scholarly journals SMS-based family planning communication and its association with modern contraception and maternal healthcare use in selected low-middle-income countries

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yingying Hu ◽  
Rui Huang ◽  
Bishwajit Ghose ◽  
Shangfeng Tang
Keyword(s):  
Family Planning ◽  
Antenatal Care ◽  
Healthcare Services ◽  
Facility Delivery ◽  
Maternal Healthcare ◽  
Middle Income ◽  
Modern Contraception ◽  
Middle Income Countries ◽  
Delivery Services ◽  
Meta Analyses

Abstract Background The objectives of this study were to 1) measure the percentage of women who received SMS-based family planning communication, and 2) its association with modern contraception and maternal healthcare services among mothers. In recent years, there has been a growing interest surrounding mobile phone-based health communication and service delivery methods especially in the areas of family planning and reproductive health. However, little is known regarding the role of SMS-based family planning communication on the utilisation of modern contraception and maternal healthcare services in low-resource settings. Methods Cross-sectional data on 94,675 mothers (15–49 years) were collected from the latest Demographic and Health Surveys in 14 low-and-middle-income countries. The outcome variables were self-reported use of modern contraception and basic maternal healthcare services (timely and adequate use of antenatal care, and of facility delivery services). Data were analysed using multivariate regression and random effect meta-analyses. Results The coverage of SMS-based family planning communication for the pooled sample was 5.4% (95%CI = 3.71, 7.21), and was slightly higher in Africa (6.04, 95%CI = 3.38, 8.70) compared with Asia (5.23, 95%CI = 1.60, 8.86). Among the countries from sub-Saharan Africa, Malawi (11.92, 95%CI = 11.17, 12.70) had the highest percent of receiving SMS while Senegal (1.24, 95%CI = 1.00, 1.53) had the lowest. In the multivariate analysis, SMS communication shown significant association with the use of facility delivery only (2.22 (95%CI = 1.95, 2.83). The strength of the association was highest for Senegal (OR = 4.70, 95%CI = 1.14, 7.33) and lowest for Burundi (OR = 1.5; 95%CI = 1.01, 2.74). Meta analyses revealed moderate heterogeneity both in the prevalence and the association between SMS communication and the utilisation of facility delivery. Conclusion Although positively associated with using facility delivery services, receiving SMS on family planning does not appear to affect modern contraceptive use and other components of maternal healthcare services such as timely and adequate utilisation of antenatal care.

SMS-based family planning communication and its association with modern contraception and maternal healthcare use in selected low-middle-income countries (Preprint)

2018 ◽  
Author(s):  
Bishwajit Ghose ◽  
Ruoxi Wang ◽  
Tang Shangfeng ◽  
Sanni Yaya
Keyword(s):  
Family Planning ◽  
Antenatal Care ◽  
Healthcare Services ◽  
Facility Delivery ◽  
Maternal Healthcare ◽  
Middle Income ◽  
Modern Contraception ◽  
Middle Income Countries ◽  
Delivery Services ◽  
Meta Analyses

BACKGROUND In recent years, there has been a growing interest surrounding mobile phone-based health communication and service delivery methods especially in the areas of family planning (FP) and reproductive health. However, little is known regarding the role of SMS-based FP communication on the utilisation of modern contraception and maternal healthcare services in low-resource settings. OBJECTIVE The objectives of this study were to 1) measure the coverage of SMS-based family planning (FP) communication, and 2) its association with modern contraception and maternal healthcare services (MHS) among mothers. METHODS Cross-sectional data on 94,675 mothers (15-49 years) were collected from the latest Demographic and Health Surveys on 14 low-and-middle-income countries. The outcome variables were self-reported use of modern contraception and basic MHS (timely and adequate use of antenatal care, and of facility delivery services). Data were analysed using multivariate regression and random effect meta-analyses. RESULTS The coverage of SMS-based FP communication for the pooled sample was 5.4% (95%CI=3.71, 7.21), and was slightly higher in Africa (6.04, 95%CI=3.38, 8.70) compared with Asia (5.23, 95%CI=1.60, 8.86). Among the countries from sub-Saharan Africa, Malawi (11.92, 95%CI=11.17, 12.70) had the highest percent of receiving SMS while Senegal (1.24, 95%CI=1.00, 1.53) had the lowest. In the multivariate analysis, SMS communication shown significant association with the use of facility delivery only (2.22 (95%CI=1.95, 2.83). The strength of the association was highest for Senegal (OR=4.70, 95%CI=1.14, 7.33) and lowest for Burundi (OR=1.5; 95%CI=1.01, 2.74). Meta analyses revealed moderate heterogeneity both in the prevalence and the association between SMS communication and the utilisation of facility delivery. CONCLUSIONS Although positively associated with using facility delivery services, receiving SMS on FP does not appear to affect modern contraceptive use and other components of MHS such as timely and adequate utilisation of antenatal care.

