scholarly journals Profiles of Risk: Maternal Health, Socioeconomic Status, and Child Health

2013 ◽  
Vol 75 (3) ◽  
pp. 651-666 ◽  
Author(s):  
Jessica Halliday Hardie ◽  
Nancy S. Landale
Keyword(s):  
Socioeconomic Status ◽  
Maternal Health ◽  
Child Health ◽  
And Child Health

Socioeconomic status and child health: what is the role of health care, health conditions, injuries and maternal health?

2012 ◽  
Vol 7 (2) ◽  
pp. 227-242 ◽  
Author(s):  
Sara Allin ◽  
Mark Stabile
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Maternal Health ◽  
Child Health ◽  
Health Care Services ◽  
Family Income ◽  
Health Care Use ◽  
Health Conditions ◽  
And Child Health

AbstractThere is a persistent relationship between socioeconomic status and health that appears to have its roots in childhood. Not only do children in families with lower income and with mothers with lower levels of education have worse health on average than those with greater socioeconomic advantage, but also the gradient appears to steepen with age. This study contributes to the literature on the relationship between socioeconomic status and child health by testing the hypothesis that the increasing effect of family income on children's health with age relates to the children's use of health care services. It also investigates the role of specific health conditions, injuries or maternal health in explaining the steepening gradient. Drawing on a nationally representative survey from Canada, the National Longitudinal Survey of Children and Youth from the period 1994/95–2008/09, this study provides further evidence of a steepening socioeconomic gradient in child health with age. It finds that accounting for health care use does not explain the steepening gradient and that the protective effect of income appears to be greater for those who had contact with the health system, in particular with regard to physician care and prescription drug use.

scholarly journals An Overview of Key Indicators of HMIS: Experiences with Haryana

2016 ◽  
Vol 5 (2) ◽  
pp. 277
Author(s):  
Tarun Bala
Keyword(s):  
Maternal Health ◽  
Child Health ◽  
Millennium Development Goals ◽  
Child Survival ◽  
Life Stages ◽  
Important Goal ◽  
Indian Government ◽  
Development Goals ◽  
Key Indicators ◽  
And Child Health

<div><p><em>Reducing maternal and child mortality is the most important goal of the National Rural Health Mission. Indian government has worked towards its commitment to achieve the Millennium Development Goals.  Huge investments are being made by Government of India to achieve these goals. A well framed roadmap is being developed for accelerating child survival and improving maternal health and 16 indicators is selected for this purpose. The improvement in these indicators shows the way towards the achievement of MDGs.  India has made considerable progress over the last few years since NRHM in the area of maternal and child health, which was further accelerated after introduction of RMNCHA+ () strategy which appropriately directs the states to focus their efforts on the most vulnerable and disadvantaged sections of the society in the country. Main focus is healthy mothers and child. It also emphasizes on the need to reinforce efforts in those poor performing districts that have already been identified as the high focus districts. ‘Continuum care’ is required to have equal focus on various life stages.  Improvement in these indicators provide an understanding the importance of ‘continuum of care’ to ensure equal focus on various life stages. Some low performing districts had shown an improvement over period of time in its RMNCHA+ indicators.</em></p></div>

scholarly journals Wealth-based equity in maternal, neonatal, and child health services utilization: a cross-sectional study from Ethiopia

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Alem Desta Wuneh ◽  
Araya Abrha Medhanyie ◽  
Afework Mulugeta Bezabih ◽  
Lars Åke Persson ◽  
Joanna Schellenberg ◽  
...  
Keyword(s):  
Maternal Health ◽  
Child Health ◽  
Health Services ◽  
Wealth Index ◽  
Skilled Birth Attendance ◽  
Maternal Health Services ◽  
Child Health Services ◽  
Services Utilization ◽  
Birth Attendance ◽  
And Child Health

