scholarly journals Associations Between Acute Conflict and Maternal Care Usage in Egypt: An Uncontrolled Before-and-After Study Using Demographic and Health Survey Data

2018 ◽  
Vol 8 (3) ◽  
pp. 158-167 ◽  
Author(s):  
Saji S. Gopalan ◽  
Richard J. Silverwood ◽  
Omar Salman ◽  
Natasha Howard
Keyword(s):  
Health Survey ◽  
Maternal Care ◽  
Postnatal Care ◽  
Demographic And Health Survey ◽  
Primary Data ◽  
Service Usage ◽  
Institutional Deliveries ◽  
Before And After ◽  
Usage Patterns ◽  
Before And After Study

Background: United Nations’ (UN) data indicate that conflict-affected low- and middle-income countries (LMICs) contribute considerably to global maternal deaths. Maternal care usage patterns during conflict have not been rigorously quantitatively examined for policy insights. This study analysed associations between acute conflict and maternal services usage and quality in Egypt using reliable secondary data (as conflict-affected settings generally lack reliable primary data). Methods: An uncontrolled before-and-after study used data from the 2014 Egypt Demographic and Health Survey (EDHS). The ‘pre-conflict sample’ included births occurring from January 2009 to January 2011. The ‘peri-conflict sample’ included births from February 2011 to December 2012. The hierarchical nature of demographic and household survey (DHS) data was addressed using multi-level modelling (MLM). Results: In total, 2569 pre-conflict and 4641 peri-conflict births were reported. After adjusting for socioeconomic variables, conflict did not significantly affect antenatal service usage. Compared to the pre-conflict period, periconflict births had slightly lower odds of delivery in public institutions (odds ratio [OR]: 0.987; 95% CI: 0.975-0.998; P<.05), institutional postnatal care (OR: 0.995; 95% CI: 0.98-1.00; P=.05), and at least 24 hours post-delivery stay (OR: 0.921; 95% CI: 0.906-0.935; P<.01). Peri-conflict births had relatively higher odds of doctor-assisted deliveries (OR: 1.021; 95% CI: 1.004-1.035; P<.05), institutional deliveries (OR: 1.022; 95% CI: 1.00-1.04; P<.05), private institutional deliveries (OR: 1.035; 95% CI: 1.017-1.05; P<.001), and doctor-assisted postnatal care (OR: 1.015; 95% CI: 1.003-1.027; P<.05). Sensitivity analysis did not change results significantly. Conclusion: Maternal care showed limited associations with the acute conflict, generally reflecting pre-conflict usage patterns. Further qualitative and quantitative research could identify the effects of larger conflicts on maternal careseeking and usage, and inform approaches to building health system resilience

scholarly journals Regional Differences in Postnatal Care Service Utilisation and Child Morbidity in Nigeria: Evidence from 2018 Nigeria Demographic and Health Survey (NDHS)

2020 ◽  
Author(s):  
Endurance Uzobo ◽  
Aboluwaji D. Ayinmoro
Keyword(s):  
Socioeconomic Factors ◽  
Health Survey ◽  
Postnatal Care ◽  
Demographic And Health Survey ◽  
The South ◽  
North Central ◽  
North West ◽  
North East ◽  
South West ◽  
Child Morbidity

Abstract Introduction: Modern Postnatal Care Services (PNC) in Nigeria is vital tool for providing quality health for mothers and newborns. Nonetheless, many regions in Nigeria are still struggling to achieve optimum utilisation of modern PNC services due to variation in associated socioeconomic factors of mothers based on their regions. This study aims at assessing regional socioeconomic factors associated with PNC services utilisation and its relationship with child morbidity in Nigeria. Methods Data for this study was extracted from the Nigeria Demographic and Health Survey (NDHS) 2018 birth recoded file dataset, with a sample size of 30713 women (aged 15–49). Data were analysed using descriptive statistics, Chi-Square Test and logistic regression. The main predictor variable was the region, while others included the type of PNC service utilised and various demographic variables of the respondents – age, education, type of residence, religion, ethnicity among others. Results The average age of the respondents was 29.5 ± 6.8. The use of modern PNC services ranged from South-West (20.3%), South-South (10.9%), South-East (23.0%), North-Central (22.0%), North-East (13.0%) to North-West (10.9%). The prevalence of child morbidity ranged from South-West (8.5%), South-South (9.8%), South-East (11.4%), North-Central (15.3%), North-East (26.3%) to North-West (28.7%). Child morbidity is significantly higher in the South-South (OR = 1.46), South-East (OR = 1.50), North-Central (OR = 1.13), North-East (OR = 2.31) and North-West (OR = 1.35) compared to the South-West. Conclusion Majority of women in Nigeria are not using modern PNC services. Regional variations in the use of PNC services and socio-demographic characteristics of mothers influence child morbidity in Nigeria. There is need for regional-specific context sensitisation for mothers in the use of modern PNC services.

scholarly journals Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258468
Author(s):  
Gizachew Tadesse Wassie ◽  
Minyichil Birhanu Belete ◽  
Azimeraw Arega Tesfu ◽  
Simachew Animen Bantie ◽  
Asteray Assmie Ayenew ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Survey ◽  
Postnatal Care ◽  
Public Health Intervention ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Care Utilization ◽  
Timely Initiation ◽  
Care Services

