Effect of Economic Growth on Maternal and Child Health Outcomes in Sub-Saharan Africa

2021 ◽  
pp. 478-494
Author(s):  
Helena Yeboah ◽  
Sanni Yaya
Keyword(s):  
Economic Growth ◽  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Sub Saharan Africa ◽  
Child Health Outcomes ◽  
Sub Saharan ◽  
And Child Health

scholarly journals Comparing the timeliness and adequacy of antenatal care uptake between women who married as child brides and adult brides in 20 sub-Saharan African countries

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262688
Author(s):  
Sunday A. Adedini ◽  
Sunday Matthew Abatan ◽  
Adesoji Dunsin Ogunsakin ◽  
Christiana Alake Alex-Ojei ◽  
Blessing Iretioluwa Babalola ◽  
...  
Keyword(s):  
Child Health ◽  
Antenatal Care ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Demographic Characteristics ◽  
African Countries ◽  
Child Health Outcomes ◽  
Sub Saharan ◽  
And Child Health ◽  
Child Brides

Context Considering the persistent poor maternal and child health outcomes in sub-Saharan Africa (SSA), this study undertook a comparative analysis of the timing and adequacy of antenatal care uptake between women (aged 20–24 years) who married before age 18 and those who married at age 18 or above. Method Data came from Demographic and Health Surveys of 20 SSA countries. We performed binary logistic regression analysis on pooled data of women aged 20–24 (n = 33,630). Results Overall, the percentage of child brides in selected countries was 57.1%, with the lowest prevalence found in Rwanda (19.1%) and the highest rate in Chad (80.9%). Central and West African countries had the highest prevalence of child marriage compared to other sub-regions. Bivariate results indicate that a lower proportion of child brides (50.0%) had 4+ ANC visits compared to the adult brides (60.9%) and a lower percentage of them (34.0%) initiated ANC visits early compared to the adult brides (37.5%). After controlling for country of residence and selected socio-economic and demographic characteristics, multivariable results established significantly lower odds of having an adequate/prescribed number of ANC visits among women who married before age 15 (OR: 0.63, CI: 0.57–0.67, p<0.001), and women who married at ages 15–17 (OR: 0.81, CI: 0.75–0.84, p<0.001) compared to those who married at age 18+. Similar results were established between age at first marriage and timing of first ANC visit. Other interesting results emerged that young women who married earlier than age 18 and those who married at age 18+ differ significantly by several socio-economic and demographic characteristics. Conclusion Efforts to improve maternal and child health outcomes in SSA must give attention to address the underutilization and late start of antenatal care uptake among child brides.

scholarly journals Community perspectives on maternal and child health during nutrition and economic transition in sub-Saharan Africa

2020 ◽  
pp. 1-9 ◽  
Author(s):  
Daniella Watson ◽  
Sarah H Kehoe ◽  
Agnes Erzse ◽  
Adélaïde Compaoré ◽  
Cornelius Debpuur ◽  
...  
Keyword(s):  
Child Health ◽  
Nutritional Status ◽  
Maternal And Child Health ◽  
Child Nutrition ◽  
Economic Transition ◽  
Sub Saharan Africa ◽  
Men And Women ◽  
Maternal And Child Nutrition ◽  
Sub Saharan ◽  
And Child Health

Abstract Objective: To explore community perceptions on maternal and child nutrition issues in Sub-Saharan Africa. Design: Thirty focus groups with men and women from three communities facilitated by local researchers. Setting: One urban (Soweto, South Africa) and two rural settings (Navrongo, Ghana and Nanoro, Burkina Faso) at different stages of economic transition. Participants: Two hundred thirty-seven men and women aged 18–55 years, mostly subsistence farmers in Navrongo and Nanoro and low income in Soweto. Results: Differences in community concerns about maternal and child health and nutrition reflected the transitional stage of the country. Community priorities revolved around poor nutrition and hunger caused by poverty, lack of economic opportunity and traditional gender roles. Men and women felt they had limited control over food and other resources. Women wanted men to take more responsibility for domestic chores, including food provision, while men wanted more involvement in their families but felt unable to provide for them. Solutions suggested focusing on ways of increasing control over economic production, family life and domestic food supplies. Rural communities sought agricultural support, while the urban community wanted regulation of the food environment. Conclusions: To be acceptable and effective, interventions to improve maternal and child nutrition need to take account of communities’ perceptions of their needs and address wider determinants of nutritional status and differences in access to food reflecting the stage of the country’s economic transition. Findings suggest that education and knowledge are necessary but not sufficient to support improvements in women’s and children’s nutritional status.

scholarly journals Harnessing the PRECISE network as a platform to strengthen global capacity for maternal and child health research in sub-Saharan Africa

2020 ◽  
Vol 17 (S1) ◽  
Author(s):  
Meriel Flint-O’Kane ◽  
◽  
Peter von Dadelszen ◽  
Prestige Tatenda Makanga ◽  
Esperança Sevene ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Health Research ◽  
Sub Saharan Africa ◽  
Sub Saharan ◽  
Child Health Research ◽  
And Child Health ◽  
Global Capacity

Associations of Gestational Weight Gain With Short- and Longer-Term Maternal and Child Health Outcomes

2009 ◽  
Vol 64 (12) ◽  
pp. 785-787
Author(s):  
Emily Oken ◽  
Ken P. Kleinman ◽  
Mandy B. Belfort ◽  
James K. Hammitt ◽  
Matthew W. Gillman
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Gestational Weight Gain ◽  
Maternal And Child Health ◽  
Child Health Outcomes ◽  
Gestational Weight ◽  
And Child Health

Disparities in Breastfeeding: Impact on Maternal and Child Health Outcomes and Costs

2017 ◽  
Vol 181 ◽  
pp. 49-55.e6 ◽  
Author(s):  
Melissa C. Bartick ◽  
Briana J. Jegier ◽  
Brittany D. Green ◽  
Eleanor Bimla Schwarz ◽  
Arnold G. Reinhold ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Child Health Outcomes ◽  
And Child Health

scholarly journals Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China

2020 ◽  
Author(s):  
Huan Zhou ◽  
Yuju Wu ◽  
Chengfang Liu ◽  
Chang Sun ◽  
Yaojiang Shi ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Breast Feeding ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Child Health Outcomes ◽  
The Impact ◽  
And Child Health

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that the low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfers (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. In 2014 we conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT). Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visits, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers' knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of rural health facilities.

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