Concise title: Maternal health service utilization

Islam, Md. Akhtarul; Barna, Sutapa Dey

doi:10.1016/j.cegh.2020.04.020

Cited by 9 publications

(11 citation statements)

References 25 publications

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“…A strong association between PNC utilization and women's obstetric characteristics was observed, particularly with maternal age at rst birth, parity, the number of living children, antenatal attendance with at least 4 visits, and sex and size of the newborn. These results are similar to previous studies [54][55][56], where women who gave birth at age of 25-34 years, had a smaller number of children, with at least 4 antenatal visits, and had male newborns were more likely to avail PNC utilization for themselves and their newborns [57].…”

Section: Discussionsupporting

confidence: 91%

Trend Analysis of Multi-level Determinants of Maternal and Newborn Postnatal Care Utilization in Pakistan from 2006 to 2018

Iqbal

Maqsood²,

Zakar

et al. 2022

Preprint

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Background Postnatal care (PNC) is crucial for maternal and newborn health. Healthcare-seeking practices within the postpartum period help healthcare providers in early detection of complications related to childbirth and post-delivery period. This study aims to investigate trends of PNC utilization from 2006 to 2018, and to explore the effects of multi-level determinants of both maternal and newborn PNC in Pakistan. Methods Secondary data analysis of the last three waves of the nationally representative cross-sectional Pakistan Demographic and Health Surveys (PDHSs) was conducted, including wave 2 (2006-07), wave 3 (2012-13), and wave 4 (2017-18), using the datasets of women aged 15–49 years. Analysis was limited to all those women who had delivered a child during the last 5 years preceding each wave of PDHS, leading to a sample size of 5,677, 7,446, and 6,711 women for waves 2, 3, and 4, respectively. Bivariate and multivariate logistic regression was applied to determine the association of maternal and newborn PNC utilization with multi-level determinants at individual, community, and institutional levels. Results In Pakistan, an upward linear trend in maternal PNC utilization was found, with an increase from 43.5–63.6% from 2006 to 2018. However, a non-linear trend was observed in newborn PNC utilization, with an upsurge from 20.6–50.5% from 2006 to 2013, nonetheless a decrease of 30.7% in 2018. Furthermore, the results highlighted that the likelihood of maternal and newborn PNC utilization was higher amongst older age women, who completed some years of schooling, were employed, had domestic and emotional autonomy, had caesarean sections, and delivered at health facilities through skilled birth attendants. Conclusion A difference in maternal and newborn PNC utilization was found in Pakistan, attributed to multiple individual (socio-demographic and obstetrics), community, and institutional level determinants. Overall, findings suggest the need to promote the benefits of PNC for early diagnosis of postpartum complications and to plan effective public health interventions to enhance women’s access to healthcare facilities and skilled birth assistance to save mothers’ and newborns’ lives.

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Section: Discussionsupporting

confidence: 91%

Trend Analysis of Multi-level Determinants of Maternal and Newborn Postnatal Care Utilization in Pakistan from 2006 to 2018

Iqbal

Maqsood²,

Zakar

et al. 2022

Preprint

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“…In Mali, the majority of government-owned health facilities are located in the urban areas or cities and far away from rural settlements, making maternal healthcare utilisation difficult for rural residents due to the cost and time of getting to the facility. [94][95][96][97][98][99] There is, thus, inequity in distribution of development and infrastructure, including in healthcare facilities. For instance, being the national capital, Bamako has access to more development and healthcare infrastructure compared with the rest of the country.…”

Section: Discussionmentioning

confidence: 99%

“…The remote distance together with bad road networks from rural settings to the health facility alongside transportation problems could discourage rural dwellers from using maternal healthcare. In Mali, the majority of government-owned health facilities are located in the urban areas or cities and far away from rural settlements, making maternal healthcare utilisation difficult for rural residents due to the cost and time of getting to the facility 94–99. There is, thus, inequity in distribution of development and infrastructure, including in healthcare facilities.…”

Section: Discussionmentioning

confidence: 99%

Individual and contextual factors associated with maternal healthcare utilisation in Mali: a cross-sectional study using Demographic and Health Survey data

