The effect of partners' education on women's reproductive and maternal health in developing countries

Adjiwanou, Vissého; Bougma, Moussa; Legrand, Thomas

doi:10.1016/j.socscimed.2017.11.054

Cited by 50 publications

(42 citation statements)

References 35 publications

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“…There are studies that reported similar findings as determinants for maternal health care service utilization in many countries such as; marital status, maternal and/or husband/spouse education, financial stand of the household, health education and socio-cultural beliefs. 8,9 Whereas common strategies to cope with maternal health care service needs were found to be good dress, good reliance on social network, maternal health education, gender equality and male involvement in reproductive health activities for creating supportive spouse. As it is stated by different authors and WHO; the results of this documentary literature review identified the most common social determinants for maternal health in Africa health care provider attitude economic/ financial inequity, geographical (transportation problems), insecurity, marital status and age, education, gender equity, material and human resources, socio-cultural factors and health care system delivery.…”

Section: Discussionmentioning

confidence: 99%

Key social determinants of maternal health among African countries: a documentary review

Adgoy¹

2018

MOJPH

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Background: The phenomenon of social determinants to maternal death reduction in the continent of Africa is a global health problem of increasing concern. Every region had shown progress, although levels of maternal mortality remain unacceptably high in Africa. 1 Objectives: This narrative literature review study was conducted for exploring the key social determinants and ways of coping mechanisms, for the reduction of maternal mortality, among African women living inside the African continent. Methods: A narrative literature review design was applied using a variety of search engines employing a Boolean search strategy to retrieve research publications, "grey literature", and expert working group reports. Key findings: The review recognized different social determinants among African countries, which affect women's health negatively. The commonly reported include, health care provider attitude, economic/financial inequity, geographical (transportation problems), insecurity, marital status and age, education, gender equity, material and human resources, socio-cultural factors and health care system delivery. Whereas common strategies to cope with maternal health care services were found to be good dress, good reliance on social network, maternal health education, gender equality and male involvement in reproductive health activities. Conclusion: The continental maternal death trend did not reduced as it was intended by Millennium Development Goals (Goal-5) and still continues with Sustainable Development Goals (Goal-5), "Achieve gender equality and empower all women and girls"; therefore the importance of social determinants and coping strategies still remains crucial in accelerating maternal mortality reduction among many African countries.

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Section: Discussionmentioning

confidence: 99%

Key social determinants of maternal health among African countries: a documentary review

Adgoy¹

2018

MOJPH

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“…Husbands' socioeconomic characteristics can also be a factor in utilizing maternal healthcare services in developing countries. Husbands with formal education are more likely to encourage their wives to seek better healthcare treatments during their pregnancy (Adjiwanou et al 2018;Mullany et al 2006;Pebley et al 1996). Husbands without formal education may prevent their wives from obtaining reproductive healthcare from male doctors if they disapprove of male health professionals examining or touching their wives' uncovered bodies.…”

Section: Sociodemographic Covariates Of Mass Media Exposure and Matermentioning

confidence: 99%

Mass media exposure and maternal healthcare utilization in South Asia

Fatema¹

2020

Preprint

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Maternal mortality is a serious issue in the developing world due in part to inadequate healthcare before, during, and after childbirth. Mass media has the potential to disseminate information on maternal healthcare that can improve birth outcomes for mothers and infants, particularly among women with limited educational attainment. This study examines the impact of mass media exposure (e.g., television, radio, and newspaper) and sociodemographic factors on maternal healthcare utilization in four South Asian countries: India, Bangladesh, Nepal, and Afghanistan. Analyses use 2014–2016 Demographic and Health Surveys, nationally representative surveys of women aged 15–49 years. Results show that maternal healthcare utilization is significantly higher among women exposed to mass media across countries, even after controlling for mother’s, husband’s, and household socioeconomic status. Women exposed to mass media are 39–113% more likely to receive antenatal care, 17–99% more likely to deliver their babies by skilled birth attendants, and 24–95% more likely to receive postpartum check-ups after their delivery across countries. Mother’s educational attainment moderates the association between mass media and maternal healthcare in three of the four countries. Governments and public health organizations can consider mass media as a key intervention in promoting maternal health in developing contexts.

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“…Studies conducted in India have found that the woman's education level is associated with delaying the first pregnancy, but also with actual contraceptive use to delay it [23,24]. A multi-country study on partner's education did not specifically find associations with delaying the first pregnancy; however, associations with increased contraceptive use as well as other healthy reproductive behaviours were found [31].…”

Section: Discussionmentioning

confidence: 94%

Desire to delay the first childbirth among young, married women in India: a cross-sectional study based on national survey data

2020

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Background: Young women in India continue to face diverse challenges that threaten their health and wellbeing. The reproductive health and rights of newly married women, who are often expected to begin childbearing soon after marriage, are often neglected. The present study aims to understand some of the factors associated with the desire to delay the first childbirth in young, married women in India. Methods: The study utilised the data from the most recent National Family Health Survey 2015-16 in India. Our study sample was restricted to married women who were 15-24 years of age and who had never been pregnant at the time of the survey. Chi-squared tests, independent t-tests and multivariable logistic regression analyses were performed to measure associations between multiple independent factors and the reported preferred waiting time for the first childbirth. Results: Among never pregnant, married women aged 15-24, 21.49% reported a preferred waiting time for their first childbirth of 2 years or more. Belonging to an other backward class, or OBC, (OR adjusted 1.55, 95%CI 1.14-2.10), having completed higher education (OR adjusted 2.04, 95%CI 1.11-3.76), marrying after the age of 18 (OR adjusted 1.57, 95%CI 1.10-2.24), a husband's higher education level (OR adjusted 2.42, 95%CI 1.27-4.64), a younger husband (OR adjusted 0.75, 95%CI 0.66-0.84) and non-exposure to physical violence (OR adjusted 1.84, 95%CI 1.09-3.11) were significantly associated with a longer preferred waiting time for the first childbirth. Conclusion: Intimate partner violence and partner characteristics play a role in the childbearing intentions of young women after marriage. Delaying the first childbirth could improve women's educational and economic opportunities, their health, and the health of their future and properly planned children. To achieve this, it is crucial to promote and respect women's right to decide who and when to marry, when to have children, and to promote relationships free of gender-based violence.

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The effect of partners' education on women's reproductive and maternal health in developing countries

Cited by 50 publications

References 35 publications

Key social determinants of maternal health among African countries: a documentary review

Key social determinants of maternal health among African countries: a documentary review

Mass media exposure and maternal healthcare utilization in South Asia

Desire to delay the first childbirth among young, married women in India: a cross-sectional study based on national survey data

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