The 2011edhs, for instance, estimates the maternal mortality to be 676 maternal deaths per 100,000 live births 12. Poor maternal health delivery in developing countries results in more than half a million maternal deaths during pregnancy, childbirth or within a few weeks of delivery. Medicaid home visitation and maternal and infant healthcare utilization cristian i. Factors affecting the use of maternal and child health. Pdf womens autonomy and maternal healthcare service. It encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to ensure a positive and fulfilling experience, in most cases, and reduce maternal morbidity and mortality, in other cases. Jul 08, 2014 study used data from the 2008 ghana demographic and health surveys and binary response regression models to examine the effect of womens access to icts on maternal healthcare utilization in ghana. Jan 18, 2014 fourteen percent of maternal deaths globally occur in nigeria. Factors affecting the use of maternal health services in madhya pradesh state of india. May 27, 2019 proper utilization of antenatal and postnatal care services plays an important role in reducing the maternal mortality ratio and infant mortality rate. The effect of kenyas free maternal health care policy on. Determinants of antenatal healthcare utilisation by. Despite the availability of established maternal health interventions, the health of the expectant mother and the unborn child remains poor due to low utilisation of interventions. Determinants of antenatal healthcare utilisation by pregnant.
Karnataka state continues to have the highest rates of maternal mortality in south india at 144100,000 live births, but lower than the national estimates of 190220100,000 live. Zimbabwe and other developing countries struggle to achieve millennium development goals originally set for 2015. Utilization of antenatal healthcare services among fishermen. The influence of womens empowerment on maternal health. The aim of this study was to investigate the access and utilization of maternal healthcare in amansiewest. This paper assesses the utilization of health care services during pregnancy, delivery and postdelivery among rural women in uttar pradesh up and examines its determinants. In addition, large differentials were found in the utilization of maternal health care services by place of residence, suggesting that much greater efforts on the part of the government are required if modern maternal health care services are to reach women in rural areas. Several studies from developing countries have recognised socioeconomic factors and service delivery environment as important determinants of healthcare utilization. The aim of this study was to examine the contribution of community factors in explaining variations in the use of health facilities for delivery in nigeria.
Several studies from developing countries have recognised socioeconomic factors and service. In mics3, the sisterhood method was used to calculate the maternal mortality ratio, which was 162 deaths per 100 000 live births. The aim of this study is to examine the determinants of the use of maternal health careservices in the eastern cape of south africa. This healthcare cost and utilization project hcup statistical brief presents trends and disparities in delivery hospitalizations involving severe maternal morbidity from 2006 through the third quarter of 2015. Despite the fact that maternal health care utilization is essential for further improvement of maternal and child health little is known about the current magnitude of use and factors influencing the use of these services in eritrea. Much of the progress made has been attributed to the national rural health. Regional variations in terms of the level of utilizing maternal health care services are very high. Inequity in maternal health care utilization in vietnam results in vietnam, inequities in maternal health care utilization persist due to poverty, low education and ethnic minority status. Low utilization of maternal health services for delivery may partially explain the high maternal mortality. Improved access to and utilization of various maternal healthcare services have been seen as the panacea to poor maternal and child health outcomes characterizing many developing countries. It encompasses the health care dimensions of family planning, preconception, prenatal, and. Download factors influencing the utilization of maternal health care.
The effect of armed conflict on the utilization of. Despite substantial progress in reducing maternal mortality, adolescent maternal health problems often ignored in bangladesh. This study aims to examine the impact of wealth inequality and area of residence urban vs rural and education on selected indicators of maternal healthcare services mhs usage in malawi. Despite the fact that maternal health care utilization is essential for further improvement of maternal and child health little is known about the current magnitude of use and factors. Objectives the aim of this study was to determine the association between womens decisionmaking power and utilisation of maternal healthcare services mhs among bangladeshi women. Objectives the aim of this study was to determine the association between womens decisionmaking power and utilisation of maternal healthcare services mhs among. Jul, 2018 the association between maternal prepregnancy obesity and adverse child health outcomes is well described, but there are few data on the relationship with offspring health service use. The data used for the study come from the 1993 turkey demographic and health survey tdhs, a nationally representative survey of ever married women 15 to 49 years of age. Inequality in the utilization of maternal care and the. In swaziland, literate women were found to use antenatal care, institutional deliveries, and pnc than those with no education 4. Impact of user fees on maternal health service utilization. Maternal health is not only needed as a basis for social harmony and economic productivity.
