EFFECTIVENESS OF SOCIOECONOMIC TO UTILIZATION OF ANTENATAL CARE AMONG MINORITY POPULATIONS IN A REMOTE AREA IN CENTRAL VIETNAM

2017 ◽  
pp. 7-13
Author(s):  
Ngoc Thanh Cao ◽  
Van Thang Vo ◽  
Dinh Duong Le ◽  
Khanh Ly Dang
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Ethnic Minority ◽  
Maternal Health Care ◽  
Minority Women ◽  
Ethnic Minority Women ◽  
Care Services ◽  
Central Vietnam ◽  
Lower Education

Background: Growing evidence suggests that there are imbalances in the achievements in health care in Vietnam, especially in the mountainous areas, and particularly among ethnic minority groups. The aim of this study is to describe the determinants of maternal care services utilization and related factors among ethnic minority women in a mountainous rural area of central Vietnam. Methods: A cross-sectional study design was conducted in A-Luoi, a rural mountainous district of Central Vietnam. A total of 381 ethnic minority women preceding twelve months were included in the survey. Preceding the survey, households were interviewed based on a structured questionnaire. Multivariate logistic regression model analysis was used to define the significant factors related to adequate antenatal care (ANC) visits. Results: More than four-fifth (81.1) of women had undergone at least 3 antenatal care visit during their previous pregnancy. However, there were still 3.1% of women who not received any antenatal care visits. Women in the older age group were more likely to have adequate ANC visits than women who were younger than 20 years old (aOR=3.59; 5.58; 2.66 were age groups 20-24; 25-29 and ≥ 30 respectively). In addition, women with higher education (secondary or above) were more likely (aOR = 2.50) to attend 3 ANC services compared to women who with lower education (primary level or less). Knowledge of maternal health care services and receiving support from family during pregnancy or giving birth were defind significant different from the model. Conclusion: There was limitation in approach and utilization of maternal health care among ethnic minority women in remote areas in Central Vietnam. The interventions focusing on women in the younger age group, with lower education level, and designed to improve knowledge about maternal health, would be most beneficial. Key words: Antenatal care visits (ANC), maternal health care, minority women, moutainou

scholarly journals Utilization pattern and associated factors of maternal health care services in Haryana, India: a study based on district level household survey data

2018 ◽  
Vol 7 (3) ◽  
pp. 1154 ◽  
Author(s):  
Shinjini Ray ◽  
Pravat Bhandari ◽  
Jang Bahadur Prasad
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Institutional Delivery ◽  
Maternal Mortality Ratio ◽  
Maternal Health Care ◽  
District Level ◽  
Care Services ◽  
Maternal Health Care Services

Background: Maternal health was one of the most important millennium development goals (MDGs), India didn’t achieve by the year 2015. Since, India is a multicultural, social and multiregional country, where some of the regions have good social and demographic achievement while some are poor. Haryana is one of them, which has 146 maternal mortality ratio. The level of receiving antenatal care (ANC) in Haryana is quite low as compared to other states of India. Objective of present study was to Understand the extent of use of maternal health care services in Haryana as well as examining the role of antenatal care and other socio-economic factors on the utilization of maternal health services.Methods: Bivariate analysis, chi-square test, and binary logistic regression have been used based on district level household and facility survey-4 data.Results: The utilization of ANC (any and full), institutional delivery and post-delivery treatment seeking varies among women by literacy, age at first marriage, age at women and place of residence. Literate women are two times more likely to access ANC [odds ratio (OR)=1.97 (any ANC), 1.95 (full ANC), p<0.01] and 1.52 times more likely to prefer institutional delivery [OR=1.52, p<0.01].Conclusions: Empowering women through the encouragement of mother’s education should be one of the most fundamental strategies to promote maternal health care services and reduce inequalities.

scholarly journals Assessing the role of women’s autonomy and acceptability of intimate-partner violence in maternal health-care utilization in 63 low- and middle-income countries

2019 ◽  
Vol 48 (5) ◽  
pp. 1580-1592 ◽  
Author(s):  
Pooja Sripad ◽  
Charlotte E Warren ◽  
Michelle J Hindin ◽  
Mahesh Karra
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Partner Violence ◽  
Maternal Health Care ◽  
Care Utilization ◽  
Women’S Autonomy ◽  
Women's Autonomy ◽  
Maternal Health Care Utilization ◽  
Care Services

