scholarly journals Maternal health services utilisation by Kenyan adolescent mothers: Analysis of the Demographic Health Survey 2014

2017 ◽  
Vol 12 ◽  
pp. 37-46 ◽  
Author(s):  
Aduragbemi Banke-Thomas ◽  
Oluwasola Banke-Thomas ◽  
Mwikali Kivuvani ◽  
Charles Anawo Ameh
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Adolescent Mothers ◽  
Health Survey ◽  
Maternal Health Services ◽  
Demographic Health Survey

scholarly journals Utilisation of maternal health services by adolescent mothers in Kenya: analysis of the demographic health survey 2008–2009

2016 ◽  
Vol 30 (2) ◽  
Author(s):  
Oluwasola Banke-Thomas ◽  
Aduragbemi Banke-Thomas ◽  
Charles Anawo Ameh
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Adolescent Mothers ◽  
Health Survey ◽  
Skilled Birth Attendance ◽  
Maternal Health Services ◽  
Demographic Health Survey ◽  
Birth Attendance ◽  
Utilisation Data ◽  
Natal Care

Abstract Background: Many Kenyan adolescents die following pregnancy and childbirth complications. Maternal health services (MHS) utilisation is key to averting such poor outcomes. Our objectives were to understand the characteristics of adolescent mothers in Kenya, describe their MHS utilisation pattern and explore factors that influence this pattern. Methods: We collected demographic and MHS utilisation data of all 301 adolescent mothers aged 15–19 years included in the Kenya Demographic Health Survey 2008/2009 (KDHS). Descriptive statistics were used to characterise them and their MHS utilisation patterns. Bivariate and multivariate analyses were used to test associations between selected predictor variables and MHS utilisation. Findings: Eighty-six percent, 48% and 86% of adolescent mothers used ante-natal care (ANC), skilled birth attendance (SBA) and post-natal care (PNC), respectively. Adolescent mothers from the richest quintile were nine (CI=2.00–81.24, p=0.001) and seven (CI=3.22–16.22, p<0.001) times more likely to use ANC and SBA, respectively, compared to those from the poorest. Those with primary education were four (CI=1.68–9.64, p<0.001) and two (CI=0.97–4.81, p=0.043) times more likely to receive ANC and SBA, respectively, compared to uneducated mothers, with similar significant findings amongst their partners. Urban adolescent mothers were six (CI=1.89–32.45, p=0.001) and four (CI=2.00–6.20, p<0.001) times more likely to use ANC and SBA, respectively, compared to their rural counterparts. The odds of Maasai adolescent mothers using ANC was 90% (CI=0.02–0.93, p=0.010) lower than that of Kalenjin mothers. Conclusions: Adolescent MHS utilisation in Kenya is an inequality issue. To address this, focus should be on the poorest, least educated, rural-dwelling adolescent mothers living in the most disadvantaged communities.

ACCESS TO HEALTH: WOMEN’S STATUS AND UTILIZATION OF MATERNAL HEALTH SERVICES IN NEPAL

2007 ◽  
Vol 39 (5) ◽  
pp. 671-692 ◽  
Author(s):  
SHARAD KUMAR SHARMA ◽  
YOTHIN SAWANGDEE ◽  
BUPPHA SIRIRASSAMEE
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Mass Media ◽  
Health Survey ◽  
Maternal Health Services ◽  
Women's Status ◽  
Plan Period ◽  
Women’S Status ◽  
Access To Health

SummaryWith the objective of reducing maternal and neonatal mortality, the Safe Motherhood Program was implemented in Nepal in 1997. It was launched as a priority programme during the ninth five-year plan period, 1997–2002, with the aim of increasing women’s access to health care and raising their status. This paper examines the association of access to health services and women’s status with utilization of prenatal, delivery, and postnatal care during the plan period. The 1996 Nepal Family Health Survey and the 2001 Nepal Demographic and Health Survey data were pooled and the likelihood of women’s using maternal health care was examined in 2001 in comparison with 1996. Multiple logistic regression analysis indicates that the utilization of maternal health services increased over the period. Programme interventions such as outreach worker’s visits, radio programmes on maternal health, maternal health information disseminated through various mass media sources and raising women’s status through education were able to explain the observed change in utilization. Health worker visits and educational status of women showed a large association, but radio programmes and other mass media information were only partially successful in increasing use of maternal health services. Socioeconomic and demographic variables such as household economic status, number of living children and place of residence showed stronger association with use of maternal health services then did intervention programmes.

scholarly journals Maternal health services for pregnant adolescent girls in Uganda: Barriers and Opportunities

2020 ◽  
Author(s):  
Vivian Namuli ◽  
Gorgeous Sarah Chinkonono ◽  
Catherine Atuhaire ◽  
Betty Nyawira Christensen ◽  
Vitalis Pemunta ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Services ◽  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Health Workers ◽  
Maternal Health Services ◽  
Sub Saharan Africa ◽  
Pregnant Adolescents ◽  
Care Services

