scholarly journals Choice of service facility for maternal care and its proximate correlates

2016 ◽  
Vol 27 (2) ◽  
pp. 175-185
Author(s):  
M Sheikh Giash Uddin ◽  
MG Kibria
Keyword(s):  
Maternal Care ◽  
Service Provision ◽  
Positive Impact ◽  
Economic Status ◽  
Facility Delivery ◽  
Demographic And Health Surveys ◽  
Delivery Care ◽  
Public Facility ◽  
Care Services ◽  
Status Of Women

The aim of this paper is to investigate the association between provision of maternal care services and its differentials. The study used data from Bangladesh Demographic and Health Surveys. The analysis revealed that the socio-economic status of women has positive impact on the likelihood of seeking antenatal care and delivering birth at a health facility. Women who have secondary and above education, the preference of facility delivery was also high. The likelihood of preferring private sector relative to public sector for delivery care has been increasing over time. The women of richest quintile are 3.5 times more likely to prefer delivery at public facility relative to home than the poorest quintile. The women with secondary and above education are 4 times more likely to deliver their child birth at public facility relative to home. This paper concludes that more attention should be given to the determinants of reproductive health, associated with their interactions such as service provision to reduce maternal morbidity and to achieve the MDG for maternal mortality.Bangladesh J. Sci. Res. 27(2): 175-185, December-2014

scholarly journals Levels of and changes in socioeconomic inequality in delivery care service: A decomposition analysis using Bangladesh Demographic Health Surveys

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242325
Author(s):  
Mohammad Habibullah Pulok ◽  
Gowokani Chijere Chirwa ◽  
Jacob Novignon ◽  
Toshiaki Aizawa ◽  
Marshall Makate
Keyword(s):  
Health Facility ◽  
Socioeconomic Inequality ◽  
Care Service ◽  
Skilled Birth Attendance ◽  
Household Wealth ◽  
Facility Delivery ◽  
Delivery Care ◽  
Health Facility Delivery ◽  
Care Services ◽  
Birth Attendance

Background Socioeconomic inequality in maternity care is well-evident in many developing countries including Bangladesh, but there is a paucity of research to examine the determinants of inequality and the changes in the factors of inequality over time. This study examines the factors accounting for the levels of and changes in wealth-related inequality in three outcomes of delivery care service: health facility delivery, skilled birth attendance, and C-section delivery in Bangladesh. Methods This study uses from the Bangladesh Demographic and Health Survey of 2011 and 2014. We apply logistic regression models to examine the association between household wealth status and delivery care measures, controlling for a wide range of sociodemographic variables. The Erreygers normalised concentration index is used to measure the level of inequalities and decomposition method is applied to disentangle the determinants contributing to the levels of and changes in the observed inequalities. Results We find a substantial inequality in delivery care service utilisation favouring woman from wealthier households. The extent of inequality increased in health facility delivery and C-section delivery in 2014 while increase in skilled birth attendance was not statistically significant. Wealth and education were the main factors explaining both the extent of and the increase in the degree of inequality between 2011 and 2014. Four or more antenatal care (ANC4+) visits accounted for about 8% to 14% of the observed inequality, but the contribution of ANC4+ visits declined in 2014. Conclusion This study reveals no progress in equity gain in the use of delivery care services in this decade compared to a declining trend in inequity in the last decade in Bangladesh. Policies need to focus on improving the provision of delivery care services among women from poorer socioeconomic groups. In addition, policy initiatives for promoting the completion of quality education are important to address the stalemate of equity gain in delivery care services in Bangladesh.

scholarly journals Utilization of health facility delivery services in the Jomoro District of the Western Region of Ghana

2021 ◽  
Vol 2 (1) ◽  
pp. 173-180
Author(s):  
Samuel Nyarko ◽  
Anthony Kusi ◽  
Kwabena Opoku - Mensah
Keyword(s):  
Developing Countries ◽  
Maternal Mortality ◽  
Health Facility ◽  
Facility Delivery ◽  
Delivery Care ◽  
Western Region ◽  
Health Facility Delivery ◽  
Skilled Delivery ◽  
Care Services ◽  
Delivery Services

