scholarly journals Determinants of Use of Traditional Birth Services in Communities Inclined to Use Them in Nigeria and Ghana

Afrika Focus ◽  
2021 ◽  
Vol 34 (1) ◽  
pp. 7-27
Author(s):  
Nathaniel Siji Olutegbe ◽  
Harry Aryeh Bartimeus
Keyword(s):  
Educational Level ◽  
Maternal Care ◽  
Social Bonds ◽  
Economic Status ◽  
Home Delivery ◽  
Performance Rating ◽  
Care Services ◽  
Multi Stage ◽  
Sub Saharan ◽  
Conventional Services

Abstract Several programmes by government and non-governmental organisations aimed at improving maternal health in many sub-Saharan African nations have not achieved significant results. Use of traditional maternal care services has been identified as still prevalent and thus a possible factor. This study investigated determinants of use of traditional birth services (tbs s) among patrons in tbs-inclined communities of Nigeria and Ghana. A total of 180 and 160 patrons of tbs s were selected from the respective countries, using a multi-stage procedure. The most utilised tbs s include home delivery, concoctions/herbs and family planning. Educational level, constraints to using conventional services, income, and perceived social and economic advantages significantly influenced utilisation. Patrons in Nigeria had better perceived relative advantages of tbs than Ghana, while the accessibility of conventional maternal services, performance rating and overall utilisation of tbs s did not differ significantly between the two countries. Social bonds and economic status were the main reasons for continued patronage of tbs s.

Changes in Maternal Care During the Healthcare Reforms in the Republic of Georgia

2019 ◽  
Vol 9 (3) ◽  
pp. 158-173
Author(s):  
Lela Shengelia ◽  
Milena Pavlova ◽  
Wim Groot
Keyword(s):  
Prenatal Care ◽  
Maternal Care ◽  
Economic Status ◽  
Age Groups ◽  
Secondary Analysis ◽  
Third Wave ◽  
Republic Of Georgia ◽  
Care Services ◽  
The Republic ◽  
Using Data

Since 1991, the health system of the Republic of Georgia has passed through several phases of reform. Privatization and marketization of the healthcare system are among the major reforms. The aim of this study was to analyze the changes in the utilization of, and access to maternal care services during the period 1999–2010. Secondary analysis was done using data from three national reproductive health surveys (RHS). From three RHSs we selected 7,684 women who experienced childbirth/s during 5-years prior to each survey. We analyzed data on pregnancy outcome, type of childbirth, access and utilization of prenatal, natal and immediate postnatal care, and looked at associations with maternal age, ethnicity, educational level, employment status, residence, religion, and economic status. Binary and multinomial regressions were the main statistical models used along with descriptive statistics. We found that the overall utilization of prenatal care services was quite high; in the first wave, it was 92.1% then increased to 95.1% and 98.1% in the second wave and in the third wave respectively. However, utilization of postnatal services was quite low. According to RHS 1999–2000 only 10.7% of mothers utilized postnatal services, which increased to 23.3% in 2010. Women of age group 30–34 were more likely not to use prenatal care services than the other age groups. Rural dwellers, women with lower education level, and women with lower income were less likely to utilize prenatal check-ups. According to the findings from the survey, there were improvements in access to prenatal and natal care as well as utilization of maternal care services over the years. Overall, the use of maternal care has improved during the reforms.

scholarly journals Choice of service facility for maternal care and its proximate correlates

2016 ◽  
Vol 27 (2) ◽  
pp. 175-185
Author(s):  
M Sheikh Giash Uddin ◽  
MG Kibria
Keyword(s):  
Maternal Care ◽  
Service Provision ◽  
Positive Impact ◽  
Economic Status ◽  
Facility Delivery ◽  
Demographic And Health Surveys ◽  
Delivery Care ◽  
Public Facility ◽  
Care Services ◽  
Status Of Women