scholarly journals Maternal healthcare services use in Mwanza Region, Tanzania: A cross-sectional baseline survey

2019 ◽  
Author(s):  
James Orwa ◽  
Michaela Mantel ◽  
Micheal Mugerwa ◽  
Sharon Brownie ◽  
Eunice Siaity Pallangyo ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Health Facility ◽  
Healthcare Services ◽  
Facility Delivery ◽  
Postpartum Care ◽  
Reproductive Age ◽  
Antenatal Visit ◽  
Health Facility Delivery ◽  
Maternal Healthcare ◽  
Cross Sectional

Abstract Background: Improving maternal health by reducing maternal mortality/morbidity relates to Goal 3 of the Sustainable Development Goals. Achieving this goal is supported by antenatal care (ANC), health facility delivery, and postpartum care. This study aimed to understand levels of use and correlates of uptake of maternal healthcare services among women of reproductive age (15–49 years) in Mwanza Region, Tanzania. Methods: A cross-sectional multi-stage sampling household survey was conducted to obtain data from 1476 households in six districts of Mwanza Region. Data for the 409 women who delivered in the 2 years before the survey were analyzed for three outcomes: four or more ANC visits (ANC4+), health facility delivery, and postpartum visits. Factors associated with the three outcomes were determined using generalized estimating equations to account for clustering at the district level while adjusting for all variables. Results: Of the 409 eligible women, 58.2% attended ANC4+, 76.8% delivered in a health facility, and 43.5% attended a postpartum clinic. Women from peri-urban, island, and rural regions were less likely to have completed ANC4+ or health facility delivery compared with urban women. Education and early first antenatal visit were associated with ANC4+ and health facility delivery. Mothers from peri-urban areas and those who with health facility delivery were more likely to attend postpartum check-ups. Conclusion: Use of ANC services in early pregnancy influences the number of ANC visits, leading to higher uptake of ANC4+ and health facility delivery. Postpartum check-ups for mothers and newborns are associated with health facility delivery. Encouraging early initiation of ANC visits may increase the uptake of maternal healthcare services. Keywords: Antenatal care, health facility delivery, postpartum care, Mwanza, Tanzania

scholarly journals Effect of unintended pregnancy on skilled antenatal care uptake in Bangladesh: analysis of national survey data

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Md Nuruzzaman Khan ◽  
Melissa L. Harris ◽  
Christopher Oldmeadow ◽  
Deborah Loxton
Keyword(s):  
Antenatal Care ◽  
Unintended Pregnancy ◽  
Unwanted Pregnancy ◽  
Healthcare Services ◽  
Informative Priors ◽  
Middle Income ◽  
Logistic Regression Models ◽  
Middle Income Countries ◽  
Mainstream Healthcare ◽  
Skilled Anc

