Factors influencing maternal health care in Nepal: The role of socioeconomic interaction

Self, Sharmistha; Grabowski, Richard

doi:10.18356/2497a63f-en

Cited by 4 publications

(4 citation statements)

References 25 publications

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“…Mothers with formal education will be equipped with better knowledge on achieving optimal nutrition for her and their child (99,100) and will have opportunities for better jobs and income, which will be a function of their capability to access essential health and nutrition services (e.g. prenatal care) (101)(102)(103) . Access to high-quality health and nutrition services can be improved by providing social protection among poor women and their families, through the expansion of social health insurance benefits and coverage (104)(105)(106) .…”

Section: Discussionmentioning

confidence: 99%

What explains the large disparity in child stunting in the Philippines? A decomposition analysis

Ulep

Casas³

2021

Public Health Nutr.

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Objective: About a third of under-five Filipino children are stunted, with significant socio-economic inequality. This study aims to quantify factors that explain the large gap in stunting between poor and non-poor Filipino children. Design: Using the 2015 Philippine National Nutrition Survey (NNS), we conducted a linear probability model to examine the determinants of child stunting then an Oaxaca-Blinder decomposition to explain the factors contributing to the gap in stunting between poor and non-poor children. Setting: Philippines Participants: 1, 881 children aged 6-23 months Results: The overall stunting prevalence was 38.5% with significant gap between poor and non-poor (45.0% vs. 32.0%). Maternal height, education, and maternal nutrition status account for 26%, 18%, and 17% of stunting inequality, respectively. These are followed by quality of prenatal care (12%), dietary diversity (12%), and iron supplementation in children (5%). Conclusions: Maternal factors account for more than 50% of the gap in child stunting in the Philippines. This signifies the critical role of maternal biological and socio-economic circumstances in improving the linear growth of children.

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Section: Discussionmentioning

confidence: 99%

What explains the large disparity in child stunting in the Philippines? A decomposition analysis

Ulep

Casas³

2021

Public Health Nutr.

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“…The discrepancy in the two studies might be due to the fact that the proportion of women who make autonomous decision in seeking for healthcare in this study was quite higher than those women in the Pakistan study [21]. Thus, women empowerment through employments could improve uptake and determination to MNH services [50][51][52][53].…”

Section: Plos Onementioning

confidence: 99%

Level of completion along continuum of care for maternal and newborn health services and factors associated with it among women in Arba Minch Zuria woreda, Gamo zone, Southern Ethiopia: A community based cross-sectional study

et al. 2020

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Background Completion along continuum of care for maternal and newborn health (MNH) services like antenatal care, skilled birth attendance and postnatal care services is advantageous over each segment of services. It is one of the currently recommended strategies to reduce both maternal and neonatal mortality and achieve the global target of ending preventable maternal and under-five children's mortality. Although studies on factors affecting each segment of MNH services have been well documented in Ethiopia, there is a dearth of evidence about the level of continuum of care and factors associated with it. This study was intended to fill this gap in evidence in the study area so that interventions could be taken to improve maternal and newborn health. Methods A community-basedcross-sectional study was conducted among 432 postnatal women who gave birth in the previous year in Arba Minch Health and Demographic Surveillance System (HDSS) site. Women were selected by computer generated random numbers from a list of women who stayed at least 6 weeks after birth. A pre-tested, structured, and intervieweradministered questionnaire was used for data collection. Data were entered and coded in Epi-data and analyzed using SPSS software version 23. Binary logistic regression model was fitted to identify factors associated with the dependent variable. Bivariate and

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“…Besides the mother's self-assessed health status used as a confounder, our study controlled for a range of other confounders, which were believed to affect women's utilization of MCH services in the wider literature. Maternal age is one of the variables that has been controlled for in the literature (see for instance [38,39]). If older women are more in uenced by tradition, then they may be less likely to access MCH services.…”

Section: Exposure and Confounding Variablesmentioning

confidence: 99%

“…If older women are more in uenced by tradition, then they may be less likely to access MCH services. Alternatively, women may be more likely to utilise MCH care with age as they gain more experience and become more informed about maternal and child health [39]. Maternal educational attainment is another variable which has been shown to be a signi cant correlate of healthcare utilization with educated mothers more likely to access MCH care services [40][41][42].…”

Section: Exposure and Confounding Variablesmentioning

confidence: 99%

Public Health Insurance and Maternal Health Care Utilization in India: Evidence from a 2005-2012 Mothers’ Cohort Study

Gebremedhin

Mohanty

Niyonsenga

2020

Preprint

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Background: Janani Suraksha Yojana (JSY), a conditional cash transfer program in India, incentivized women to deliver at institutions and resulted in a significant increase in institutional births. Another major health policy reform, which could have influenced maternal and child health care (MCH) utilisation, was the public health insurance scheme called Rashtriya Swasthya Bima Yojana (RSBY) launched in 2008. However, there is lack of evidence on how RSBY impacted MCH utilisation in India. This study investigated the impact of health insurance (in particular, the public insurance scheme versus private insurance) on a continuum of MCH utilisation. We also investigated whether maternal empowerment was a significant correlate that affects MCH utilisation. Methods: The study used a multilevel mixed effect ordered logistic regression modelling, using a cohort of mothers whose delivery was captured in both the 2005 and 2011/12 rounds of the Indian Human Development Survey (IHDS). We derived indexes for women’s empowerment using Principal component analysis (PCA) technique applied to various indicators of women’s autonomy and socio-economic status. Results: Our results indicated, mothers’ MCH utilization levels vary by district, community and mother over time. The effect of the public insurance scheme (RSBY) on MCH utilisation was not as strong as privately available insurance. However, health insurance was only significant in models that did not control for household and mother level predictors. Our findings indicated that maternal empowerment indicators – in particular, maternal ability to go out of the house and complete chores and economic empowerment - were associated with higher utilization of MCH services. Among control variables, maternal age, education and household wealth were significant correlates that increase MCH service utilization over time. Conclusions: Change in women’s and societal attitude towards maternal care may have played a significant role in increasing MCH utilisation over the study period. There might be a need to increase the coverage of the public insurance scheme given the finding that it was less effective in increasing MCH utilisation. Importantly, policies that aim to improve health services for women need to take maternal autonomy and empowerment into consideration.

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Factors influencing maternal health care in Nepal: The role of socioeconomic interaction

Cited by 4 publications

References 25 publications

What explains the large disparity in child stunting in the Philippines? A decomposition analysis

What explains the large disparity in child stunting in the Philippines? A decomposition analysis

Level of completion along continuum of care for maternal and newborn health services and factors associated with it among women in Arba Minch Zuria woreda, Gamo zone, Southern Ethiopia: A community based cross-sectional study

Public Health Insurance and Maternal Health Care Utilization in India: Evidence from a 2005-2012 Mothers’ Cohort Study

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