Prenatal consultation and survival of children under five in Togo

Tossou, Yaovi

doi:10.1002/hpm.3302

Cited by 1 publication

(1 citation statement)

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“…Most studies emphasize the role of women's formal education as a major factor in improving maternal and child health. For instance, Tossou 8 shown, in the context of Togo, children whose mothers are with no education or have reached primary school level are at high risk of infant mortality compared to those of mothers with higher education. This is because mother's health care seeking behavior is highly influenced by her education level and mothers with higher education use health care services to a greater extent than the mothers with lower education 7 .…”

Section: Introductionmentioning

confidence: 99%

Effect of women's literacy on maternal and child health: Evidence from demographic Health Survey data in Senegal

Diallo

Mbaye

Aidara

2023

Health Planning & Management

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Background Senegal has certainly made significant efforts in adult literacy and in the fight against maternal and infant mortality. However, a large proportion of the female population is illiterate, and the country's maternal and infant mortality rates are still higher than WHO recommendations. This article examined the effect of women's literacy on maternal and child health in Senegal. Methods Data were extracted from the last Senegal Demographic and Health Surveys (DHS) collected in 2019. A binary logistic model was performed to assess the effect of women's literacy on ten outcomes of maternal and child health indicators. Results Results indicate that women's literacy has a positive and significant effect on nine of key indicators outcomes. For instance, women's literacy increases the odds of contraceptive use by 1.29 (95% Confidence Interval [CI], 1.13–1.48; p < 0.01), compliance with the number of prenatal visits by 1.57 (95% CI, 1.35–1.83; p < 0.01) and consultation in the first trimester of pregnancy by 1.52 (95% CI, 1.31–1.78; p < 0.01). Literacy is associated with increased odds of breastfeeding up to six months (Odds Ratio [OR], 1.17; 95% CI, 0.97–1.42; p < 0.1) and healthy birth interval (OR, 1.18; 95% CI, 0.97–1.44; p < 0.1) only in rural areas. Women literacy reduces the risk of stunting by 0.81 (95% CI, 0.68–0.96; p < 0.05) and the risk of underweight by 0.72 (95% CI, 0.59–0.87; p < 0.01) among children under five years. The mother's ability to read and write favors compliance with the increase of odds of DPT vaccination record of her children, especially in rural areas (OR, 1.69; 95% CI, 1.05–2.74; p < 0.05). Moreover, there are serval other factors influencing positively the maternal and child health, like health insurance access, media exposure, and clean water and improved sanitation facilities access. Conclusions This study emphasizes on the need to strengthen adult literacy programs, especially for women in rural areas. Indeed, this could help generalize health insurance by income‐sensitive premiums or exemptions for the poor as well as increased awareness campaigns to promote reproductive and maternal health benefits, via the radio or television. Furthermore, improving access to clean water supply and improved sanitation facilities would greatly ameliorate maternal and child health.

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Section: Introductionmentioning

confidence: 99%