Abstract Background: Globally, adolescent pregnancy is one of the major areas of concern. Over 16 million girls aged between 15-19 years give birth, while over 1 million become pregnant before 15 years, most of who are in Sub-Saharan Africa. Yet, very few adolescents access maternal health services. This study explored the available maternal health services, barriers in accessing them and possible strategies for improving accessibility to these services among pregnant adolescents, specifically in Uganda.Methods: The study was carried out at Naguru teenage information and health Centre (NTIHC), Nakawa division, Kampala district using a qualitative research approach. Data was obtained using in-depth face to face interviews from 31 independent pregnant adolescents and four health care providers. These participants were selected using convenient sampling technique. Data was manually analyzed and themes were extracted and used in the interpretation of results.Results: The study found out that adolescents use only antenatal health care services while the uptake of postpartum health services was side-lined much as they were found available in the health facilities. The dominant antenatal care services among adolescents include; testing and managing of STIs, measuring pressure, tetanus vaccine, measuring weight, counselling and guidance, peer education, and providing drugs. Adolescents also encountered challenges such as long distances, financial constraints, stigmatization, negative attitude of health workers and community expressed bias when accessing these services. It further revealed that through government intervention, community and health workers, accessibility to maternal health services would be improved. Specifically, increasing remuneration for health workers; sensitizing communities about adolescent pregnancy and rights; construction of labour suites; and health workers’ competence were highly emphasized.Conclusion: Advertising and promotion of maternal health services; sensitization of community members; and government involvement will be the key parameters for enhancing maternal health care among adolescent mothers.

scholarly journals Factors Affecting Place of Delivery in Nepal: Evidence From the Nepal Demographic and Health Survey, 2016

2020 ◽  
Author(s):  
Ganesh Khatiwada
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Health Survey ◽  
Institutional Delivery ◽  
Maternal Health Services ◽  
Household Wealth ◽  
Demographic And Health Survey ◽  
Health Programs ◽  
Age At First Birth ◽  
Place Of Delivery

Abstract Background: Maternal health is still a public health problem in Nepal though it has been improving in the last decade. In Nepal, choosing an institution for delivery and behavior searching for antenatal care (ANC) services have improved since the 1990s. However, a large percentage of women still deliver at home. Studies conducted in developing countries including Nepal presents that various demographic, socio-economic, and economic factors are associated with place of delivery. Methodology: The study was a cross-sectional study. Nepal Demographic and Health Survey (NDHS), 2016 data set were utilized. The likelihood of utilization of institutional delivery among 3998 ever-married women who had at least one live birth in the five years preceding the survey was analyzed in terms of women's demographic, socio-economic, and empowerment status in Nepal. Bivariate logistic regression analysis technique was used to examine the effects of these variables in the use of institutional delivery. Results: The study shows that large variation and gaps exist among women in Nepal in the utilization of an institution for delivery. Factors like women's age, parity, age at first birth, level of women's education, husband's education, household wealth status and women's decision making power strongly influence women to choose the place of delivery in Nepal. Conclusion: This study concludes that different maternal health programs ought to design in order to encourage women for institutional delivery. Coverage along with the quality of interventions that are under operation should be improved. Health programs should be targeted to poor, less educated, young women especially in rural, marginalized, and disadvantaged communities as these particular groups of women are less likely to utilize maternal health services. Finally, there is a need for qualitative research to explore the utilization of maternal health services among women.

scholarly journals Factors Associated with Use of Maternal Health Services in Nepal: Analysis of the 2016 Nepal Demographic and Health Survey

2019 ◽  
Vol 17 (3) ◽  
pp. 301-307
Author(s):  
Prithutam Bhattarai
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Health Survey ◽  
Institutional Delivery ◽  
Maternal Health Services ◽  
Demographic And Health Survey ◽  
Maternal Health Service ◽  
Health Institution ◽  
Delivery Services

Background: Timely access and use of health services are critical for improving maternal health services. The objective of present study is to identify key factors related to antenatal care and institutional delivery services in Nepal.Methods: Data from the Nepal Demographic Health Survey 2016 was analyzed. Women who have taken four or more antenatal checkup (ANC4+), and who delivered at a health Institution were considered outcome variables. Logistic regression analysis was used to compute odds ratio. Women (15-49) having most recent birth in 5 years preceding the survey were included in the study.Results: 69.4% women had taken four or more ANC and 60.6 % had given delivery at a health institution. Age of mother at birth of child, birth order, residence, and ethnicity were significantly associated with use of maternal health service. Educated were 3.79(CI2.83-5.08) times likely to take ANC4+ and 2.71 (CI 2.05-3.57) times likely to give birth at health institution. Richest women were 2.25(CI2.83-5.08) times likely to utilize the ANC4+ service and 9.48(CI6.46-13.91) times likely to give birth at health institution. Women in Province 7 were 3.16(CI2.14-4.67) times likely to utilize ANC4+ service and 2.71(CI 1.83-4.05) times likely to give delivery in health institution compared to women in Province 6.Conclusions: Higher educated and richest women were using antenatal care and institutional delivery compared to less educated. The finding reinforces importance of empowering women with education and improving economic situation.Keywords: Antenatal care; demographic and health survey; institutional delivery; maternal health; Nepal.

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