Background: In the year 2000, member states of the United Nations pledged to work towards a three-quarters reduction in the 1990 maternal mortality ratio by 2015 in line with Millenium. Development Goal 5, but this could not be achieved. This pledge became imperative given the high maternal mortality being recorded, especially among developing countries. The high maternal deaths in developing countries have been attributed partly to the lack of access to skilled birth attendants during delivery. Objective: This study aimed to investigate factors that influence the utilization of health facility delivery services among pregnant women in the Jomoro District of the Western Region of Ghana. Methods: The study used data from a cross-sectional survey among women aged 18 - 49 yr. living in the Jomoro District of Ghana and had given birth between 2012 and 2016 (n = 374). The study participants were randomly selected from women who attended child welfare clinics on clinic days with their babies in eighteen communities. The study used a structured questionnaire to solicit for information about the women’s demographic and socio-economic characteristics, community characteristics and health systems factors likely to influence their decision to seek skilled delivery care as well as their experiences relating to their last delivery. Bivariate analyses were performed between the primary dependent variable and background characteristics of the respondents. Factors influencing the choice of place of delivery were estimated by multiple logistic regression analysis. Data analysis was performed using STATA Statistical Software, Release 14. Results: About 61.0% (n= 228/374) of the women had their last delivery at a health facility while the remaining 38.8% (n= 145/374) delivered at home without skilled assistance. In multivariate analysis, women aged 25 – 29 yr. were less likely to have a skilled delivery (aOR, 0.40; 95% CI: 0.17 - 0.93). Also, professional women had 4.77 odds of having skilled delivery (aOR, 4.77; 95% CI: 1.53 - 14.93). Distance to the nearest health facility also had a statistically significant association with skilled delivery. Women living at 10 – 19 km to a health facility were less likely to have a skilled delivery (aOR, 0.56; 95% CI: 0.32 - 0.97). In addition, the presence of a midwife at a health facility increased the odds of skilled delivery among women (aOR, 4.59; 95% CI: 2.47 - 8.55). Conclusion: Interventions aimed at increasing the uptake of delivery care services to achieve the SDG’s target on maternal mortality must consider improving the socio-economic wellbeing of women in addition to removing the physical and health system barriers impeding access and utilisation of delivery care services.

Changes in Maternal Care During the Healthcare Reforms in the Republic of Georgia

2019 ◽  
Vol 9 (3) ◽  
pp. 158-173
Author(s):  
Lela Shengelia ◽  
Milena Pavlova ◽  
Wim Groot
Keyword(s):  
Prenatal Care ◽  
Maternal Care ◽  
Economic Status ◽  
Age Groups ◽  
Secondary Analysis ◽  
Third Wave ◽  
Republic Of Georgia ◽  
Care Services ◽  
The Republic ◽  
Using Data

Since 1991, the health system of the Republic of Georgia has passed through several phases of reform. Privatization and marketization of the healthcare system are among the major reforms. The aim of this study was to analyze the changes in the utilization of, and access to maternal care services during the period 1999–2010. Secondary analysis was done using data from three national reproductive health surveys (RHS). From three RHSs we selected 7,684 women who experienced childbirth/s during 5-years prior to each survey. We analyzed data on pregnancy outcome, type of childbirth, access and utilization of prenatal, natal and immediate postnatal care, and looked at associations with maternal age, ethnicity, educational level, employment status, residence, religion, and economic status. Binary and multinomial regressions were the main statistical models used along with descriptive statistics. We found that the overall utilization of prenatal care services was quite high; in the first wave, it was 92.1% then increased to 95.1% and 98.1% in the second wave and in the third wave respectively. However, utilization of postnatal services was quite low. According to RHS 1999–2000 only 10.7% of mothers utilized postnatal services, which increased to 23.3% in 2010. Women of age group 30–34 were more likely not to use prenatal care services than the other age groups. Rural dwellers, women with lower education level, and women with lower income were less likely to utilize prenatal check-ups. According to the findings from the survey, there were improvements in access to prenatal and natal care as well as utilization of maternal care services over the years. Overall, the use of maternal care has improved during the reforms.

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>

scholarly journals A Study on Utilisation of Maternal Health Care Services in Haryana

2017 ◽  
Vol 4 (01) ◽  
Author(s):  
Sonal Katyal
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Care Service ◽  
Health Care Service ◽  
Wealth Index ◽  
Maternal Health Care ◽  
Demographic And Health Surveys ◽  
Delivery Care ◽  
Care Services

Despite being a relatively smaller state, Haryana’s per capita Gross State Domestic Product (GSDP) is quite high. However, the statistical data on the status of women has a different story to share. This study analyses the maternal healthcare situation in Haryana to examine the differences in utilisation of maternal health care service, i.e. delivery care on the basis of socio-economic and socio-demographic indicators such as women’s age at birth, birth order, education, residence, religion, wealth index and caste. The study uses the third round of the National Family Health Survey (NFHS) data which is similar to the Demographic and Health Surveys (DHS). The findings reveal that women who have taken antenatal care utilise these services much more than women who have not taken antenatal care services. The utilisation pattern is in conjugation with the hypotheses. The results demonstrate that several socio-economic and demographic factors affect the utilisation of delivery care services in Haryana. Efforts need to be taken at community and household level to improve utilisation the utilisation of these services.