Utilization of maternal health care services in ethiopia the dhs. Autonomy in decisionmaking also increases access to maternal health care. Health care utilization overall, and for maternal health specifically, has improved in india. Focused antenatal care fanc replaced the regular antenatal care model about a decade and a half ago. Pdf determinants of maternal healthcare utilization in. The results suggest that the gap in maternal care utilization across socioeconomic groups has reduced over time. Utilization of maternal health care services and their. Effects of unintended pregnancy on maternal healthcare. Improving maternal and child health remains a public health priority in ghana. Additional research is needed to study contextual factors that influence the effectiveness of health insurance policies in improving maternal health care utilization and to explore whether health insurance can improve the use of maternal healthcare services by increasing access to higherquality services.
Factors influencing the utilization of maternal health. The concentration index for sba showed a decline from 0. Determinants of maternal healthcare utilization in. The persistent high occurrence of maternal and child morbidity and mortality especially in subsaharan african societies still reflects that much ground is yet to be covered. Womens autonomy and maternal healthcare service utilization. Determinants of maternal healthcare utilization in zimbabwe only 25.
The socioeconomic determinants of maternal health care. This study is unique in the sense that it uses an index of wealth to measure economic status, while several studies conducted in lowincome countries have used socioeconomic status as an important determinant of maternal health care service utilization 4,16,17,18. Pdf determinants of maternal healthcare utilization in zimbabwe. Pdf community based survey methodology for maternal.
Utilization of maternal healthcare among adolescent mothers. Smart investments in maternal health strengthen health systems overall, and increase costeffectiveness of resources allocated to the health sector. World health organization estimates that more than half a million women lose their lives in the process of reproduction worldwide every year and most of these mortalities are. In the context of global maternal and child health priorities abouzahr 2003, there is a growing need to evaluate whether health insurance has contributed to greater use of. This study sought to document empirical outcomes of how the fanc approach translates access and. This healthcare cost and utilization project hcup statistical brief presents trends and disparities in delivery hospitalizations involving severe maternal morbidity from 2006 through.
Proper utilization of antenatal and postnatal care services plays an important role in reducing the maternal mortality ratio and infant mortality rate. The utilisation of maternal healthcare is a complex phenomenon influenced by several factors. This study, a secondary analysis of data from afghanistan health survey 2012, aimed to identify factors affecting maternal healthcare utilization in. Determinants of maternal health care utilization in. It has been confirmed that a womans use of proper healthcare services. To examine the association between unintended pregnancy and maternal healthcare services utilization in low and lowermiddleincome countries. Utilization of maternal healthcare services in peru. Additionally, they would be engaged with this system before, during, and after pregnancy. Despite the availability of established maternal health interventions. Womens autonomy and maternal healthcare service utilization in ethiopia fentanesh nibret tiruneh, kunyang chuang and yingchih chuang abstract background. Maternal prepregnancy obesity and health care utilization. Despite the fact that maternal health care utilization is essential for further improvement of maternal and child health, little is known about the current magnitude of use and factors influencing the use of these services in ethiopia. The investigation suggests that lack of awareness about the maternal health services offered within the public health system is an.
Postwar liberia has a fastgrowing population and an alarming maternal mortality ratio mmr. Despite the fact that maternal health care utilization is essential for further improvement of maternal and child health, little is known about the current magnitude of use and factors. Maternal health is the health of women during pregnancy, childbirth, and the postpartum period. Maternal healthcare utilization is constrained by womens lack of decision making. Womens decisionmaking autonomy and utilisation of maternal. Womens autonomy and maternal healthcare service utilization in ethiopia article pdf available in bmc health services research 171. Factors affecting utilization of maternal health care. Similarly, utilization of maternal health care services is not improved to the extent wanted. The study therefore, investigates the sociocultural factors that influence the utilization of mch. In the area of maternal health, several dimensions of womens empowerment have been found to be important determinants of maternal health care utilization such as participation in.
