Antenatal care coverage and early childhood mortality in Zimbabwe: new interpretations from nationally representative household surveys.
Zimbabwe has implemented universal antenatal care (ANC) policies since 1980 that have significantly contributed to improvements in ANC access and early childhood mortality rates. However, Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS), two of Zimbabwe's main sourc...
| Published in: | Health Promotion International Vol. 39; no. 3; pp. 1 - 14 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Jun2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178184703&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178184703 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09574824 F9Y jtl: Health Promotion International issn: 09574824 maglogo: N pubinfo: dt: Jun2024 vid: 39 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 178184703 178184703 178184703 10.1093/heapro/daae039 178184703 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Antenatal care coverage and early childhood mortality in Zimbabwe: new interpretations from nationally representative household surveys. aug: au: Musiwa, Anthony Shuko Sinha, Vandna Hanley, Jill Ruiz-Casares, Mónica affil: School of Social Work, McGill University , 550 Sherbrooke Ouest Suite 100, Tour Est, Montreal, Quebec H3A 1B9 , Canada sug: subj: Prenatal Care Zimbabwe Universal Health Care Child Mortality Prevention and Control Health Promotion Infant Mortality Prevention and Control Health Services Accessibility Zimbabwe Surveys Health Policy Funding Source Comparative Studies Cluster Sample Probability Data Analysis Software Descriptive Statistics Adolescence Middle Age Adult Logistic Regression Linear Regression Mann-Whitney U Test Human Adolescent: 13-18 years Middle Aged: 45-64 years Adult: 19-44 years ab: Zimbabwe has implemented universal antenatal care (ANC) policies since 1980 that have significantly contributed to improvements in ANC access and early childhood mortality rates. However, Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS), two of Zimbabwe's main sources of health data and evidence, often provide seemingly different estimates of ANC coverage and under-five mortality rates. This creates confusion that can result in disparate policies and practices, with potential negative impacts on mother and child health in Zimbabwe. We conducted a comparability analysis of multiple DHS and MICS datasets to enhance the understanding of point estimates, temporal changes, rural–urban differences and reliability of estimates of ANC coverage and neonatal, infant and under-five mortality rates (NMR, IMR and U5MR, separately) from 2009 to 2019 in Zimbabwe. Our two samples z-tests revealed that both DHS and MICS indicated significant increases in ANC coverage and declines in IMR and U5MR but only from 2009 to 2015. NMR neither increased nor declined from 2009 to 2019. Rural–urban differences were significant for ANC coverage (2009–15 only) but not for NMR, IMR and U5MR. We found that there is a need for more precise DHS and MICS estimates of urban ANC coverage and all estimates of NMR, IMR and U5MR, and that shorter recall periods provide more reliable estimates of ANC coverage in Zimbabwe. Our findings represent new interpretations and clearer insights into progress and gaps around ANC coverage and under-five mortality rates that can inform the development, implementation, monitoring and evaluation of policy and practice responses and further research in Zimbabwe. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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