Implementation of Fee-Free Maternal Health-Care Policy in Ghana: Perspectives of Users of Antenatal and Delivery Care Services From Public Health-Care Facilities in Accra

2018 ◽  
Vol 38 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Patricia Anafi ◽  
Wisdom K. Mprah ◽  
Allen M. Jackson ◽  
Janelle J. Jacobson ◽  
Christopher M. Torres ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Care ◽  
Indirect Costs ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Delivery Care ◽  
Care Services ◽  
Care Facilities ◽  
Exemption Policy ◽  
The Government

In 2008, the government of Ghana implemented a national user fee maternal care exemption policy through the National Health Insurance Scheme to improve financial access to maternal health services and reduce maternal as well as perinatal deaths. Although evidence shows that there has been some success with this initiative, there are still issues relating to cost of care to beneficiaries of the initiative. A qualitative study, comprising 12 focus group discussions and 6 interviews, was conducted with 90 women in six selected urban neighborhoods in Accra, Ghana, to examine users’ perspectives regarding the implementation of this policy initiative. Findings showed that direct cost of delivery care services was entirely free, but costs related to antenatal care services and indirect costs related to delivery care still limit the use of hospital-based midwifery and obstetric care. There was also misunderstanding about the initiative due to misinformation created by the government through the media.We recommend that issues related to both direct and indirect costs of antenatal and delivery care provided in public health-care facilities must be addressed to eliminate some of the lingering barriers relating to cost hindering the smooth operation and sustainability of the maternal care fee exemption policy.

scholarly journals Economic impact of microfinance in Nepal: a case study of the Manamaiju Village Development Committee, Kathmandu

2015 ◽  
pp. 36-49
Author(s):  
Dipak Bahadur Adhikari ◽  
Jayanti Shrestha
Keyword(s):  
Health Care Services ◽  
Food Access ◽  
Positive Impact ◽  
Economic Status ◽  
Poor People ◽  
Care Services ◽  
Modern Health Care ◽  
Development Committee ◽  
Village Development Committee

The concept of micro-credit was developed to mobilize small savings of poor people to create deposit, which may be accessible to unreachable and un-bankable poor, especially women. The study has highlighted that microfinance is an effective tool for bringing positive impact on the economic status of the respondents along with their family members. It has helped to generate extra income for their family and their own use. The extra income allows the respondents family to buy nutritious food, access to modern health care services and they can afford to send their children to the school.DOI: http://dx.doi.org/10.3126/ejdi.v15i1-2.11861Economic Journal of Development Issues Vol. 15 & 16 No. 1-2, pp. 36-49

scholarly journals Determinants of Use of Traditional Birth Services in Communities Inclined to Use Them in Nigeria and Ghana

Afrika Focus ◽  
2021 ◽  
Vol 34 (1) ◽  
pp. 7-27
Author(s):  
Nathaniel Siji Olutegbe ◽  
Harry Aryeh Bartimeus
Keyword(s):  
Educational Level ◽  
Maternal Care ◽  
Social Bonds ◽  
Economic Status ◽  
Home Delivery ◽  
Performance Rating ◽  
Care Services ◽  
Multi Stage ◽  
Sub Saharan ◽  
Conventional Services

Abstract Several programmes by government and non-governmental organisations aimed at improving maternal health in many sub-Saharan African nations have not achieved significant results. Use of traditional maternal care services has been identified as still prevalent and thus a possible factor. This study investigated determinants of use of traditional birth services (tbs s) among patrons in tbs-inclined communities of Nigeria and Ghana. A total of 180 and 160 patrons of tbs s were selected from the respective countries, using a multi-stage procedure. The most utilised tbs s include home delivery, concoctions/herbs and family planning. Educational level, constraints to using conventional services, income, and perceived social and economic advantages significantly influenced utilisation. Patrons in Nigeria had better perceived relative advantages of tbs than Ghana, while the accessibility of conventional maternal services, performance rating and overall utilisation of tbs s did not differ significantly between the two countries. Social bonds and economic status were the main reasons for continued patronage of tbs s.

Determinants of Maternal Mortality in Rural China

1996 ◽  
Vol 9 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Q. Li ◽  
M. D. Fottler
Keyword(s):  
Maternal Mortality ◽  
Rural Areas ◽  
Maternal Care ◽  
Economic Status ◽  
Care Facility ◽  
Health Care Facility ◽  
Mortality Rates ◽  
Future Research ◽  
Socio Economic Status ◽  
On The Road

A case-control study of maternal mortality was conducted in selected rural areas of two provinces in China: Henan province, which has a relatively lower socio-economic status and higher maternal mortality rates, and Jiangsu province with higher socio-economic status and lower maternal mortality rates. The major cause of maternal mortality in the two provinces was postpartum hemorrhage and the largest proportion of deaths occurred on the road between the women's home and the health care facility. Results indicate that the expectant mother's socio-economic status, knowledge of maternal care, and the nature and level of maternal care provided all influence rural maternal death rates. However, socio-economic factors were only significant predictors of mortality in the poorer province. Implications for health policy and future research are discussed.

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