Abstract Background Around 48% of all pregnancies in low- and middle-income countries are unintended. Unintended pregnancy may contribute to lower use of antenatal care (ANC); however, current research in the area is largely inconclusive due to the methodological approaches applied. Methods Responses from 4493 women extracted from the 2014 Bangladesh Demographic and Health Survey (BDHS) were used to assess the association between unintended pregnancy and subsequent uptake of at least one and at least four skilled ANC visits. For this, Bayesian multilevel logistic regression models with informative priors (representing a range of values within which the researcher is certain the true effect of the parameters included lies) were used, adjusting for other factors that affect ANC uptake. Informative priors were selected from the BDHS data collected in 2004, 2007, and 2011. Results Around 64% of women in Bangladesh who had at least one pregnancy within 3 years prior to the survey (that ended in a live birth) received ANC at least once, and of these around 32% used ANC at least four times. Mistimed (aOR, 0.73, 95% Cred I, 0.66–0.81) and unwanted (aOR, 0.69, 95% Cred I, 0.64–0.75) pregnancy were associated with reduced odds of attending the recommended minimum of four skilled ANC visits compared with wanted pregnancy. These likelihoods were even lower for at least one skilled ANC visit among women with a mistimed (aOR, 0.59, 95% Cred I, 0.53–0.65) or an unwanted pregnancy (aOR, 0.67, 95% Cred I, 0.61–0.74) than women with a wanted pregnancy. Conclusions In Bangladesh, more than one-quarter of women who report an unintended pregnancy at conception and do not terminate the pregnancy are at high risk of not using ANC. It is important for policies to include women with unintended pregnancy in mainstream healthcare services. This will increase the use of ANC and reduce associated adverse consequences.

scholarly journals Regional differentials in early antenatal care, health facility delivery and early postnatal care among women in Uganda

2021 ◽  
Vol 13 (4(J)) ◽  
pp. 17-30
Author(s):  
Ruth Atuhaire ◽  
Robert Wamala ◽  
Leonard. K. Atuhaire ◽  
Elizabeth Nansubuga
Keyword(s):  
Antenatal Care ◽  
Community Health ◽  
Health Facility ◽  
Maternal Education ◽  
Health Workers ◽  
Healthcare Services ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
Maternal Healthcare ◽  
Care Health

This study aimed at examining regional differentials in maternal healthcare services in Uganda. Using a sample of 1,521 women of reproductive ages (15-49) from Eastern and Western sub-regions of Uganda, and non-linear Oaxaca’ Blinder Multivariate Decomposition method, we assessed differentials in utilization of early antenatal care, health facility delivery and early postnatal care services among the women, henceforth, establishing main predictors of regional inequalities that will enable policymakers to make better evenly interventions and focused decisions. The study reveals that differentials in the utilization of maternal healthcare services are not only hindered by social and economic barriers, but also widespread disparities in the utilization of existing services. Significant differentials were attributed to both variation in women’s characteristics and effects of coefficients. Findings showed that the gap in early antenatal care would reduce on average by 31.6% and 34.7% of differences in availability of community health workers and media exposure respectively, were to disappear. Furthermore, the gap would increase on average by 68.8% and 12.6% in absence of the variation in effects of maternal education, and wealth respectively. The gap in health facility delivery would reduce on average by 24.6% and 37.2% of differences in community health worker availability and media exposure were to disappear respectively and increase on average by 54.9% in the absence of variations in effects of maternal education. The gap in EPNC would reduce on average by 18.5% and 17.17% of differences in maternal education and community health worker availability were to disappear respectively and increase on average by 52.8% and 8.4% in the absence of the variation in effects of maternal education and wealth respectively. Progress towards equitable maternal health care should focus more on strategies that guarantee even distribution of community health workers, broad dissemination of maternal healthcare information and girl child education completion in Uganda.

scholarly journals Evaluation of policies for free maternal healthcare in low/middle-income countries: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e031557
Author(s):  
Regina Poima Seki ◽  
Delia Hendrie ◽  
Judith Daire
Keyword(s):  
Maternal Health ◽  
Scoping Review ◽  
Financial Burden ◽  
Healthcare Services ◽  
Global Strategy ◽  
Maternal Healthcare ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low Middle Income Countries ◽  
The Impact

