Maternal Decision-Making Input and Health-Seeking Behaviors Between Pregnancy and the Child's Second Birthday: A Cross-Sectional Study in Nepal.
Objectives: Maternal health-seeking behaviors are critical to improving maternal and child health in low-income countries. This study investigates associations between maternal decision-making input and their health-seeking behaviors in the first 1000-day period between pregnancy and a child's secon...
| Publicado en: | Maternal & Child Health Journal Vol. 24; no. 9; pp. 1121 - 1130 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145048714&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145048714 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Sep2020 vid: 24 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 145048714 144443971 145048714 145048714 10.1007/s10995-020-02961-z 145048714 ppf: 1121 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Maternal Decision-Making Input and Health-Seeking Behaviors Between Pregnancy and the Child's Second Birthday: A Cross-Sectional Study in Nepal. aug: au: Zhang, Zhongjie Cunningham, Kenda Adhikari, Ramesh Prasad Yogi, Subash Manandhar, Shraddha Rana, Pooja Pandey Paxton, Anne affil: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA sug: subj: Pregnancy Anniversaries and Special Events Health Behavior Help Seeking Behavior Decision Making Maternal Behavior Maternal-Child Health Nepal Human Cross Sectional Studies Maternal Attitudes Nepal Female Surveys Logistic Regression Maternal Health Services Health Resource Utilization Health Education Peer Group Meetings Child Care Office Visits Odds Ratio Confidence Intervals Descriptive Statistics Child Health Services Time Factors Multi-Stage Cluster Interviews Data Analysis Software Adult Socioeconomic Factors Adolescence Middle Age Funding Source Adult: 19-44 years Adolescent: 13-18 years Middle Aged: 45-64 years Female ab: Objectives: Maternal health-seeking behaviors are critical to improving maternal and child health in low-income countries. This study investigates associations between maternal decision-making input and their health-seeking behaviors in the first 1000-day period between pregnancy and a child's second birthday in Nepal. Methods: We used data from a cross-sectional survey conducted in 2018 in 16 districts of Nepal. Among the 3648 households surveyed, 1910 mothers of a child 0 to 24 months with complete data were included for analyses. Logistic regression was used to examine associations between decision-making input and the utilization of antenatal, delivery and postnatal care services, and attendance at health mothers' group (HMG) meetings. We also used negative binomial regression to assess the relationship between her decision-making input and participation in growth monitoring and promotion (GMP) in the 6 months prior to the survey. For each relationship examined, we adjusted for clustering, as well as potentially confounding factors at individual and household levels. Results: After adjusting for confounders, maternal decision-making input had a small but positive and significant association with receiving at least 4 antenatal care visits (OR = 1.09, 95% CI 1.02, 1.17), attendance at GMP in the 6 months prior to the survey (IRR = 1.02, 95% CI 1.00, 1.04), and HMG attendance (OR = 1.10, 95% CI 1.03, 1.17), but not with receiving at least 3 postnatal care visits or delivering in a health institution. Conclusions for Practice: Our findings indicated that empowering women and mothers in household decision-making might warrant greater attention when developing future policies and programs in Nepal. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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