The aim of this paper is to investigate the association between provision of maternal care services and its differentials. The study used data from Bangladesh Demographic and Health Surveys. The analysis revealed that the socio-economic status of women has positive impact on the likelihood of seeking antenatal care and delivering birth at a health facility. Women who have secondary and above education, the preference of facility delivery was also high. The likelihood of preferring private sector relative to public sector for delivery care has been increasing over time. The women of richest quintile are 3.5 times more likely to prefer delivery at public facility relative to home than the poorest quintile. The women with secondary and above education are 4 times more likely to deliver their child birth at public facility relative to home. This paper concludes that more attention should be given to the determinants of reproductive health, associated with their interactions such as service provision to reduce maternal morbidity and to achieve the MDG for maternal mortality.Bangladesh J. Sci. Res. 27(2): 175-185, December-2014

scholarly journals Predictors of lost to follow up from antiretroviral therapy among adults in sub-Saharan Africa: a systematic review and meta-analysis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Hafte Kahsay Kebede ◽  
Lillian Mwanri ◽  
Paul Ward ◽  
Hailay Abrha Gesesew
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Meta Analysis ◽  
Sub Saharan Africa ◽  
Hiv Care ◽  
Care Services ◽  
Validity Assessment ◽  
Sub Saharan ◽  
Lost To Follow Up

Abstract Background It is known that ‘drop out’ from human immunodeficiency virus (HIV) treatment, the so called lost-to-follow-up (LTFU) occurs to persons enrolled in HIV care services. However, in sub-Saharan Africa (SSA), the risk factors for the LTFU are not well understood. Methods We performed a systematic review and meta-analysis of risk factors for LTFU among adults living with HIV in SSA. A systematic search of literature using identified keywords and index terms was conducted across five databases: MEDLINE, PubMed, CINAHL, Scopus, and Web of Science. We included quantitative studies published in English from 2002 to 2019. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for methodological validity assessment and data extraction. Mantel Haenszel method using Revman-5 software was used for meta-analysis. We demonstrated the meta-analytic measure of association using pooled odds ratio (OR), 95% confidence interval (CI) and heterogeneity using I2 tests. Results Thirty studies met the search criteria and were included in the meta-analysis. Predictors of LTFU were: demographic factors including being: (i) a male (OR = 1.2, 95% CI 1.1–1.3, I2 = 59%), (ii) between 15 and 35 years old (OR = 1.3, 95% CI 1.1–1.3, I2 = 0%), (iii) unmarried (OR = 1.2, 95% CI 1.2–1.3, I2 = 21%), (iv) a rural dweller (OR = 2.01, 95% CI 1.5–2.7, I2 = 40%), (v) unemployed (OR = 1.2, 95% CI 1.04–1.4, I2 = 58%); (vi) diagnosed with behavioral factors including illegal drug use(OR = 13.5, 95% CI 7.2–25.5, I2 = 60%), alcohol drinking (OR = 2.9, 95% CI 1.9–4.4, I2 = 39%), and tobacco smoking (OR = 2.6, 95% CI 1.6–4.3, I2 = 74%); and clinical diagnosis of mental illness (OR = 3.4, 95% CI 2.2–5.2, I2 = 1%), bed ridden or ambulatory functional status (OR = 2.2, 95% CI 1.5–3.1, I2 = 74%), low CD4 count in the last visit (OR = 1.4, 95% CI 1.1–1.9, I2 = 75%), tuberculosis co-infection (OR = 1.2, 95% CI 1.02–1.4, I2 = 66%) and a history of opportunistic infections (OR = 2.5, 95% CI 1.7–2.8, I2 = 75%). Conclusions The current review identifies demographic, behavioral and clinical factors to be determinants of LTFU. We recommend strengthening of HIV care services in SSA targeting the aforementioned group of patients. Trial registration Protocol: the PROSPERO Registration Number is CRD42018114418

scholarly journals The impact of antenatal care on under‐five mortality in Ethiopia: a difference‐in‐differences analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Samuel Oduse ◽  
Temesgen Zewotir ◽  
Delia North
Keyword(s):  
Antenatal Care ◽  
Child Survival ◽  
First Trimester ◽  
Sub Saharan Africa ◽  
P Value ◽  
Difference In Differences ◽  
Under Five ◽  
Care Services ◽  
Sub Saharan ◽  
The Impact