IntroductionImproving maternal health remains a health priority at the global and national levels. As part of the global strategy, many low/middle-income countries (LMICs) have implemented free primary healthcare policies for different service packages including maternal health. Free maternal healthcare policies aim to improve maternal health by removing the financial burden of accessing maternal healthcare services. The objective of this scoping review is to assess evaluations of free maternal healthcare policies and the impact on maternal health in LMICs. This will help identify theoretical and methodological approaches (or gaps if any) for evaluating the impact of free maternal healthcare policies to inform future work. It will also provide an evidence base for policymakers and other stakeholder with an interest in planning, funding and implementing evidence based and effective interventions to improving maternal health outcomes.MethodsThe scoping review will follow the methodological framework proposed by Arksey and O’Malley and refined by Joanna Briggs Institute. It will involve a literature search of the PubMed, Scopus ScienceDirect, Web of Science and CINAHL databases for peer-reviewed journal articles related to the impact of free maternal health policies in LMICs published from 2000 to the present. Two reviewers will screen and appraise eligible articles using preset criteria based on the ‘population-concept-context’ framework. A data extraction framework will be used to extract and chart data from the reviewed articles. The results will be analysed using descriptive numerical summary analysis and qualitative thematic analysis.Ethics and disseminationEthical approval is not required as the scoping review will synthesise information from publicly available materials. Dissemination will be through publication in a peer-reviewed journal and presentation at relevant conferences and workshops.

scholarly journals Maternal Health Care Information for Improving Access to Maternal Health Services for Adolescent Girls and Young Women (AGYW) in Lower-and-Middle Income Countries

2020 ◽  
Vol 12 (6) ◽  
pp. 145
Author(s):  
Joyce T. Shatilwe ◽  
Tivani P. Mashamba-Thompson ◽  
Desmond Kuupiel ◽  
Desmond Kuupiel
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Adolescent Girls ◽  
Young Women ◽  
Healthcare Services ◽  
Health Care Information ◽  
Maternal Healthcare ◽  
Middle Income ◽  
Middle Income Countries ◽  
Care Information

BACKGROUND: There is a dire need to uplift the well-being of pregnant adolescent girls and young women through development and implementation of strategies that can reduce barriers to access maternal healthcare services. This in return will reduce pregnancy related complications which is a threat to many adolescents especially in developing countries. FINDINGS: Other stakeholders such as community members are less involved in the activities of AGYW. Information is not enough to cater for the health needs of AGYW. There are less policies and law in place that will guide the AGYW to make informed decisions. Young people, need to be provided with quality education, training, health information and services to enable them to make informed decisions. Furthermore, their rights need to be protected. They also need to be granted with opportunities to participate in decision making and to equip them for the future. This will enable them to participate in the affairs of their communities and contribute to economic development (UNFPA, 2014, 2017b; WHO, 2015a). CONCLUSION: Poor access to maternal health care information by young women may lead to poor use of maternal healthcare services and maternal outcomes. Maternal healthcare information have been used as a strategy to improve maternal healthcare services to reduce the risk of complications during pregnancy. This review therefore provided an overview on healthcare information that enable access and utilize of maternal healthcare services by adolescent and young women during pregnancy in Lower-and-Middle Income Countries (LMICs). Barriers relating to accessing and utilizing maternal healthcare services by young women in LMICs were also discussed. This review has additionally recommended creative interventions for conquering these obstructions to help improve maternal health outcomes in Lower and Middle Income Countries.

scholarly journals Health insurance coverage and maternal healthcare services utilization in Jordan: evidence from the 2017–18 Jordan demographic and health survey

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Petula Fernandes ◽  
Emmanuel Kolawole Odusina ◽  
Bright Opoku Ahinkorah ◽  
Komlan Kota ◽  
Sanni Yaya
Keyword(s):  
Health Insurance ◽  
Antenatal Care ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Healthcare Services ◽  
Skilled Birth Attendance ◽  
Reproductive Age ◽  
Maternal Healthcare ◽  
Services Utilization ◽  
Birth Attendance

