scholarly journals Spatial Clustering of Maternal Health Services Utilization and Its Associated Factors in Tanzania: Evidence From Tanzania Demographic Health Survey 2015-16

2020 ◽  
Author(s):  
Blanka Thobias Assenga ◽  
Amina Suleiman Msengwa ◽  
Maurice Chakusaga Mbago
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Associated Factors ◽  
Spatial Clustering ◽  
Maternal Health Services ◽  
Delivery Care ◽  
Demographic Health Survey ◽  
Services Utilization ◽  
Care Services ◽  
High Utilization

Abstract Background: Maternal healthcare services are major component for the health outcomes of the pregnant woman in making sure the deaths of mother and child are prohibited. This study aimed to examine the spatial clustering of maternal health care services utilization and the associated factors in Tanzania.Methods: The study utilized the Tanzania Demographic Health Survey and Malaria Indicators Survey 2015-16 data. The study carried out to 7,013 women aged between 15 and 49 years who had a live birth in the five years preceding the survey. Spatial analysis was done using the Bernoulli model through Kullodorff scan statistics, and multiple logistic regression analysis was employed to identify the predictors of maternal health services utilization Results: Spatial variations of antenatal care visit and delivery care across the regions was observed. Spatial scan statistic identified high utilization performing cluster for antenatal care centroid in Morogoro Region [RR=1.67, p<0.001] and low utilization in Kaskazini Pemba Region [RR=0.38, p<0.001]. For delivery care utilization, high utilization was observed in Mtwara Region [RR=1.83, p<0.001] and low utilization in Kigoma Region [RR=0.41, P<0.001]. Utilization of antenatal and delivery care services was higher among women from the richest households, with fewer children, living in urban areas and had acquired a higher education level. Conclusion: Results permit more insight into the differences in maternal health service utilization in relation to demographic characteristics in the country. In addition, findings highlight areas with low utilization performing clusters. Such finds are beneficial in the implementation of policy and intervention to expand maternal health care uptake in cross the regions.

scholarly journals Utilization of Maternal Health Care Services among Mothers Residing at Slum Area

2019 ◽  
Vol 17 (2) ◽  
pp. 193-199
Author(s):  
Shreemaya Shrestha ◽  
Dev Kumari Shrestha
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Services ◽  
Maternal Health Care ◽  
Antenatal Visit ◽  
Services Utilization ◽  
Care Services ◽  
Maternal Health Care Services ◽  
One Year

Background: Appropriate utilization of maternal health care services is very important tool to reduce the maternal and child morbidity and mortality rate. This study was conducted to assess the utilization of maternal health care services by the women for their last pregnancy in one year period and to find out it’s association with selected variables.Methods: Descriptive cross sectional study was conducted for one year by using semi-structured questionnaire among 285 mothers residing at slums area of Dharan sub-metropolitan city after taking written consent from them. Ethical clearance was obtained from Institutional Review Committee, BPKIHS and Dharan Sub-metropolitan city office. Simple random sampling followed by snowball sampling method was used to collect the data by interview method.Results: Majority (95.1%) had one Antenatal visit, 60.4% had initiated antenatal visit at first trimester and 78.99% had completed 4 or more antenatal visits. Only 35.8% had taken complete dose of iron and calcium. Majority 262 (91.92%) respondents have taken Tetanus Toxoid immunization and among them only 74.42% had taken 2 dose of TT injection. Women who delivered in health facility accounted for 70.9% but only 28.8% went for postnatal visit. Majority (65.3%) received health advice during postnatal period. Nearly 40% respondents used family planning after post partum period .There was significant association between utilization of antenatal and delivery services with Educational status of respondents and their husbands and number of pregnancy and between utilization of postnatal services with occupation of husband.Conclusions: Utilization of maternal health care services, antenatal services utilization were satisfactory whereas postnatal services and family planning services utilization were very poor. Utilization of maternal health services should be encouraged by conducting public awareness programmes.Keywords: Maternal health services; utilization; women.

scholarly journals Wealth Status, Health Insurance, and Maternal Health Care Utilization in Africa: Evidence from Gabon

2020 ◽  
Vol 2020 ◽  
pp. 1-12 ◽  
Author(s):  
N’doh Ashken Sanogo ◽  
Sanni Yaya
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Maternal Health ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Maternal Health Care ◽  
Care Utilization ◽  
Services Utilization ◽  
Maternal Health Care Utilization ◽  
Care Services