Background Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care services in 2016. Objective This study examined the association between antenatal care and timely postnatal care checkup among reproductive-age women in Ethiopia. Methods The study used the 2016 Ethiopian Demographic and Health Survey data. The current study included 4,081 women who give birth in the two years preceding the survey. Chi-square test and multivariable logistic regression analyses were used to examine the association between antenatal care and timely initiation of postnatal care. Results Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkups compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% CI 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as a significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77). Conclusion The prevalence of timely initiation of postnatal care in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve the timely initiation of postnatal care.

scholarly journals Postnatal Care Service Utilisation in Ethiopia: Reflecting on 20 Years of Demographic and Health Survey Data

2020 ◽  
Vol 18 (1) ◽  
pp. 193
Author(s):  
Tensae Mekonnen ◽  
Tinashe Dune ◽  
Janette Perz ◽  
Felix Akpojene Ogbo
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Rural Women ◽  
Urban Areas ◽  
Postnatal Care ◽  
Care Service ◽  
Demographic And Health Survey ◽  
Service Utilisation ◽  
Sampling Weights ◽  
Targeted Interventions

Background: Most maternal deaths in the world occur during the postpartum period, especially within the first two days following delivery. This makes postnatal care (PNC) critical to improving the chances of maternal and child survival. Over the past 20 years, the proportion of women receiving antenatal care (ANC) in Ethiopia has increased while the proportion of those receiving PNC has remained low. This study aimed to understand the trends, determinants and urban–rural variations of PNC service utilisation. Methods: This study draws on the Ethiopian Demographic and Health Survey (EDHS) data for the years 2000 (n = 4552), 2005 (n = 4467), 2011 (n = 4445) and 2016 (n = 4275) to estimate the trends and determinants of PNC service utilisation. Multivariate logistic regression models with adjustment for clustering and sampling weights were used to investigate the association between the independent factors, the study factors and PNC service utilisation. Results: Over the twenty-year period of the EDHS, the proportion of Ethiopian women who received PNC services increased from 5.6% (95% CI: 4.6–6.9%) in 2000 to 18.5% (95% CI: 16.4–20.7%) in 2016. Similarly, women who received PNC services in urban areas increased from 15.2% (95% CI: 23.6–30.7%) in 2000 to 47% (95% CI: 60.4–67.3%) in 2016. Women who were in the wealthy quintile, had ANC visits, delivered in a health facility, and delivered by caesarean section were most likely to have PNC. The present study also showed that whilst birth spacing was a significant factor among urban women, wealth index, ANC visits, and perception of health facility distance were significant factors among rural women. Conclusions: The study suggests low levels of utilisation of PNC among Ethiopian women from rural districts. Geographically targeted interventions with a focus on low-socioeconomic rural women, and those with no previous contacts with the health system during pregnancy, are needed to improve PNC in Ethiopia.

scholarly journals Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Francis Appiah ◽  
Tarif Salihu ◽  
Justice Ofosu Darko Fenteng ◽  
Andrews Ohene Darteh ◽  
Patience Kannor ◽  
...  
Keyword(s):  
Health Survey ◽  
Rural Women ◽  
Postnatal Care ◽  
Demographic And Health Survey ◽  
World Health ◽  
Care Utilization ◽  
Rural Residents ◽  
Maternal Deaths ◽  
Rural Ghana ◽  
Care Utilisation

Abstract Background Maternal mortality is high in Ghana, averaging 310 maternal deaths per 100,000 live births in 2017. This is partly due to inadequate postnatal care especially among rural communities. Ghana can avert the high maternal deaths if women meet the World Health Organisation’s recommended early postnatal care check-up. Despite the association between geographical location and postnatal care utilisation, no study has been done on determinants of postnatal care among rural residents in Ghana. Therefore, this study determined the prevalence and correlates of postnatal care utilization among women in rural Ghana. Methods The study utilised women’s file of the 2014 Ghana Demographic and Health Survey (GDHS). Following descriptive computation of the prevalence, binary logistic regression was fitted to assess correlates of postnatal care at 95% confidence interval. The results were presented in adjusted odds ratio (AOR). Any AOR less than 1 was interpreted as reduced likelihood of PNC attendance whilst AOR above 1 depicted otherwise. All analyses were done using Stata version 14.0. Results The study revealed that 74% of the rural women had postnatal care. At the inferential level, women residing in Savanna zone had higher odds of postnatal care compared to those in the Coastal zone [AOR = 1.80, CI = 1.023–3.159], just as among the Guan women as compared to the Akan [AOR = 7.15, CI = 1.602–31.935]. Women who were working were more probable to utilise postnatal care compared to those not working [AOR = 1.45, CI = 1.015–2.060]. Those who considered distance as unproblematic were more likely to utilise postnatal care compared to those who considered distance as problematic [AOR = 1.63, CI = 1.239–2.145]. Conclusions The study showed that ethnicity, ecological zone, occupation and distance to health facility predict postnatal care utilisation among rural residents of Ghana. The study points to the need for government to increase maternal healthcare facilities in rural settings in order to reduce the distance covered by women in seeking postnatal care.

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