It is particularly important to assessing the utilization of maternal care because of its significance. To provide a better understanding about healthcare system recovery in postwar. This study examined socioeconomic inequalities in maternal health care utilization related to pregnancy and identified factors that account for these inequalities. The study examined the socioeconomic determinants of antenatal care utilisation in peri. Quality of maternal health care maternal health task force. Study used data from the 2008 ghana demographic and health surveys and binary response regression models to examine the effect of womens access to icts on maternal. Pdf this study, a secondary analysis of data from afghanistan health survey 2012, aimed to identify factors affecting maternal healthcare. Oct 03, 2017 the main hypothesis was that living in a conflictaffected region negatively impacts maternal healthcare utilization. The persistent high occurrence of maternal and child morbidity and mortality especially in subsaharan african societies still reflects that much ground is yet to be covered on maternal and child healthcare. Wealth, education and urbanrural inequality and maternal. Previous studies in limitedresource settings showed a strong and positive association between maternal education and utilization of maternal healthcare 5,6,7,8, 42.
Most maternal and neonatal deaths can be averted through proven interventions including adequate nutrition, improved hygiene practices, antenatal care, skilled health workers. Much of the progress made has been attributed to the national rural health mission nrhm that has increased the number of community health workers and community level facilities, and resulted in more institutional deliveries 1, 2 see table 1. Determinants of adolescent maternal healthcare utilization. Background malawi is among the 5 subsaharan african countries presenting with very high maternal mortality rates, which remain a challenge. Agency for healthcare research and quality ahrq, center for delivery, organization, and markets, healthcare cost and utilization project hcup, state inpatient databases sid from 38 states, 20062012 the rate of neonatal and maternal stays related to substance use increased substantially between 2006 and 2012. The sociocultural factors influencing the ultilization of. Inequalities in the utilization of maternal health care in. Neither depressive symptoms nor posttraumatic stress symptoms significantly predicted healthcare utilization. Maternal and reproductive health program highlights. The quality of care a woman receives during pregnancy, delivery and postpartum affects her health, the health of her child and the likelihood that she will seek care in the future. Dhs analytical studies 45 health insurance coverage and its impact on maternal health care utilization in low and middleincome countries september 2014 this publication was. The mamoni health systems strengthening mamoni hss project is a fiveyear 202018 usaidfunded award aimed at. Maternal health care policy, on the utilization of maternal health care services in bangladesh. Previous studies have clearly demonstrated that the utilization of available maternal health services is very low in the country.
Pdf factors affecting maternal healthcare utilization in. Access and utilization of maternal healthcare in a rural. Research open access utilization of maternal health care services and their determinants in karnataka state, india marianne vidler1, umesh ramadurg2, umesh charantimath3. Chiranjeevi yojana cy, a voucherlike program initiated in 2007, accredits private obstetricians. Factors affecting maternal healthcare utilization in afghanistan ncbi. Three variables on maternal healthcare utilization were employed. Utilization of maternal health care services in ethiopia. Maternal health care utilization in the eastern cape. Assessing the impact of geographical access to health. Maternal and reproductive health save the children. Introduction in an ideal maternal health system, all women wouldhave access to comprehensive, seamless medical care with links to behavioral, economic, and social supports. Pdf this paper examines the patterns and determinants of maternal health care utilization across different social settings in south india. The main hypothesis was that living in a conflictaffected region negatively impacts maternal healthcare utilization.
Determinants of maternal healthcare utilization in zimbabwe. Karnataka state continues to have the highest rates of maternal mortality in south india at 144100,000 live births, but lower than the national estimates of 190220100,000 live births. As suboptimal levels of utilization are considered to contribute to poor maternal health, 1, 8, 10, 11, this study was designed to explore the patterns of maternal health care utilization in rural karnataka, as well as to identify the barriers that must be addressed to raise levels of that utilization with the ultimate goal of improving ma. Most previous studies on healthcare service utilization in lowincome countries have not used a multilevel study design to address the importance of communitylevel womens autonomy. The effect of kenyas free maternal health care policy on the. We analysed maternal health care utilization as a proxy for maternal mortality. International maternal and child health, department of womens and childrens health, uppsala university, se751 85 uppsala, swed. It is important for policy makers and healthcare providers to. Despite efforts made towards universal coverage, there are still challenges with access to and utilization of maternal health care. Living conditions are key determinants of maternal healthcare utilization. About 60% of institutional births occur in the private sector in gujarat due to limited availability of obstetricians in the government. Kenya abolished delivery fees in all public health facilities through a presidential directive effective on june 1, 20 with an aim of promoting health facility delivery service utilization and reducing pregnancyrelated mortality in the country.