Abstract Background Despite the pro-poor health policies in Ethiopia, the utilization of maternal, neonatal, and child health services remains a challenge for the country. Health equity became central in the post-2015 Sustainable Development Goals globally and is a priority for Ethiopia. The aim of this study was to assess equity in utilization of a range of maternal and child health services by applying absolute and relative equity indices. Methods Data on maternal and child health utilization emanated from a baseline survey conducted for a large project ‘Optimizing the Health Extension Program from December 2016 to February 2017 in four regions of Ethiopia. The utilization of four or more antenatal care visits; skilled birth attendance; postnatal care within 2 days after childbirth; immunization with BCG, polio 3, pentavalent 3, measles and full immunization of children aged 12–23 months; and vitamin A supplementation for 6–23 months old children were stratified by wealth quintiles. The socioeconomic status of the household was assessed by household assets and measured by constructing a wealth index using principal component analysis. Equity was assessed by applying two absolute inequity indices (Wealth index [quintile 5- quintile 1] and slope index of inequality) and two relative inequity indices (Wealth index [quintile5: quintile1] and concentration index). Results The maternal health services utilization was low and inequitably distributed favoring the better-off women. About 44, 71, and 18% of women from the better-off households had four or more antenatal visits, utilized skilled birth attendance and postnatal care within two days compared to 20, 29, and 8% of women from the poorest households, respectively. Skilled birth attendance was the most inequitably distributed maternal health service. All basic immunizations: BCG, polio 3, pentavalent 3, measles, and full immunization in children aged 12–23 months and vitamin A supplementation were equitably distributed. Conclusion Utilization of maternal health services was low, inequitable, and skewed against women from the poorest households. In contrast, preventive child health services were equitably distributed. Efforts to increase utilization and reinforcement of pro-poor and pro-rural strategies for maternal, newborn and immunization services in Ethiopia should be strengthened.

scholarly journals Women, children and adolescents in conflict countries: an assessment of inequalities in intervention coverage and survival

2020 ◽  
Vol 5 (1) ◽  
pp. e002214 ◽  
Author(s):  
Nadia Akseer ◽  
James Wright ◽  
Hana Tasic ◽  
Karl Everett ◽  
Elaine Scudder ◽  
...  
Keyword(s):  
Maternal Health ◽  
Child Health ◽  
Children And Adolescents ◽  
Child Mortality ◽  
Breast Feeding ◽  
Low Income ◽  
Mortality Rates ◽  
Health Interventions ◽  
Data Set ◽  
And Child Health

IntroductionConflict adversely impacts health and health systems, yet its effect on health inequalities, particularly for women and children, has not been systematically studied. We examined wealth, education and urban/rural residence inequalities for child mortality and essential reproductive, maternal, newborn and child health interventions between conflict and non-conflict low-income and middle-income countries (LMICs).MethodsWe carried out a time-series multicountry ecological study using data for 137 LMICs between 1990 and 2017, as defined by the 2019 World Bank classification. The data set covers approximately 3.8 million surveyed mothers (15–49 years) and 1.1 million children under 5 years including newborns (<1 month), young children (1–59 months) and school-aged children and adolescents (5–14 years). Outcomes include annual maternal and child mortality rates and coverage (%) of family planning services, 1+antenatal care visit, skilled attendant at birth (SBA), exclusive breast feeding (0–5 months), early initiation of breast feeding (within 1 hour), neonatal protection against tetanus, newborn postnatal care within 2 days, 3 doses of diphtheria, pertussis and tetanus vaccine, measles vaccination, and careseeking for pneumonia and diarrhoea.ResultsConflict countries had consistently higher maternal and child mortality rates than non-conflict countries since 1990 and these gaps persist despite rates continually declining for both groups. Access to essential reproductive and maternal health services for poorer, less educated and rural-based families was several folds worse in conflict versus non-conflict countries.ConclusionsInequalities in coverage of reproductive/maternal health and child vaccine interventions are significantly worse in conflict-affected countries. Efforts to protect maternal and child health interventions in conflict settings should target the most disadvantaged families including the poorest, least educated and those living in rural areas.

scholarly journals Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development

2009 ◽  
Vol 47 (1) ◽  
pp. 87-122 ◽  
Author(s):  
Janet Currie
Keyword(s):  
Socioeconomic Status ◽  
Child Health ◽  
Parental Education ◽  
Economic Status ◽  
Labor Market Outcomes ◽  
Human Capital Development ◽  
Market Outcomes ◽  
Capital Development ◽  
Parental Socioeconomic Status ◽  
And Child Health

There are many possible pathways between parental education, income, and health, and between child health and education, but only some of them have been explored in the literature. This essay focuses on links between parental socioeconomic status (as measured by education, income, occupation, or in some cases area of residence) and child health, and between child health and adult education or income. Specifically, I ask two questions: What is the evidence regarding whether parental socioeconomic status affects child health? And, what is the evidence relating child health to future educational and labor market outcomes? I show that there is now strong evidence of both links, suggesting that health could play a role in the intergenerational transmission of economic status.

scholarly journals Closing the inequality gaps in reproductive, maternal, newborn and child health coverage: slow and fast progressors