Abstract Background Our study investigates the associations between women’s autonomy and attitudes toward the acceptability of intimate-partner violence against women (IPVAW) and maternal health-care utilization outcomes. Methods We combine data from 113 Demographic and Health Surveys conducted between 2003 and 2016, which give us a pooled sample of 765 169 mothers and 777 352 births from 63 countries. We generate composite scores of women’s autonomy (six-point scale with reference: no contribution) and acceptability of IPVAW (five-point scale with reference: no acceptance) and assess the associations between these measures and women’s use of antenatal care services and facility delivery in pooled and unique country samples. Results A change in a woman’s autonomy score from ‘no contribution to any decision-making domain’ (a composite autonomy score of 0) to ‘contribution to all decision-making domains’ (a score of 6) is associated with a 31.2% increase in her odds of delivering in a facility and a 42.4% increase in her odds of receiving at least eight antenatal care visits over the course of her pregnancy. In contrast, a change in a woman’s attitude towards acceptability of IPVAW from ‘IPVAW is not acceptable under any scenario’ (a score of 0) to ‘IPVAW is acceptable in all scenarios’ (a score of 5) is associated with an 8.9% decrease in her odds of delivering in a facility and a 20.3% decrease in her odds of receiving eight antenatal care visits. Conclusions Our findings suggest that strong and significant associations exist between autonomy, acceptability of IPVAW and utilization of maternal health-care services.

scholarly journals Determinants of utilization of maternal health care services among mothers in Harare, Zimbabwe

2019 ◽  
Author(s):  
Eunice Nyarambi ◽  
Paddington Tinashe Mundagowa ◽  
Prosper Chonzi ◽  
Elizabeth Chadambuka
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Health Facilities ◽  
Related Factors ◽  
Care Services ◽  
Maternal Health Care Services

Abstract Background: Provision of quality maternal health care services is an essential component in ensuring a healthy mother-baby dyad both pre- and post-delivery. In Africa, antenatal care, postnatal care, and skilled birth attendances are very low when compared to high-income countries. The continent has a high burden of maternal and infant morbidity as well as mortality rates. According to the Harare Annual Report of 2016, the number of women seeking maternal health care services was gradually declining from 2014 and pregnant women reported various challenges in accessing health care services. Methods: A 1 to 1 case-control study was conducted in Harare West South Western District using pretested interviewer-administered questionnaires. The study was carried out at all three clinics in the district and a total of 73 cases and 73 controls were selected using a systematic random sampling method. Quantitative data were analyzed using Epi Info statistical package and qualitative data was analyzed thematically. Results: The median ages for cases and controls were 29 and 24 years, respectively and the age-group 19 to 24 years constituted the majority of participants (41%). Predictors of utilization of services were young age ( < 24 years), birth order of < 2, maternal and paternal occupation, and religion. Enabling factors included: asking for permission to seek care, absence of transport challenges, a shorter distance to the health facility, affordability of health services, and a higher household income. Besides the shortage of skilled staff at the clinics, mothers endured long waiting hours to be served. The majority of the cases (78.1 %) and controls (72.6%) preferred to be attended by male nurses. Mothers were required to pay a $25 fee for booking and city medical staff rarely visited the clinics. Conclusion: The utilization of maternal health care services in Harare is dependent on the individual, household, and system-related factors. There was a need to articulate policies and design maternal health care programs that target socially and economically marginalized women. Creating women-friendly health facilities with extended hours for the antenatal care, delivery care and post-natal care services for mothers can help to decongest the health facilities.

scholarly journals Assessment of utilization of maternal health care services in rural field practice areas of VIMS, Ballari

2017 ◽  
Vol 5 (1) ◽  
pp. 170
Author(s):  
Neeta P. N. ◽  
Sameena A. R. B. ◽  
Suresh C. M. ◽  
Gangadhar Goud ◽  
Bharat . ◽  
...  
Keyword(s):  
Higher Education ◽  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Postnatal Care ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Care Services ◽  
Field Practice ◽  
Maternal Health Care Services

