Maternal Health Care Seeking Behavior in a Post-Conflict HIPC: The Case of Rwanda

Chandrasekhar, S.; Gebreselassie, Tesfayi; Jayaraman, Anuja

doi:10.1007/s11113-010-9175-0

Cited by 13 publications

(6 citation statements)

References 17 publications

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“…Also, impoverishment, misery, and early marriage are the consequences of warfare, which stimulates maternal mortality (Kottegoda et al, 2008). In addition, in most conflicts, the parties of war cut off all resources, block the ways of delivering health care and medical equipment to war-torn regions, and ban the mobility of emergency vehicles; the pregnant mothers could hardly have access to maternity care (Mullany et al,2008;Chandrasekhar et al, 2011).…”

Section: Literature Reviewmentioning

confidence: 99%

WITHDRAWN: Spatial Effects of Internal and External Conflicts on Regional Maternal Mortality

Mamkhezri

Razzaghi

Khezri

2021

Preprint

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Background: The high maternal mortality rates in African and Middle Eastern countries motivated the present study to explore the causes of such a phenomenon from a broader perspective. Extensive internal and external conflicts, including war and cross-border, foreign pressures, civil war, terrorism, and civil disorder conflicts, are the dominant feature of these countries. Therefore, this paper aims to elicit the influential factors in maternal mortality in the Middle East and Africa, with a special emphasis on the contribution of internal and external conflicts.Methods: This study investigates data from 46 Asian and African countries from 2011 to 2017 on the regional effects of such conflicts on maternal mortality using spatial models. Results: According to the results, the model control variables, except for trade openness, were found to have significant effects on the maternal mortality rate. Economic growth and natural resource rents through the expansion of health services showed significant effects on mortality reduction. In addition, the expansion of urbanization has led to an increase in maternal mortality rates. Also, most internal and external conflicts lead to a decrease in the production orientation towards health services, increasing maternal mortality rates, while war and cross-border have quite opposite effects. Conclusions: The expansion of health services during the emergence of such conflicts reduces the maternal mortality rate. According to the results, conflicts such as war, foreign pressures, and terrorism in neighboring countries lead to increased mortality rates in the country of origin, suggesting that regional conflicts can have spillover effects on the regional extensions of maternal mortality rates.

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Section: Literature Reviewmentioning

confidence: 99%

WITHDRAWN: Spatial Effects of Internal and External Conflicts on Regional Maternal Mortality

Mamkhezri

Razzaghi

Khezri

2021

Preprint

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“…Several studies (Amin et al, 2010; Chandrasekhar et al, 2011; Karim et al, 2010; Osubor et al, 2006) associate the high MMR to the widespread practice of home birth without skilled birth attendants. These studies analyzed the geographic, socioeconomic, and contextual factors impacting the utilization of maternal health services.…”

Section: Maternal Mortality In Ethiopia: a Brief Backgroundmentioning

confidence: 99%

“…These studies analyzed the geographic, socioeconomic, and contextual factors impacting the utilization of maternal health services. Among these factors, women’s autonomy (Woldemicael & Tenkorang, 2010), household income (Amin et al, 2010; Chandrasekhar et al, 2011), distance from health facilities and transportation (Karim et al, 2010; Okojie, 1994), residence in rural versus urban settings (Nigussie et al, 2004), cost of maternal health services (Osubor et al, 2006), and access to radio (Karim et al, 2010) appeared to have the largest impact. Woldemicael and Tenkorang (2010) measured women’s autonomy using women’s freedom of mobility, control over household resources, ability to make decisions on household purchases, freedom from domestic violence, and participation in child-related decisions.…”

Section: Maternal Mortality In Ethiopia: a Brief Backgroundmentioning

confidence: 99%

Exploring Maternal Health in Ethiopia Using Indigenous Approaches: Policy and Practice Implications

Ibrahima

2021

Research on Social Work Practice

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The World Health Organization reports reveal that the average risk of dying from pregnancy-related causes in sub-Saharan Africa is about 1 in 45 compared to 1 in 5,400 in high-income countries. In Ethiopia, maternal mortality remains a tremendous problem. Several studies associate the high maternal mortality ratio to the widespread practice of home birth, household income, and lack of transportation. Absent from the findings of these studies is any discussion of the sociocultural contexts that might influence maternal health service utilization. Birthing bears cultural significance accompanied by rituals. Thus, any solution to maternal health problems must consider the sociocultural and grassroots context. It is important to learn the needs and priorities of the mothers who are targets of maternal health policies. Using Indigenous approaches, this study examines the gaps in Ethiopian maternal health policies and programs. The study also identifies culturally relevant solutions that address the needs of communities.

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“…High MMRs were also reported in parts of Burma, where the military junta had attempted to cut off all resources, and alternative ways of delivering health care had to be sought (Mullany et al 2008 ). Chandrasekhar et al ( 2011 ) showed that the conflict in Rwanda led to a decrease in the number of births given in a health facility. Some populations affected by conflict may, on the other hand, experience an improvement in health.…”

Section: Conflict Health and Gender: Literature Reviewmentioning

confidence: 99%

Organized Violence and Institutional Child Delivery: Micro-Level Evidence From Sub-Saharan Africa, 1989–2014

et al. 2018

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The conditions under which a mother gives birth greatly affect the health risk of both the mother and the child. This article addresses how local exposure to organized violence affects whether women give birth in a health facility. We combine geocoded data on violent events from the Uppsala Conflict Data Program with georeferenced survey data on the use of maternal health care services from the Demographic and Health Surveys. Our sample covers 569,201 births by 390,574 mothers in 31 countries in sub-Saharan Africa. We use a mother fixed-effects analysis to estimate the effect of recent organized violence events within a radius of 50 km of the home of each mother on the likelihood that her child is born in a health facility. The results indicate that geographical and temporal proximity to organized violence significantly reduces the likelihood of institutional births. Although the level of maternal health care overall is lower in rural areas, the negative effect of violence appears to be stronger in urban areas. The study further underscores the importance of household and individual resilience, indicating that the effect of organized violence on institutional child delivery is greater among poor and less-educated mothers.Electronic supplementary materialThe online version of this article (10.1007/s13524-018-0685-4) contains supplementary material, which is available to authorized users.

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Maternal Health Care Seeking Behavior in a Post-Conflict HIPC: The Case of Rwanda

Abstract: Rwanda, Maternal health, Place of delivery, Conflict,

Cited by 13 publications

References 17 publications

WITHDRAWN: Spatial Effects of Internal and External Conflicts on Regional Maternal Mortality

WITHDRAWN: Spatial Effects of Internal and External Conflicts on Regional Maternal Mortality

Exploring Maternal Health in Ethiopia Using Indigenous Approaches: Policy and Practice Implications

Organized Violence and Institutional Child Delivery: Micro-Level Evidence From Sub-Saharan Africa, 1989–2014

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