Abstract Background Sub-Saharan Africa, as opposed to other regions, has the highest under-five mortality rates yet makes the least improvement in reducing under-five mortality. Despite the decline, Ethiopia is among the top ten countries contributing the most to global under-five mortalities. This article examines the impact of the number of antenatal care and the timing of first antenatal care on child health outcomes. We specifically investigated if the utilization of antenatal care services positively affects the reduction of under-five mortality. Methods We employ a difference-in-differences design with propensity score matching to identify direct causal effects of antenatal care on under-five mortality based on the Ethiopian Demographic Health Survey data of 2011 and 2016. Our sample includes 22 295 women between the ages of 14–49 who had antenatal care visits at different times before delivery. Results The study revealed 1 481 cases of reported under-five mortality. 99.0% of that under-five mortality cases are women who had less than eight antenatal care visits, while only 1% of that is by women who had eight or more antenatal care visits. Antenatal care visit decreases the likelihood of under-five mortality in Ethiopia by 45.2% (CI = 19.2–71.3%, P-value < 0.001) while the timing of first antenatal care within the first trimester decreases the likelihood of under-five mortality by 10% (CI = 5.7–15.6%, P-value < 0.001). Conclusions To achieve a significant reduction in the under-five mortality rate, Intervention programs that encourages more antenatal care visits should be considered. This will improve child survival and help in attaining Sustainable Development Goal targets.

Determinants of Maternal Mortality in Rural China

1996 ◽  
Vol 9 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Q. Li ◽  
M. D. Fottler
Keyword(s):  
Maternal Mortality ◽  
Rural Areas ◽  
Maternal Care ◽  
Economic Status ◽  
Care Facility ◽  
Health Care Facility ◽  
Mortality Rates ◽  
Future Research ◽  
Socio Economic Status ◽  
On The Road

A case-control study of maternal mortality was conducted in selected rural areas of two provinces in China: Henan province, which has a relatively lower socio-economic status and higher maternal mortality rates, and Jiangsu province with higher socio-economic status and lower maternal mortality rates. The major cause of maternal mortality in the two provinces was postpartum hemorrhage and the largest proportion of deaths occurred on the road between the women's home and the health care facility. Results indicate that the expectant mother's socio-economic status, knowledge of maternal care, and the nature and level of maternal care provided all influence rural maternal death rates. However, socio-economic factors were only significant predictors of mortality in the poorer province. Implications for health policy and future research are discussed.

scholarly journals The Roots of the Obesity Boom. The Relationship Between Overweight and Educational Level Among Dutch Men, 1950–1979

2021 ◽  
Vol 10 ◽  
pp. 124-129
Author(s):  
Björn Quanjer ◽  
Kristina Thompson
Keyword(s):  
Educational Level ◽  
Tertiary Education ◽  
Economic Status ◽  
Historical Cohort ◽  
Lower Educational Level ◽  
Highly Educated ◽  
Socio Economic Status ◽  
Economic Background ◽  
Prevalence Of Obesity ◽  
The Relationship

While in modern, high-income populations, obesity is associated with being from a low socio-economic background, this may not have always been the case. We test the relationship between obesity and educational level (as a proxy for socio-economic status) in a historical cohort of Dutch military conscripts, from the conscription years 1950–1979. We find that in the 1950s cohort, being in tertiary education was significantly associated with an increased likelihood of being overweight. In contrast, in the 1970s cohort, being in tertiary education was significantly associated with a decreased likelihood of being overweight. We find evidence that the prevalence of obesity remained broadly similar among more highly educated men, while it increased among men of a lower educational level. This likely contributed to the overall rise in the obesity rate. Our findings echo other studies that find a crossover in education’s relationship to BMI as populations become wealthier and obesity rates rise.

scholarly journals A novel economic-filter for evaluating sub-Saharan diamondiferous kimberlites

