Social Capital as a Determinant of Pregnant Mother’s Place of Delivery: Experience from Kongwa District in Central Tanzania

Semali, Innocent; Leyna, Germana; Mmbaga, Elia John; Tengia-Kessy, Anna

doi:10.1371/journal.pone.0138887

Cited by 10 publications

(9 citation statements)

References 34 publications

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“…Social capital plays an important role in people’s ability to access healthcare services, and as consequence, their health [13]. In pregnancy, higher social capital may increase access to maternity care and facilitate healthy pregnancy [14, 15]. Although the goals of prenatal care may vary according to context and service provider, a woman’s individual factors should also be considered [16].…”

Section: Introductionmentioning

confidence: 99%

The association between social capital and quality of life among a sample of Iranian pregnant women

et al. 2019

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BackgroundQuality of life (QoL) is a multidimensional concept that is affected by various factors. According to the literature, social capital is one of the key determinants of QoL that improves the living conditions of the entire community. This study aimed to investigate the association between social capital and QoL in pregnant women.MethodsThis cross-sectional study included 240 pregnant women with a mean age of 27.98 years who were referred to healthcare centers in Qazvin, Iran. A two-stage random sampling method was used to select the health centers and participants. Social capital, QoL, demographic and obstetric characteristics were assessed.ResultsThe mean scores of social capital, physical and mental dimensions of quality of life were 67.43, 70.2 and 71.88 respectively. All dimensions of social capital except for family and friends’ connection and tolerance of diversity had positive significant correlations with the physical and mental health dimensions of quality of life (r = 0.17 to 0.28 p < 0.05). A univariate regression model revealed that social capital had a significant association with both the physical health (B = 0.40, 95% CI: 0.19–0.61, p < 0.001) and mental health (B = 0 .44, 95% CI: 0.18–0.58, p < 0.001) dimensions of pregnant women’s quality of life. In the adjusted model, each unit increase of social capital increased pregnant women’s QoL in both the physical health and mental health dimensions.ConclusionSocial capital has a significant association with women’s QoL during pregnancy. Therefore, QoL during pregnancy could be improved by considering physical, psychological and social components of their healthcare.

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Section: Introductionmentioning

confidence: 99%

The association between social capital and quality of life among a sample of Iranian pregnant women

et al. 2019

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“…Of the six quantitative cross-sectional studies, ve [24,38,40,45,46] were rated as moderate quality and one [39] was rated high quality. Four out of six studies undertook systematic random sampling in selecting their study participants.…”

Section: Resultsmentioning

confidence: 99%

“…Despite studies in India [24,38], Tanzania [39] and Cameroon [40] countries indicated the role of SC in improving uptake of maternal and child health services, some other studies have identi ed its negative consequences as exclusion of outsiders, excess claims on group members, restrictions on individual freedoms, and downward leveling norms [41,42]. To date, there is no study that systematically synthesizes the available literature focusing on social capital's role to improve maternal and child health services use in LMICs.…”

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confidence: 99%

The Role of Social Capital on Utilization of Maternal and Child Health Services in Low- and Middle- Income Countries: Mixed-Methods Review

Mengesha¹,

Alene²,

Zelellw³

et al. 2021

Preprint

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Background: Social capital is defined as social relations that may provide individuals and groups with access to resources and supports in community networks. It has become an important issue to be studied in the field of public health. This study aimed to review pieces of literature about the role of social capital on the utilization of maternal and child health services in low- and middle- income countries.Methods: Mixed-methods research review and synthesis, using three databases (PubMed, Scopus, and Science Direct), was performed. Besides, Google Scholar and Google search engines were used. Both quantitative and qualitative studies conducted in low- and middle- income countries, published in English, in grey and commercial literature were considered. Results: A total of 1,545 studies were identified, of which, 328 records were removed due to duplication. Then, 13 records were selected after reading titles, abstracts, and full texts. Of these eligible studies, six studies were included for quantitative synthesis, and seven of them for qualitative synthesis. Moreover, six quantitative studies and seven qualitative studies were included. Of the six reviewed quantitative studies, five of them addressed the relationship between social capital and health facility delivery. Likewise, women who lived in communities with higher membership in groups that help form intergroup bridging ties had higher odds of antenatal care use. Synthesized qualitative findings revealed that women received some form of emotional, informational, and instrumental support from their network members. Receiving health information from trusted people and socio-cultural factors influenced the use of maternal health services.Conclusions: Social capital has a great contribution to the utilization of maternal and child health services. Countries aiming to reduce maternal mortality should identify context-specific approaches to benefit from its social capital. On the other hand, measurement tools for social capital require due attention as there is no uniformity across studies and most of them were conducted using a cross-sectional design. Hence, further longitudinal and interventional studies should be employed to pin down the direction of causality.Systematic review registration: PROSPERO CRD42021226923

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“…However, there are some studies from LMICs, where socio-economic inequality is higher, reported that social capital has a stronger relationship and a greater effect on health [ 35 , 36 ]. Our preliminary cursory searches identified additional studies conducted in India [ 27 , 37 ], Tanzania [ 38 ] and Cameroon [ 39 ]. In other African countries such as Ethiopia, there is high levels of group membership, high participation in citizenship activities and high levels of cognitive social capital [ 40 ].…”

Section: Introductionmentioning

confidence: 99%

Social capital and maternal and child health services uptake in low- and middle-income countries: mixed methods systematic review

Mengesha

Alene

Amare

et al. 2021

BMC Health Serv Res

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Background Social capital has become an important concept in the field of public health, and is associated with improved health services uptake. This study aimed to systematically review the available literature on the role of social capital on the utilization of maternal and child health services in low- and middle-income countries (LMICs). Methods Mixed-methods research review and synthesis using three databases PubMed, Scopus, and Science Direct for peer-reviewed literature and Google Scholar and Google search engines for gray literature were performed. Both quantitative and qualitative studies conducted in LMICs, published in English and in grey literature were considered. Prior to inclusion in the review methodological quality was assessed using a standardized critical appraisal instrument. Results A total of 1,545 studies were identified, of which 13 records were included after exclusions of studies due to duplicates, reading titles, abstracts, and full-text reviews. Of these eligible studies, six studies were included for quantitative synthesis, and seven were included for qualitative synthesis. Of the six quantitative studies, five of them addressed the association between social capital and health facility delivery. Women who lived in communities with higher membership in groups that helps to form intergroup bridging ties had higher odds of using antenatal care services. Synthesized qualitative findings revealed that women received some form of emotional, informational, and instrumental support from their network members. Receiving health information from trusted people and socio-cultural factors influenced the use of maternal and child health services. Conclusions Social capital has a great contribution to improve maternal and child health services. Countries aiming at improving maternal and child health services can be benefited from adapting existing context-specific social networks in the community. This review identified limited available evidence examining the role of social capital on maternal and child health services uptake and future studies may be required for an in-depth understanding of how social capital could improve maternal and child health services. Systematic review registration PROSPERO CRD42021226923.

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Social Capital as a Determinant of Pregnant Mother’s Place of Delivery: Experience from Kongwa District in Central Tanzania

Cited by 10 publications

References 34 publications

The association between social capital and quality of life among a sample of Iranian pregnant women

The association between social capital and quality of life among a sample of Iranian pregnant women

The Role of Social Capital on Utilization of Maternal and Child Health Services in Low- and Middle- Income Countries: Mixed-Methods Review

Social capital and maternal and child health services uptake in low- and middle-income countries: mixed methods systematic review

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