Socio-Economic Gradients in Maternal and Child Health-Seeking Behaviours in Egypt: Systematic Literature Review and Evidence Synthesis

Abstract Background: Maternal and child health care services are available in both public and private facilities in Nepal. No study has yet looked at trends in maternal and child health service use over time in Nepal. This paper assesses trends in and determinants of visiting private health facilities for maternal and child health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods: Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and child health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of health-seeking at private facilities. Results: The results indicate an increase in the use of private facilities for maternal and child health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private health facilities (AOR=6.0, CI= 3.78 -9.52 in 2006; AOR=5.6, CI= 3.51 – 8.81 in 2011; AOR=3.0, CI= 1.53 -5.91 in 2016). Women from the highest wealth quintile (AOR=8.3 CI= 3.97 – 17.42 in 2006; AOR=7.3, CI= 3.91 – 13.54 in 2011; AOR=3.3, CI= 1.54 – 7.09 in 2016) and women with more years of schooling (AOR=1.1, CI= 1.07 – 1.16 in 2006; AOR=1.1, CI= 1.04 – 1.14 in 2011; AOR=1.2, CI= 1.17 -1.27 in 2016) were more likely to deliver in private health facilities. Likewise, children belonging to the highest wealth quintile (AOR=6.4, CI= 1.59 – 25.85 in 2006; AOR=8.0, CI= 2.43 – 26.54 in 2016) were more likely to receive diarrhoea treatment in private health facilities.Conclusions: Women are increasingly visiting private health facilities for maternal and child health care in Nepal. Household wealth quintile, and the mother’s years of schooling were the major determinants for selecting private health facilities for these services. These trends indicate the importance of collaboration between private and public health facilities in Nepal to foster a public private partnership approach in the Nepalese health care sector.

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Health service utilization, perspectives, and health-seeking behavior for maternal and child health services in the Amazon of Peru, a mixed-methods study

International Journal for Equity in Health ◽

10.1186/s12939-019-1056-5 ◽

2019 ◽

Vol 18 (1) ◽

Cited By ~ 3

Author(s):

Christopher M. Westgard ◽

Ally Rogers ◽

Giselle Bello ◽

Natalia Rivadeneyra

Keyword(s):

Child Health ◽

Health Service ◽

Health Services ◽

Service Utilization ◽

Maternal And Child Health ◽

Health Service Utilization ◽

Local Health ◽

Health Seeking ◽

Seeking Behavior ◽

And Child Health

Abstract Background Various factors influence health service utilization at the community level. Research on the barriers to uptake of local health services is essential to reduce maternal and child mortality and morbidity. The Amazon region of Peru has some of the poorest health indicators in the country. The current study set out to better understand the health-seeking behavior and perspectives of mothers in Amazonian communities, exploring individual- and contextual-level barriers for seeking care at local health facilities for common maternal and child health issues. Methods The study employed a mixed-methods design by conducting 50 structured interviews with mothers of children under the age of 4. The study took place in 5 communities in Loreto, Peru. The quantitative data was analyzed with descriptive statistics to identify participants’ socio-demographic characteristics and reported utilization of health services. The qualitative data was analyzed in three rounds: inductive codebook development, application of the codebook, and thematic synthesis to contextualize the quantitative results and better understand the perspectives of the mothers regarding maternal and child health issues and the local health services. Results Overall, reported health service utilization among study participants was relatively high. However, the mothers identified several individual- and contextual-level factors that may affect their experiences and the health-seeking behaviors of other mothers in their communities: (i) embarrassment, fear, and trust, (ii) insufficient number and poor attitudes of health personnel, (iii) limited supply of basic medicines and materials in the health facility, and (iv) low demand for family planning services and limited awareness of adolescent-specific services. Conclusion Several findings in the current study reflect the reduced conditions of health services, while others display that many mothers maintain a positive outlook on the health services available to them and are proactive in the care of their child. The study provides valuable insight into the use of local health services and the common perspectives that are hindering further uptake at the community level in the Amazon of Peru, with important implications for health policy.

