Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: A cross-sectional analysis from 1990 to 2014

Although the use of antenatal and other skilled maternal health delivery services in Nigeria was reported to be on the increase, this research explored whether geopolitical zone of residence and place of domicile are associated with the number of antenatal visits and place of delivery. A quantitative cross-sectional study based on secondary data from the Demographic and Health Survey was used to examine the relationship between women’s geopolitical zone of residence, place of domicile (rural/urban), and the number of antenatal visits (categorized as fewer than four or four or more) and delivery (home or health facility). A total of 33,385 women aged 15–49 years were recruited from 888 clusters spread across all the 36 states and the federal capital territory of Nigeria using a stratified two stage proportionate to size cluster design. A higher proportion of women from the South West and North Central zones had made four or more antenatal care visits compared to the other geopolitical zones. The difference was statistically significant even after controlling for differences in education, income, ethnicity, religion, autonomy, and place of domicile (adjusted odd ratio = 2.062; 95% confidence interval [1.897, 2.241]; <em>p </em>< .05). Healthcare policy makers should consider the potential impact of geopolitical zones and place of domicile to enable the development of an all-inclusive strategy to robustly address maternal health services in Nigeria.

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Association between male involvement during antenatal care and use of maternal health services in Mwanza City, Northwestern Tanzania: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-036211 ◽

2020 ◽

Vol 10 (9) ◽

pp. e036211

Author(s):

Clara C Natai ◽

Neema Gervas ◽

Frybert M Sikira ◽

Beatrice J Leyaro ◽

Juma Mfanga ◽

...

Keyword(s):

Maternal Health ◽

Health Services ◽

Antenatal Care ◽

Male Involvement ◽

Maternal Health Services ◽

Cross Sectional Study ◽

Growth Monitoring ◽

Sectional Study ◽

Cross Sectional ◽

Mwanza City

BackgroundMale involvement in antenatal care (ANC) is among interventions to improve maternal health. Globally male involvement in ANC is low and varies in low-income and middle-income countries including Tanzania where most maternal deaths occur. In Sub-Sahara, men are chief decision makers and highly influence maternal health. In Tanzania information is limited regarding influence of male involvement during ANC on utilisation of maternal health services.ObjectivesTo determine the effect of male involvement during ANC on use of maternal health services in Mwanza, Tanzania.DesignA cross-sectional study conducted from June to July 2019.SettingThis study was conducted at seven randomly selected health facilities providing reproductive, maternal and child health (RCH) services in Mwanza City.ParticipantsIncluded 430 postpartum women who delivered 1 year prior to the study and attending for RCH services (growth monitoring, vaccination, postpartum care).Outcome measures4 or more ANC visits, skilled birth attendant (SBA) use during childbirth and postnatal care (PNC) utilisation 48 hours after delivery.MethodsInterviews and observation of the women’s ANC card were used to collect data. Data was entered, cleaned and analysed by SPSS.ResultsThe mean age of participants was 25.7 years. Of 430 women, 54.4% reported their partners attended ANC at least once, 69.7% reported they attended for four or more ANC visits during last pregnancy, 95% used SBAs during childbirth and 9.2% attended PNC within 48 hours after delivery. Male involvement during ANC was significantly associated with four or more ANC visits (Crude Odds Ratio (COR): 1.90; 95% CI: 1.08–3.35) but not with SBA use or PNC utilisation.ConclusionMale involvement in ANC is still low in Mwanza, as 46% of the partners had not attended with partners at ANC. Alternative strategies are needed to improve participation. Studies among men are required to explore the barriers of participation in overall RCH services.

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The effect of child marriage on the utilization of maternal health care in Nepal: A cross-sectional analysis of Demographic and Health Survey 2016

PLoS ONE ◽

10.1371/journal.pone.0222643 ◽

2019 ◽

Vol 14 (9) ◽

pp. e0222643 ◽

Cited By ~ 3

Author(s):

Kazutaka Sekine ◽

Daniel J. Carter

Keyword(s):

Health Care ◽

Maternal Health ◽

Health Survey ◽

Maternal Health Care ◽

Demographic And Health Survey ◽

Child Marriage ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Sectional Analysis

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Association between occupational exposure to disinfectants and asthma in young adults working in cleaning or health services – results from a cross-sectional analysis in Germany

10.1183/13993003.congress-2019.pa5248 ◽

2019 ◽

Author(s):

Tobias Weinmann ◽

Felix Forster ◽

Erika Von Mutius ◽

Christian Vogelberg ◽

Jon Genuneit ◽

...

