Determinants of Institutional Delivery among Women in Urban Slum Settings of North India: District-level NFHS-5 Evidence - Meerut and Saharanpur Division's Districts -Uttar Pradesh - India

This paper analyses determinants of institutional delivery among women living in urban slum settings across selected districts in the Meerut and Saharanpur divisions of Uttar Pradesh (District of Baghpat, Bulandshahr, Ghaziabad, Gautam Buddha Nagar, Hapur, Meerut, Muzaffarnagar, Saharanpur and Shamli). Using NFHS-5 districtlevel indicators (2019–21) and district nutrition profiles, the study documents district variation in institutional delivery and situates those findings within likely determinants such as antenatal care coverage, women’s education, household sanitation, and access to health services. Key results show high institutional delivery coverage in most districts (range: 78–87% in NFHS-5), with intra-urban disparities likely relevant for slum populations. The document includes a results table, a bar chart, methodological notes, and recommendations for policy and future research.