2020 ◽  
Vol 120 (9) ◽  
Author(s):  
P. Leach ◽  
B.P. von der Heyden ◽  
P. Ravenscroft
Keyword(s):  
Net Present Value ◽  
Early Stage ◽  
Economic Status ◽  
Economic Viability ◽  
Preliminary Evaluation ◽  
Cost Models ◽  
Sub Saharan ◽  
Filter Approach ◽  
Geological Complexity ◽  
The Cost

SYNOPSIS Because of their high degree of geological complexity, kimberlite-hosted diamond deposits are exceedingly difficult to evaluate for economic viability. Accordingly, standard mineral asset evaluation protocols (e.g., the Cost-, Market-, and Income Approaches defined in the SAMREC Code) may not hold sufficient predictive abilities for these deposit types, especially at the early stages of exploration. Here we present a novel tool, a cost filter approach towards preliminary evaluation of economic viability of southern African kimberlite-hosted diamond deposits, using the AK6 and BK11 diamond deposits from the Orapa diamond field as case studies. The development of this cost filter is underpinned by elements of both the Market Approach (i.e., comparisons to similar deposits) and the Income Approach (i.e., use of net present value (NPV) calculations) for mineral asset evaluation. Importantly, the cost filter is constrained through modification of only two primary variables (the average diamond value and the diamond grade) and thus differs significantly from other cost filters that rely on estimation and assumptions for every parameter input into an NPV calculation. The cost filter correctly predicts the sub-economic status of the BK11 diamond pipe, and is thus presented as a useful geo-economic tool for early stage kimberlite evaluation within the local southern African context. The approach and its theoretical underpinning foreseeably hold vast potential for use in the economic evaluation of other ore commodities, particularly where socio-economic and political risk factors can be negated by employing a geographic constraint. Keywords: diamond, economic viability, kimberlites, southern Africa, cost models filter.

scholarly journals The Correlation of Maternal Factors and The Quality of Antenatal Care Services With Low Birth Weight Babies In Health Facilities Level I

2018 ◽  
Vol 3 (1) ◽  
pp. 103
Author(s):  
Wira Meiriza ◽  
Aladin Aladin ◽  
Edison Edison
Keyword(s):  
Birth Weight ◽  
Maternal Health ◽  
Nutritional Status ◽  
Antenatal Care ◽  
Maternal Age ◽  
Economic Status ◽  
Maternal Factors ◽  
Care Services ◽  
Low Birth Weight Babies

Infant Mortality Rate in West Sumatra still increased from 96 cases in 2015 becomes 111 cases in 2016. One of the contributors to this was the case of Low Birth Weight Babies (LBWB), wich is birth weight < 2500 grams. Causative factors of LBWB are derived from maternal factors because it is related to fetal growth, starting from the moment of conception until the baby is born. Maternal health is very influential towards the growth and development of the fetus. In addition, Antenatal Care is also require to monitor maternal health. Antenatal service care quality can detect the occurrence of risk in pregnancy. This study aims to determine the relationship of maternal factors based on maternal age, parity, distance of pregnancy, complications of pregnancy, economic status, nutritional status, anemia status, antenatal care implementation and the quality of antenatal care services with LBWB incidence on health facilities level 1 in Padang City.This study used a comparative cross-sectional design totalling 72 respondents consisting of a group of mothers who gave birth to babies with birth weight < 2500 grams and ≥ 2500 grams using consecutive sampling technique. Then conducted interviews and observations by using questionnaires as well as data processing were carried out using SPSS. The results showed there was a correlation between pregnancy complications (p = 0.033), anemia status (p = 0.016) and the implementation of antenatal care (p = 0.000) with the incidence of LBWB, while the unrelated were maternal age (p = 0.405), parity (p = 1,000), pregnancy distance (p = 1,000), economic status (p = 0.637), nutritional status (p = 0.326), and quality of antenatal care services (p = 0.812).The conclusion of this study is that there is no correlation between the quality of antenatal care services and the incidence of LBWB, and the implementation of antenatal care is the dominant factor related with the incidence of LBWB in Padang City.

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