Inequalities in adherence to the continuum of maternal and child health service utilization in Ethiopia: multilevel analysis.
Background: Despite progress made to improve access to child health services, mothers' consistent utilization of these services has been constrained by several factors. This study is aimed at assessing the inequalities in key child health service utilization and assess the role of antenatal care (AN...
| Publicado en: | Journal of Health, Population & Nutrition Vol. 40; no. 1; pp. 1 - 14 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
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BioMed Central
10/30/2021
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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=153317699&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153317699 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16060997 HII jtl: Journal of Health, Population & Nutrition issn: 16060997 maglogo: N pubinfo: dt: 10/30/2021 vid: 40 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 153317699 153317699 NLM34717779 10.1186/s41043-021-00271-w NLM34717779 153317699 ppf: 1 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Inequalities in adherence to the continuum of maternal and child health service utilization in Ethiopia: multilevel analysis. aug: au: Geda, Nigatu Regassa Feng, Cindy Xin Henry, Carol J. Lepnurm, Rein Janzen, Bonnie Whiting, Susan J. affil: Center for Population Studies, College of Development Studies, Addis Ababa University, PO Box 1176, Sidist Kilo Campus, Addis Ababa, Ethiopia sug: subj: Child Health Services Maternal Health Services Cross Sectional Studies Statistics Mothers Female Delivery, Obstetric Patient Attitudes Child Pregnancy Ethiopia Prenatal Care Questionnaires Child: 6-12 years Female ab: Background: Despite progress made to improve access to child health services, mothers' consistent utilization of these services has been constrained by several factors. This study is aimed at assessing the inequalities in key child health service utilization and assess the role of antenatal care (ANC) on subsequent service use.Method: The analysis of the present study was based on the Ethiopian Demographic and Health Surveys, a nationally representative sample of 10,641 children. A health service utilization score was constructed from the affirmative responses of six key child health interventions associated with the most recent birth: ANC service, delivery of the last child at health facilities, postnatal care services, vitamin A intake, iron supplementation and intake of deworming pills by the index child. A mixed effect Poisson regression model was used to examine the predictors of health service utilization and three separate mixed effect logistic regression models for assessing the role of ANC for continued use of delivery and postnatal care services.Results: The results of mixed effect Poisson regression indicate that the expected mean score of health service utilization was lower among non-first birth order children, older and high parity women, those living in polygamous families and women living in households with no access to radio. The score was higher for respondents with better education, women who had previous experience of terminated pregnancy, residing in more affluent households, and women with experiences of mild to high intimate partner violence. Further analysis of the three key health services (ANC, delivery, and postnatal care), using three models of mixed effect logistic regression, indicates consistent positive impacts of ANC on the continuum of utilizing delivery and postnatal care services. ANC had the strongest effects on both institutional delivery and postnatal care service utilization.Conclusion: The findings implicated that maternal and child health services appear as continuum actions/behavior where utilization of one affects the likelihood of the next service types. The study indicated that promoting proper ANC services is very beneficial in increasing the likelihood of mothers utilizing subsequent services such as delivery and postnatal care services. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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