Keyword(s):

Young Adults ◽

Occupational Exposure ◽

Health Services ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Sectional Analysis

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Determinants of newborn care utilization in Pakistan: Findings from the Demographic and Health Surveys

F1000Research ◽

10.12688/f1000research.25700.2 ◽

2020 ◽

Vol 9 ◽

pp. 1061

Author(s):

Sathirakorn Pongpanich ◽

Abdul Ghaffar ◽

Najma Ghaffar ◽

Hafiz Abdul Majid

Keyword(s):

Maternal Health ◽

Health Services ◽

Postnatal Care ◽

Health Surveys ◽

Newborn Care ◽

Wealth Index ◽

Maternal Health Services ◽

Care Utilization ◽

Demographic And Health Surveys ◽

Cross Sectional

Background: Information on determinants of postnatal care is essential for maternal health services, and this information is scarce in Pakistan. This study aimed to determine the factors of newborn postnatal care utilization from the Pakistan Demographic and Health Surveys (PDHS) conducted from 2006–2018. Methods: We analyzed data from three rounds of cross-sectional, nationally representative PDHS 2006–07, 2012–13, and 2017–18. Multivariable logistic regression models were applied to explore factors associated with utilization of newborn postnatal care within two months. Results: This study included 5724 women from the 2006–07 PDHS, 7461 from the 2012–13 survey, and 8287 from the 2017–18 survey. The proportion of women receiving newborn postnatal care within the first two months of delivery increased from 13% in 2006–07 to 43% in 2012–13 but dropped to 27% in 2017–18. Respondent’s occupation and prenatal care utilization of maternal health services were common factors that significantly influenced newborn postnatal care utilization within two months. The utilization of postnatal care was greater among women having educated husbands and where the first child was a male in PDHS 2007 round. Higher wealth index and educated respondent had higher postnatal care utilization odds in DHS 2012 and DHS 2018. However, the odds of using postnatal care decreased with the number of household members and total number of children ever born in DHS 2012 and 2018 rounds. Conclusions: There was a general increase in the proportion of women who utilized postnatal care for their newborns during 2006–2013 but a decrease in 2018. The decreased utilization in 2018 warrants further investigation. Improving women’s economic status, education, employment, and antenatal care attendance and reducing parity may increase newborn postnatal care utilization.

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Utilization of maternal health services in rural Thawang, Rolpa district of Nepal: a community-based cross-sectional study

Journal of Health Research ◽

10.1108/jhr-03-2020-0069 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Jahirul Hushen ◽

Arpaporn Powwattana ◽

Chockchai Munsawaengsub ◽

Sukhontha Siri

Keyword(s):

Maternal Health ◽

Health Services ◽

Local Level ◽

Maternal Health Services ◽

Cross Sectional Study ◽

Local Context ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Content Type

PurposeThis study aimed to identify the proportion and factors influencing the use of maternal health services (MHS) in rural Thawang, Rolpa, Nepal.Design/methodology/approachThis was a community-based cross-sectional study conducted among 417 mothers who had given birth in the previous two years. Bivariate and multivariate logistic regression was applied to identify associations and predictors.FindingsThe results showed that the use of maternal health services was 50.8%. Adjusting for all other factors in the final model, age group 25–30 years (AOR: 2.30; 95% CI: 1.199–4.422), spouse communication (AOR: 7.31; 95% CI: 2.574–20.791), high accessibility (AOR: 2.552, 95% CI: 1.402–4.643) and high affordability (AOR: 10.89; 95% CI: 4.66–25.445) were significant predictors.Research limitations/implicationsThis is a community-based cross-sectional study, and hence cannot establish causal relationships. The research was conducted in a limited rural area mid-Western Nepal, and this may limit the generalization of results to other settings of the country.Practical implicationsThis research supports to local level government and district health authority to develop and implement need based action to increase maternal health service in the local context.Originality/valueUnderutilization of maternal health services is the result of socioeconomic dynamics, poor access to health services and other physical developments. To increase utilization of maternal health services in rural areas, there is a need to tackle the root cause of health inequality such as reducing poverty, increasing female education, involving women in employment and increasing access to health as a priority development agenda by government authorities. This research supports local level government and district health authorities to develop and implement needs-based action to increase MHS in the local context.