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Trends in and determinants of visiting private health facilities for maternal and child health care in Nepal: comparison of three Nepal demographic health surveys, 2006, 2011, and 2016

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03485-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ramesh Prasad Adhikari ◽

Manisha Laxmi Shrestha ◽

Emily N. Satinsky ◽

Nawaraj Upadhaya

Keyword(s):

Health Care ◽

Child Health ◽

Maternal And Child Health ◽

Health Surveys ◽

Wealth Quintile ◽

Health Facilities ◽

Child Health Care ◽

Health Seeking ◽

And Child Health ◽

Over Time

Abstract Background Maternal and child health care services are available in both public and private facilities in Nepal. Studies have not yet looked at trends in maternal and child health service use over time in Nepal. This paper assesses trends in and determinants of visiting private health facilities for maternal and child health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and child health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of health-seeking at private facilities. Results The results indicate an increase in the use of private facilities for maternal and child health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private health facilities (AOR = 3.0, 95% CI = 1.53, 5.91 in 2006; AOR = 5.6, 95% CI = 3.51, 8.81 in 2011; AOR = 6.0, 95% CI = 3.78, 9.52 in 2016). Women from the highest wealth quintile (AOR = 3.3, 95% CI = 1.54, 7.09 in 2006; AOR = 7.3, 95% CI = 3.91, 13.54 in 2011; AOR = 8.3, 95% CI = 3.97, 17.42 in 2016) and women with more years of schooling (AOR = 1.2, 95% CI = 1.17, 1.27 in 2006; AOR = 1.1, 95% CI = 1.04, 1.14 in 2011; AOR = 1.1, 95% CI = 1.07, 1.16 in 2016) were more likely to deliver in private health facilities. Likewise, children belonging to the highest wealth quintile (AOR = 8.0, 95% CI = 2.43, 26.54 in 2006; AOR = 6.4, 95% CI = 1.59, 25.85 in 2016) were more likely to receive diarrhoea treatment in private health facilities. Conclusions Women are increasingly visiting private health facilities for maternal and child health care in Nepal. Household wealth quintile and more years of schooling were the major determinants for selecting private health facilities for these services. These trends indicate the importance of collaboration between private and public health facilities in Nepal to foster a public private partnership approach in the Nepalese health care sector.

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The Maternal and Child Health (MCH) Handbook and its Influence on Health Behaviors: A Literature Review

European Journal of Environment and Public Health ◽

10.21601/ejeph/11357 ◽

2021 ◽

Vol 6 (1) ◽

pp. em0092

Author(s):

Shaira Wignarajah ◽

Shafi U Bhuiyan ◽

Archana Gugathasan

Keyword(s):

Child Health ◽

Literature Review ◽

Health Behaviors ◽

Maternal And Child Health ◽

And Child Health

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Socioeconomic factors differentiating maternal and child health-seeking behavior in rural Bangladesh: A cross-sectional analysis

International Journal for Equity in Health ◽

10.1186/1475-9276-9-9 ◽

2010 ◽

Vol 9 (1) ◽

pp. 9 ◽

Cited By ~ 93

Author(s):

Ruhul Amin ◽

Nirali M Shah ◽

Stan Becker

Keyword(s):

Child Health ◽

Socioeconomic Factors ◽

Maternal And Child Health ◽

Health Seeking ◽

Cross Sectional ◽

Health Seeking Behavior ◽

Rural Bangladesh ◽

Seeking Behavior ◽

Sectional Analysis ◽

And Child Health

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Austerity policy and child health in European countries: a systematic literature review

BMC Public Health ◽

10.1186/s12889-020-08732-3 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Luis Rajmil ◽

Anders Hjern ◽

Nick Spencer ◽

David Taylor-Robinson ◽

Geir Gunnlaugsson ◽

...

Keyword(s):

Child Health ◽

Literature Review ◽

Systematic Literature Review ◽

European Countries ◽

And Child Health ◽

Austerity Policy

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A study to assess maternal and child health care utilization by slum dwellers in Shivamogga

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20210985 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1646

Author(s):

Sridevi N. H. ◽

Praveen Kumar N. ◽

Swathi H. N.

Keyword(s):

Health Care ◽

Child Health ◽

Maternal And Child Health ◽

Health Care Facilities ◽

Care Utilization ◽

Government Medical College ◽

Health Seeking ◽

Medical College ◽

Slum Dwellers ◽

And Child Health

Background: As per the WHO estimates, Slums are home to an estimated 8280 lakh people, representing around one third of the world’s urban population. Health is a major economic issue for slum residents. Objective of the study was to assess utilization of health care facilities by slum dwellers with special reference to maternal and child health.Methods: A list of all slums and the number of households therein was collected from city municipal corporation Shivamogga of which 10 slums were selected by simple random sampling all the households in the selected slums were included in the study. Quantitative data were collected from the households of selected slums after taking informed consent using a pretested semi-structured questionnaire. Information about health care seeking with reference to maternal and child health was obtained by checking the available medical records and as self-reported by the respondents. Data were analyzed by using SPSS software.Results: In this study, among the 339 households studied 93.5% of the women had more than 4 antenatal visits and 99.1% of the deliveries were institutional, the most frequently contacted healthcare facility was government medical college. Conclusions: The availability of better healthcare facilities like government medical college in the proximity of these slums has led to good health seeking behaviour among them.

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