Background: Maternal mortality and morbidity remains high even though national programs exist for improving maternal and child health in India. This could be related to several factors, an important one being non-utilization or delay in seeking care of maternal health-care services, especially amongst the rural poor and urban slum population due to either lack of awareness or access to health-care services. Our study was aimed to know the utilization of maternal health care services during antenatal and post natal period and factors affecting them.Methods: A Community based cross sectional study was carried in the rural field practice areas of VIMS, Ballari (three primary health centres (PHC) Kudithini, Koluru, Kurugodu) among all married women in the age group of 15-45 years who were in the post natal period (less than 2 months) at time of interview. A total 152 women were included in the study by door to door survey, among all the 3 PHC’s. The women absent during the survey were excluded.Results: Only 101 (66.44%) of women utilized antenatal care and 18 (11.8%) utilized post natal care (at least three postnatal visits) from the health care facility. Mothers who were of Muslim religion, <20 years of age, higher education of participant as well as husband, higher occupation status, high SES, less parity had higher odds of utilizing antenatal care. Health education by the health worker regarding post natal services to women ranged from 62.5-90.8%. Mothers of Muslim religion, higher education, higher occupation status, normal vaginal delivery and home delivery had higher odds of utilizing postnatal servicesConclusions: The study shows unacceptably low utilization of postnatal care services. It shows the coverage of postnatal care services is inadequate. This is an important message to health service providers and policy makers to strengthening not only antenatal health services and institutional deliveries but also postnatal care services to reduce maternal and neonatal morbidity and mortality. 

scholarly journals Male Involvement in Maternal Health Care at Anomabo, Central Region, Ghana

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Joshua Panyin Craymah ◽  
Robert Kwame Oppong ◽  
Derek Anamaale Tuoyire
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Central Region ◽  
Health Care Services ◽  
Male Involvement ◽  
Maternal Health Care ◽  
Care Services ◽  
Maternal Health Care Services ◽  
Sampling Procedures

Background. Globally, male involvement in maternal health care services remains a challenge to effective maternal health care accessibility and utilization. Objective. This study assessed male involvement in maternal health care services and associated factors in Anomabo in the Central Region of Ghana. Methods. Random sampling procedures were employed in selecting 100 adult male respondents whose partners were pregnant or had given birth within twelve months preceding the study. Pearson Chi-Square and Fisher’s exact tests were conducted to assess the association of sociodemographic and enabling/disenabling factors with male involvement in maternal health care services. Results. Some 35%, 44%, and 20% of men accompanied their partners to antenatal care, delivery, and postnatal care services, respectively. Male involvement in antenatal care and delivery was influenced by sociodemographic (partner’s education, type of marriage, living arrangements, and number of children) and enabling/disenabling (distance to health facility, attitude of health workers, prohibitive cultural norms, unfavourable health policies, and gender roles) factors. Conclusion. The low male involvement in maternal health care services warrants interventions to improve the situation. Public health interventions should focus on designing messages to diffuse existing sociocultural perceptions and health care provider attitudes which influence male involvement in maternal health care services.

scholarly journals Determinants of utilization of maternal health care services among mothers in Harare, Zimbabwe

2019 ◽  
Author(s):  
Paddington Tinashe Mundagowa ◽  
Eunice Nyarambi ◽  
Elizabeth Chadambuka
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Health Facilities ◽  
Related Factors ◽  
Care Services ◽  
Maternal Health Care Services

Abstract Background: Provision of quality maternal health care services is an essential component in ensuring a healthy mother-baby dyad both pre- and post-delivery. In Africa, antenatal care, postnatal care, and skilled birth attendances are very low when compared to high-income countries. The continent has a high burden of maternal and infant morbidity as well as mortality rates. According to the Harare Annual Report of 2016, the number of women seeking maternal health care services was gradually declining from 2014 and pregnant women reported various challenges in accessing health care services. Methods: A 1 to 1 case-control study was conducted in Harare West South Western District using pretested interviewer-administered questionnaires. The study was carried out at all three clinics in the district and a total of 73 cases and 73 controls were selected using a systematic random sampling method. Quantitative data were analyzed using Epi Info statistical package and qualitative data was analyzed thematically. Results: The median ages for cases and controls were 29 and 24 years, respectively and the age-group 19 to 24 years constituted the majority of participants (41%). Predictors of utilization of services were young age ( < 24 years), birth order of < 2, maternal and paternal occupation, and religion. Enabling factors included: asking for permission to seek care, absence of transport challenges, a shorter distance to the health facility, affordability of health services, and a higher household income. Besides the shortage of skilled staff at the clinics, mothers endured long waiting hours to be served. The majority of the cases (78.1 %) and controls (72.6%) preferred to be attended by male nurses. Mothers were required to pay a $25 fee for booking and city medical staff rarely visited the clinics. Conclusion: The utilization of maternal health care services in Harare is dependent on the individual, household, and system-related factors. There was a need to articulate policies and design maternal health care programs that target socially and economically marginalized women. Creating women-friendly health facilities with extended hours for the antenatal care, delivery care and post-natal care services for mothers can help to decongest the health facilities.

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.

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