Abstract Background Despite the relationship between health insurance coverage and maternal healthcare services utilization, previous studies in Jordan on the use of maternal healthcare services have mainly focused on patterns and determinants of maternal healthcare services utilization in Jordan. Therefore, this study investigated the relationship between health insurance coverage and maternal healthcare services utilization in Jordan. Methods This study used secondary data published in 2017-18 Jordan Demographic and Health Survey on 4656 women of reproductive age (15–49 years). The independent variable was health insurance coverage and the outcome variable was maternal healthcare services utilization, measured through timing of first antenatal visit, four or more antenatal care visits, and skilled birth attendance. The data were analyzed using descriptive statistics and binary logistic regression. Results Out of the total number of women who participated in the study, 38.2% were not covered by health insurance. With maternal healthcare utilization, 12.5%, 23.2%, and 10.1% respectively, failed to make early first antenatal care visit, complete four or more antenatal care visits and have their delivery attended by a skilled worker. After controlling for the socio-demographic factors, health insurance coverage was associated with increased odds of early timing of first antenatal care visits and completion of four or more antenatal care visits (aOR = 1.33, p < 0.05, aOR = 1.25, p < 0.01, respectively). However, women who were covered by health insurance were less likely to use skilled birth attendance during delivery (aOR = 0.72 p < 0.001). Conclusions Jordanian women with health insurance coverage were more likely to have early first antenatal care visits and complete four or more antenatal care visits. However, they were less likely to have their delivery attended by a skilled professional. This study provides evidence that health insurance coverage has contributed to increased maternal healthcare services utilization, only in terms of number and timing of antenatal care visits in Jordan. It is recommended that policy makers in Jordan should strengthen the coverage of health insurance in the country, especially among women of reproductive age in order to enhance the use of maternal healthcare services in the country.

scholarly journals Effects of terrorist attacks on access to maternal healthcare services: a national longitudinal study in Burkina Faso

2020 ◽  
Vol 5 (9) ◽  
pp. e002879
Author(s):  
Thomas Druetz ◽  
Lalique Browne ◽  
Frank Bicaba ◽  
Matthew Ian Mitchell ◽  
Abel Bicaba
Keyword(s):  
Antenatal Care ◽  
Burkina Faso ◽  
Negative Binomial ◽  
Terrorist Attack ◽  
Healthcare Services ◽  
Terrorist Attacks ◽  
Cesarean Sections ◽  
Maternal Healthcare ◽  
District Hospitals ◽  
The Impact

IntroductionMost of the literature on terrorist attacks’ health impacts has focused on direct victims rather than on distal consequences in the overall population. There is limited knowledge on how terrorist attacks can be detrimental to access to healthcare services. The objective of this study is to assess the impact of terrorist attacks on the utilisation of maternal healthcare services by examining the case of Burkina Faso.MethodsThis longitudinal quasi-experimental study uses multiple interrupted time series analysis. Utilisation of healthcare services data was extracted from the National Health Information System in Burkina Faso. Data span the period of January 2013–December 2018 and include all public primary healthcare centres and district hospitals. Terrorist attack data were extracted from the Armed Conflict Location and Event Data project. Negative binomial regression models were fitted with fixed effects to isolate the immediate and long-term effects of terrorist attacks on three outcomes (antenatal care visits, of facility deliveries and of cesarean sections).ResultsDuring the next month of an attack, the incidence of assisted deliveries in healthcare facilities is significantly reduced by 3.8% (95% CI 1.3 to 6.3). Multiple attacks have immediate effects more pronounced than single attacks. Longitudinal analysis show that the incremental number of terrorist attacks is associated with a decrease of the three outcomes. For every additional attack in a commune, the incidence of cesarean sections is reduced by 7.7% (95% CI 4.7 to 10.7) while, for assisted deliveries, it is reduced by 2.5% (95% CI 1.9 to 3.1) and, for antenatal care visits, by 1.8% (95% CI 1.2 to 2.5).ConclusionTerrorist attacks constitute a new barrier to access of maternal healthcare in Burkina Faso. The exponential increase in terrorist activities in West Africa is expected to have negative effects on maternal health in the entire region.

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