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A cross-sectional analysis of mental health disorders in a mental health services-seeking population of children, adolescents, and young adults in the context of ongoing violence and displacement in northern Cameroon

Comprehensive Psychiatry ◽

10.1016/j.comppsych.2021.152293 ◽

2021 ◽

pp. 152293

Author(s):

Joël Miafo Djatche ◽

Olivia D. Herrington ◽

Daniel Nzebou ◽

Deron Galusha ◽

Yap Boum ◽

...

Keyword(s):

Mental Health ◽

Young Adults ◽

Mental Health Services ◽

Health Services ◽

Mental Health Disorders ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Northern Cameroon ◽

Health Disorders ◽

Sectional Analysis

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Health Extension Workers Involvement in the Utilization of Focused Antenatal Care Service in Rural Sidama Zone, Southern Ethiopia: A Cross-Sectional Study

Health Services Research and Managerial Epidemiology ◽

10.1177/2333392819835138 ◽

2019 ◽

Vol 6 ◽

pp. 233339281983513 ◽

Cited By ~ 1

Author(s):

Achamyelesh Gebretsadik ◽

Million Teshome ◽

Mekdes Mekonnen ◽

Akalewold Alemayehu ◽

Yusuf Haji

Keyword(s):

Maternal Health ◽

Health Services ◽

Antenatal Care ◽

Multivariate Logistic Regression Analysis ◽

Maternal Health Services ◽

Child Health Services ◽

Outcome Variable ◽

Health Extension Workers ◽

Cross Sectional ◽

Focused Antenatal Care

Background: Health extension workers (HEWs) are primarily been assigned in rural areas of Ethiopia to provide maternal and child health services. Few studies have been done to investigate HEWs’ contributions towards maternal health services. This study describes HEWs involvement in the utilization of focused antenatal care (FANC). Methods: A population-based cross-sectional survey was conducted between January 21 and February 4, 2017. Mothers (2300) who gave birth in the last 6 months (0-6 months) in randomly selected 30 kebeles in the rural Sidama zone, participated in the study. A face-to-face interview was done using a structured questionnaire adapted from the Saving Newborn Lives Program. The main outcome variable was FANC utilization. Descriptive statistics and multivariate logistic regression analysis were used using SPSS statistical software. Results: The FANC was used by 525 (24.36%; 95% confidence interval [CI]: 22.5%-26.2%) women. Health extension workers accounted for 244 (46.47%; 95% CI: 43.5-47.7%) of mothers. The FANC utilization was less likely among those who were illiterate (adjusted odds ratio [AOR]: .32; 95% CI: .18-.57) and those who attended first cycle (AOR: .41; 95% CI: .23-.74), those who attended secondary cycle (AOR: .47; 95% CI: .27-.82), primipara (AOR: 0.53; 95% CI: .35-.83), and those who gave birth at home (AOR: .66; 95% CI: .51-.84). Mothers who had knowledge of pregnancy danger signs (AOR: 1.42; 95% CI: 1.2-1.7) and exposure to mass media (AOR: 1.35; 95% CI: 1.1-1.66) were more likely to utilize FANC. Conclusions: FANC utilization in this study was low compared to other studies. The HEWs had a major contribution to the services. However, it is low when compared to the plan set by the state ministry of health. The existing health extension program could be strengthened by increasing the number of HEWs. Empowering rural mothers through continuous education program to enhance the utilization of maternal health services.

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