the setting of birth.
We consider whether quality of care can help explain the differences
we find. Using rural births in India’s 2019-21 Demographic and Health
Survey, we find that in the rural population of EAG states, neonatal
mortality among private facility births is 44 per 1000 (95 % CI: 40-
48), compared with 29 per 1000 in public facilities (95 % CI: 27-30)
and 38 per 1000 for home births (95 % CI: 34-41). Standardization
by socioeconomic status increases the public-private gap. These
differences persist even stratifying on key predictors of neonatal
mortality. The excess mortality among births to the rural population
in private facilities, compared with public facilities, accounts for
about 43,000 excess neonatal deaths annually in EAG states.
Evidence suggests that low-quality care is among the important
causes. Most births in India now occur in facilities. Many happen in
private facilities run by providers who lack training, resources, and
legal permission. The quality of private health facilities serving the
rural EAG population appears to be particularly poor.

Click here to read the paper.

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