Using Anderson’s model of health service utilization to examine use of services by adolescent girls in south-eastern Nigeria

Azfredrick, Ezinwanne Christiana

doi:10.1080/02673843.2015.1124790

Cited by 39 publications

(42 citation statements)

References 20 publications

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“…Women who visited decentralized health centers were 20% more likely to make 3 or fewer ANC visits than those with utilized nearby bottom-line health posts. This finding corroborates those of other studies, which predicted higher log odds for making at least 3 recommended visits to ANC clinics [51,53]. Women were likely to visit health centers that were better equipped and more user friendly than others [54].…”

Section: Discussionsupporting

confidence: 90%

“…A qualitative study in Kafa Zone, southwestern Ethiopia [50] reported that women preferred to be seen by HEWs who they knew rather than health workers they did not know. Similar oversea findings were reported by several other studies [12,49,51,52]. This finding may be important to develop intervention strategies that more strengethened a systematic and regular home visits by health workers which helps women to improve their utilization of a minimum ANC services or more at home or health post with low opportunity costs.…”

Section: Discussionsupporting

confidence: 87%

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Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia

2020

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BackgroundIn Ethiopia, most women do not make the minimum number of antenatal care (ANC) visits recommended by WHO. This study modeled predisposing, enabling, need, and external environmental factors in the utilization of decentralized health facilities for ANC services in rural western Ethiopian communities. MethodsA community-based, cross-sectional study was conducted in Gida Ayana Woreda (District) among 454 women. Data were collected through structured questionnaires. Multinomial logistic regression was used to model the association between the explanatory variables and the use of recommended and fewer than recommended visits for ANC with reference to the base model, no ANC visits. ResultsOnly 15.2% of women made the recommended minimum number of ANC visits. Women with fewer than 2 children (AOR 10.7; 95% CI 3.0-8.4) were 10.7 times more likely received ANC service as recommended. Women with a delivery of 2 or more (AOR 9.7; 95% CI 3.7-5.2) home visits by health extension workers (HEWS) were 9.7 times more likely receiving minimum ANC services. Involvement in gainful activities had 4 times higher log odds of seeking recommended ANC (AOR 4.0; 95% CI 1.4-11.7). Women who experienced high fever were more likely to obtain the recommended ANC services (AOR 7.1; 95% CI 2.9-7.5). Residents of Ayana Kebele decentralization entity were 60% more likely to make the recommended number of visits to ANC (AOR 24.6; 95% CI 4.8-15.2).

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia

2020

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“…The model suggests that people's health service use is defined as the function of three main elements: need, enabling, and predisposing factors. 25 The current study hypotheses that predisposing, enabling, and need factors have an association with planned and unplanned hospital admission.…”

Section: Introductionmentioning

confidence: 97%

Estimating unplanned and planned hospitalization incidents among older Australian women aged 75 years and over: The presence of death as a competing risk

Shebeshi

Dolja‐Gore

Byles

2020

Health Planning & Management

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Summary Objectives To estimate the incidence of unplanned and planned hospitalization and identify associated factors among older women aged 75 years and over. Methods This study is a prospective longitudinal cohort study (over the period 2001‐2016). Women born between 1921 and 1926 were included from the Australian Longitudinal Study on Women's Health (ALSWH). ALSWH self‐reported data were linked with New South Wales's state Admitted Patient Data Collection. A competing risk analysis was performed using SAS v 9.4. Results Overall, during the 15‐year observation period, 86.7% of women experienced at least one unplanned admission and 60.3% experienced at least one planned admission. The complement of Kaplan‐Meier survival function overestimates hospitalization incidence compared to cumulative incidence function in the presence of a competing risk, that is, “death.” Predisposing factors (older age and not partnered) and need factors (hospital doctor visit, GP or family doctor visit, poor perceived general health, and having at least one chronic disease) were associated with increased unplanned admission. First language other than English and not having private health insurance showed a negative association with planned admission; specialist doctor visits had a positive association. Conclusions Hospital admission was influenced by predisposing and enabling factors, as well as need. Intervention aiming to support older people who do not have private health insurance may be required to improve the goal of equal access to healthcare through planned admissions people with equal need.

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“…The causes of low maternal healthcare services uptake are numerous and multifaceted, and broadly classified into behavioral, cultural, economic, and sociodemographic factors at individual level and remoteness of health facility, inadequate infrastructure and skilled human resource for healthcare at community level [9,10,11,12,13]. A large number of studies has been conducted on Demographic and Health Survey data that adopted the Andersen and Newman Behavioural Model to identify the factors associated with poor use of ANC, facility delivery and postnatal services [14,15]. To date, there is no such study or report available for Zambia, and thus the factors behind the low utilisation of maternal healthcare services are not yet fully understood.…”

Section: Introductionmentioning

confidence: 99%

“…Maternal healthcare utilisation by typeFigure 1shows that prevalence of women making the first ANC visit within the first trimester has increased from 11.8% in 1996-97 to 23.9% to 2013-14, whereas that of making at least four ANC visit has decreased from 72.3 to 55.3% in 2013-14. The prevalence of health facility delivery (44.2% in 1996-97 vs 73.4% in 2013-14) and postnatal care (43.8% in 2002 Vs 73% in 2013-14) has also increased substantially during the same period.…”

mentioning

confidence: 99%

Socioeconomic inequalities in maternal healthcare utilization in Zambia: 1997-2014

Bishwajit

Yaya

et al. 2020

Preprint

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Background Exploring the trends and socioeconomic inequalities in the use of maternal healthcare utilisation between 1997 and 2014. Methods Data were analyzed using descriptive and multivariate regression methods. Results Women in the higher wealth quintiles (Q4 and Q5) generally had higher prevalence of using health facility delivery and postnatal care services compared with those in the lower wealth quintiles (Q1 and Q2), whereas the prevalence of timely and adequate ANC visit was comparatively higher among those in the lower wealth quintiles. Conclusion Findings indicated important sociodemographic inequalities in using maternal healthcare services, addressing which may help promote the utilisation of these services.

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Using Anderson’s model of health service utilization to examine use of services by adolescent girls in south-eastern Nigeria

Cited by 39 publications

References 20 publications

Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia

Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia

Estimating unplanned and planned hospitalization incidents among older Australian women aged 75 years and over: The presence of death as a competing risk

Socioeconomic inequalities in maternal healthcare utilization in Zambia: 1997-2014

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