2020 ◽  
Vol 5 (1) ◽  
pp. e002230 ◽  
Author(s):  
Agbessi Amouzou ◽  
Safia S Jiwani ◽  
Inácio Crochemore Mohnsam da Silva ◽  
Liliana Carvajal-Aguirre ◽  
Abdoulaye Maïga ◽  
...  
Keyword(s):  
Maternal Health ◽  
Child Health ◽  
Low Income ◽  
Health Surveys ◽  
Health Coverage ◽  
Middle Income ◽  
Child Illness ◽  
Middle Income Countries ◽  
The Past ◽  
And Child Health

IntroductionUniversal Health Coverage (UHC) is a critical goal under the Sustainable Development Goals (SDGs) for health. Achieving this goal for reproductive, maternal, newborn and child health (RMNCH) service coverage will require an understanding of national progress and how socioeconomic and demographic subgroups of women and children are being reached by health interventions.MethodsWe accessed coverage databases produced by the International Centre for Equity in Health, which were based on reanalysis of Demographic and Health Surveys, Multiple Indicator Cluster Surveys and Reproductive and Health Surveys. We limited the data to 58 countries with at least two surveys since 2008. We fitted multilevel linear regressions of coverage of RMNCH, divided into four main components—reproductive health, maternal health, child immunisation and child illness treatment—to estimate the average annual percentage point change (AAPPC) in coverage for the period 2008–2017 across these countries and for subgroups defined by maternal age, education, place of residence and wealth quintiles. We also assessed change in the pace of coverage progress between the periods 2000–2008 and 2008–2017.ResultsProgress in RMNCH coverage has been modest over the past decade, with statistically significant AAPPC observed only for maternal health (1.25, 95% CI 0.90 to 1.61) and reproductive health (0.83, 95% CI 0.47 to 1.19). AAPPC was not statistically significant for child immunisation and illness treatment. Progress, however, varied largely across countries, with fast or slow progressors spread throughout the low-income and middle-income groups. For reproductive and maternal health, low-income and lower middle-income countries appear to have progressed faster than upper middle-income countries. For these two components, faster progress was also observed in older women and in traditionally less well-off groups such as non-educated women, those living in rural areas or belonging to the poorest or middle wealth quintiles than among groups that are well off. The latter groups however continue to maintain substantially higher coverage levels over the former. No acceleration in RMNCH coverage was observed when the periods 2000–2008 and 2008–2017 were compared.ConclusionAt the dawn of the SDGs, progress in coverage in RMNCH remains insufficient at the national level and across equity dimensions to accelerate towards UHC by 2030. Greater attention must be paid to child immunisation to sustain the past gains and to child illness treatment to substantially raise its coverage across all groups.

scholarly journals Distribution of wealth-stratified inequalities on maternal and child health parameters and influences of maternal-related factors on improvements in child health survival rate in Bangladesh

2020 ◽  
pp. 136749352090966
Author(s):  
Rashidul Alam Mahumud ◽  
Jeff Gow ◽  
Abdur Razzaque Sarker ◽  
Marufa Sultana ◽  
Golam Hossain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Child Health ◽  
Maternal And Child Health ◽  
Health Care Service ◽  
Demographic And Health Surveys ◽  
Maternal Risk ◽  
Under Five ◽  
And Child Health ◽  
Health Parameters

This study investigates the influence of household socioeconomic status and maternal risk factors and health-care service availability on changes in the under-five mortality rate (U5MR) in Bangladesh. Potential risk factors that influence U5MRs were investigated using multilevel logistic regression analysis and 29,697 data points from the Bangladesh Demographic and Health Surveys, 2004–2014. Maternal and child health parameters such as childhood morbidity, low vaccination coverage, poor utilization of perinatal care, and malnutrition were found to be more concentrated in poorer households. Pooled estimates indicated that the aggregate odds of U5MR risk declined by 18% to 2007 to 38% to 2014 compared to 2004. However, inadequate antenatal care, short birth interval, primiparity, illiteracy, delayed conception, and low socioeconomic status were significantly associated with a higher risk of under-five mortality. The magnitude of inequality using these measures were significantly associated with large variations in U5MR changes. Although a significant reduction in U5MR in Bangladesh was found in this study, substantial socioeconomic variations still persist. The analysis suggests that decreasing inequality in society is required for further reductions in child mortality. This will help to achieve a more equitable distribution of child and neonatal outcomes and assist the achievement of Sustainable Development Goals 3.2 by 2030.

Sign in / Sign up

Export Citation Format

Share Document