Bain

Aboagye

Malunga³

et al. 2022

BMJ Open

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ObjectiveWe examined the national prevalence as well as the individual and contextual factors associated with maternal healthcare utilisation in Mali.SettingThe study was conducted in Mali.ParticipantsWe analysed data on 6335 women aged 15–49 years from Mali’s 2018 Demographic and Health Survey.Outcome variableMaternal healthcare utilisation comprising antenatal care (ANC) attendant, skilled birth attendant (SBA), and postnatal care (PNC) attendant, was our outcome variable.ResultsPrevalence of maternal healthcare utilisation was 45.6% for ANC4+, 74.7% for SBA and 25.5% for PNC. At the individual level, ANC4 + and SBA utilisation increased with increasing maternal age, level of formal education and wealth status. Higher odds of ANC4 + was found among women who are cohabiting (adjusted OR (aOR)=2.25, 95% CI 1.16 to 4.37) and delivered by caesarean section (aOR=2.53, 95% CI 1.72 to 3.73), while women who considered getting money for treatment (aOR=0.72, 95% CI 0.60 to 0.88) and distance to health facility (aOR=0.73, 95% CI 0.59 to 0.90) as a big problem had lower odds. Odds to use PNC was higher for those who were working (aOR=1.22, 95% CI 1.01 to 1.48) and those covered by health insurance (aOR=1.87, 95% CI 1.36 to 2.57). Lower odds of SBA use were associated with having two (aOR=0.48, 95% CI 0.33 to 0.71), three (aOR=0.37, 95% CI 0.24 to 0.58), and four or more (aOR=0.38, 95% CI 0.24 to 0.59) children, and residing in a rural area (aOR=0.35, 95% CI 0.17 to 1.69). Listening to the radio and watching TV were associated with increased maternal healthcare utilisation.ConclusionThe government should increase availability, affordability and accessibility to healthcare facilities by investing in health infrastructure and workforce to achieve Sustainable Development Goal 3.4 of reducing maternal morality to less than 70 deaths per 100 000 live births by 2030. It is important to ascertain empirically why PNC levels are astonishingly lower relative to ANC and SBA.

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“…Husband’s education level may linked with better health awareness that may make the family aware and utilise healthcare services better. 20 Also, since the Indonesian culture adopted the patriarchy concept, the husband plays a major role in family decision-making. Subsequently, a husband with better education may lead the family to utilise MHC properly.…”

Section: Discussionmentioning

confidence: 99%

Determinants of maternal healthcare service utilisation among Indonesian mothers: A population-based study

et al. 2022

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Background: In Indonesia, maternal health care services are widely available, aiming to improve health and survival among mothers. However, these services remain underutilised, and its determining factor was unknown. This study sought to identify determinant factors of maternal healthcare services utilisation among Indonesian mothers. Methods: This population-based cross-sectional study leveraged the 2017 Indonesia Demographic and Health Survey data. A total of 12,033 mothers aged from 15 to 49 years who had a live birth in the five years preceding the survey were included in the analysis. Multivariable logistic regressions were used to identify the determinant factors. Results: Approximately 93.44% of the mothers had adequate antenatal care, 83.73% had a delivery at the healthcare facility, and 71.46% received postnatal care. The mother’s age and household wealth index were the typical determinants of all maternal healthcare services. Determinants of antenatal care visits were husband’s occupational status, the number of children, and access to the healthcare facility. Next, factors that drive mothers’ delivery at the healthcare facility were the mother’s education level, husband’s educational level, and residential area. The use of postnatal care was determined by the mother’s occupational status, husband’s educational level, number of children, wealth index, access to the healthcare facility, and residential area. Conclusions: The utilisation of each maternal healthcare service was determined by various socio-structural and intermediary determinants, but the mother’s age and household wealth index were emerged as the typical determinants of all maternal healthcare services. Providing maternal healthcare services that are adjusted and tuned with these socio determinant factors may ensure that mothers can adequately utilise each service.

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Concise title: Maternal health service utilization

Cited by 9 publications

References 25 publications

Trend Analysis of Multi-level Determinants of Maternal and Newborn Postnatal Care Utilization in Pakistan from 2006 to 2018

Trend Analysis of Multi-level Determinants of Maternal and Newborn Postnatal Care Utilization in Pakistan from 2006 to 2018

Individual and contextual factors associated with maternal healthcare utilisation in Mali: a cross-sectional study using Demographic and Health Survey data

Determinants of maternal healthcare service utilisation among Indonesian mothers: A population-based study

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