Utilization of maternal healthcare among adolescent. The state of the worlds children 2009 focuses on maternal and neonatal health and identifies the interventions and actions that must be scaled up to save lives. Determinants of maternal healthcare utilization among married. Objective to assess the evidence of the impact of user fees on maternal health service utilization and related health outcomes in low and middleincome countries, as well as their impact on inequalities in these outcomes. Healthcare cost and agency for healthcare utilization project. Maternal factors associated with the healthcare utilization. This paper aims to provide a brief overview of this policys effect on health facility delivery service utilization and maternal mortality ratio.
Settings this is a nationally representative survey that encompassed dhaka, rajshahi, rangpur, chittagong, khulna, barisal and sylhet in bangladesh. Raffo, ma, qi zhu, ms, leeanne roman, msn, phd background. Socioeconomic inequalities in maternal health care. Despite efforts made towards universal coverage, there are still challenges with access to and. Access to quality healthcare still remains a major challenge in the efforts at reversing maternal morbidity and mortality. Determinants of maternal health care utilization in nigeria. Improving access to maternal health care in rural communities. In the area of maternal health, several dimensions of womens empowerment have been found to be important determinants of maternal health care utilization such as participation in household decisionmaking, financial autonomy, and freedom of movement bloom et al. Jun 27, 2019 with respect to the main predictordistance to the closest health centerthere was a statistically significant and negative effect on all four maternal healthcare utilization variables, indicating that the longer the distance to the closest health center, the less likely women are to receive the necessary healthcare during pregnancy and. Data from a baseline survey of up community mobilization upcm. Inequity in maternal health care utilization in vietnam. Predictors of utilisation of skilled maternal healthcare in lilongwe. Maternal resourcefulness was the only main variable that significantly predicted both ed visits and hospitalizations and one of the few modifiable factors that could assist mothers with successfully coping with the complexity of caring. Medicaid home visitation and maternal and infant healthcare.
As decisions to seek maternal health care are not solely dependent on individual characteristics, it is imperative to examine community conditions, such as social factors and the location of services, that can interact with individual preferences or choices to influence delivery care utilization. Improving access to maternal health care in rural communities issue brief 3. The rate among nomads groups of people who move from place to place as a way of obtaining food, finding pasture or make a living is. Maternal and child mortality rates in the sahel region of west africa are among the highest in the world. This is partly due to unavailability and low utilization of maternal healthcare services in limitedresource settings. Fourteen percent of maternal deaths globally occur in nigeria. Various barriers exist to timely and appropriate utilization of services during pregnancy, childbirth and postpartum. Increasing access to and utilization of health care services is not sufficient for improving maternal health outcomes. The utilization of maternal health services is a complex phenomenon and it is influenced by several factors. The findings can help shape healthcare interventions where child and teenage marriage rates are high. The quality of care a woman receives during pregnancy, delivery. Kenya abolished delivery fees in all public health facilities through a presidential directive effective on june 1, 20 with an aim of promoting health facility delivery service. Improving access and utilization of maternal healthcare.
This study assessed the factors affecting utilisation of maternal health care services among pregnant mother intends to establish reasons why mothers decide to deliver in the different. Methods this study was based on data from the 5th round of. Utilization of maternal health services and its determinants. The association between maternal prepregnancy obesity and adverse child health outcomes is well described, but there are few data on the relationship with offspring health. The michigan maternal and infant health program mihp is a populationbased homevisitation program providing care coordination, referrals, and visits based on a plan of care. Pdf utilization of maternal health care services in southern india. The influence of womens empowerment on maternal health care.
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