Background. To achieve the universal health coverage among other Sustainable Development Goals, African countries have shown the commitment by implementing strategies to improve access and coverage of health care services whose access is still very low. The achievement of universal health care requires the provision and availability of an adequate financing system. This study explored the wealth-related association of compulsory health insurance on maternal health care utilization in Gabon. Methods. The study used the 6th round of Gabon Demographic and Health Surveys (GDHSs)—2012 data to explore three outcome measures of maternal health care utilization extracted on number of antenatal care (ANC) visits during pregnancy, place of birth delivery, and postnatal health care. The dependent variable was women with health insurance coverage against those without. Logistic regression and propensity scoring matching analysed associations of health insurance coverage on women’s utilization of health care. Results. Mean (+/− SD) age of women respondents of reproductive age was 29 years (9.9). The proportion of at least 4 antenatal care visits was 69.2%, facility-based delivery was 84.7%, and postnatal care utilization was 67.9%. The analysis of data showed disparities in maternal health care services utilization. The GDHS showed maternal age, and geographical region was significantly associated with maternal health care service utilization. A high proportion of urban dwellers and Christian women used maternal health care services. According to the wealth index, maternal health services utilization was higher in women from wealthy households compared to lower households wealth index (ANC (Conc. Index = 0.117; p≤0.001), facility-based delivery (Conc. Index = 0.069; p≤0.001), and postnatal care (Conc. Index = 0.075; p≤0.001), respectively). With regard to health care insurance coverage, women with health insurance were more likely to use ANC and facility-based delivery services than those without (concentration indices for ANC and facility-based delivery were statistically significant; ANC: z-stat = 2.69; p=0.007; Conc. Index: 0.125 vs. 0.096 and facility-based delivery: z-stat = 3.38; p=0.001; Conc. Index: 0.076 vs. 0.053, respectively). Conclusion. Women enrollment in health insurance and improved household’s financial status can improve key maternal health services utilization.

Factors Affecting the Utilization of Maternal and Child Health Care Services in Tribal Dominated Population States of India

2020 ◽  
pp. 0272684X2097285
Author(s):  
Bal Govind Chauhan ◽  
Suresh Jungari
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Services ◽  
Care Utilization ◽  
Factors Affecting ◽  
Safe Delivery ◽  
Care Services ◽  
Post Natal Care ◽  
And Child Health

The present study intended to examine that factors affecting the utilization of maternal health services in the Three tribal-dominated states of India namely Madhya Pradesh, Jharkhand and Chhattisgarh. The study used National Family Health Survey (NFHS-4) data. Both bivariate and multivariate techniques have been applied for data analysis. Logistic regression techniques and concentration curve and index have been used . Findings of the study indicate that there were wider socio-economic differential exits in the utilization of MCH services (full ANC, Safe delivery and post-natal care) in all the three states under study. The regression result shows that the tribal population is less likely to utilize maternal and child health care services than other Caste groups. The economic inequality in accessing the all three components of maternal health care utilization was higher in the Jharkhand than Madhya Pradesh and Chhattisgarh. Further, economic inequality was higher in accessing the full ANC than safe delivery and post-natal care across all the states under study. From policy point of view, the government schemes to provide maternal health services to tribal communities should consider the community-level factors affecting maternal health care utilization and should extend its operations in the small villages.

scholarly journals Women's Satisfaction with Maternal care in Ghana : The Doctor's Behaviour as a Regulating Factor

2021 ◽  
pp. 332-344
Author(s):  
Fortune Afi Agbi ◽  
Professor Zhou Lvlin ◽  
Eric Owusu Asamoah
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Postnatal Care ◽  
Health Care Services ◽  
Positive Impact ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Delivery Care ◽  
Care Services

<p>The key element of human rights and the road to equity and dignity of women and children is the quality of care received. The provision of maternal health care is based on quality during pregnancy, and distinctly forty-eight hours after delivery, is an important contribution to saving women’s lives and preventing disabilities (Quah, 2016). Thus, the understanding of women's experiences and expectations through the continuum of prenatal care, delivery care and postnatal care is important for assessing the quality of maternal health care and the determination of problem areas requiring improvement. Women's satisfaction reflects women's judgment of various aspects of maternal health care, including organizational and interpersonal aspects. Multiple linear regression was used (IBM SPSS v.25) to test the main hypotheses for the present study. The ordinal regression was used to predict the value of a result variable (dependent variable) based on the value of two or more prediction variables (independent variables). This study identifies the relationship between maternal health services (prenatal & diagnostic care, delivery care and postnatal care) and women's satisfaction with the moderating role of doctor's behavior. The study finally determined the positive impact of health care services on women's satisfaction. The results also show that the doctor's behavior in health care services affect women's satisfaction and so, the alternate hypotheses are accepted. In this study, physicians were encouraged to give pregnant women thorough inspection and examination, treat them with courtesy and respect. The study also showed that, the government should focus on hiring additional employees to overcome workload.</p>

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