Factors influencing the utilization of maternal health care services by nomads in Sudan

Shiekh, Babker El; Kwaak, Anke van der

doi:10.1186/s13570-015-0041-x

Cited by 49 publications

(48 citation statements)

References 34 publications

(52 reference statements)

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“…In our study, half of the respondents have to ask for permission for health care. Thus, in patriarchal communities, involvement of male partner is crucial, confirming the findings on maternal health care utilisation in a nomadic Sudanese community [18]. Women who were supported by their male partner had 80% more chance of antenatal care use than those without male support.…”

Section: Discussionsupporting

confidence: 79%

“…Lack of privacy is mentioned as one of the most underreported but most important reasons for not using skilled delivery service (27% (95%CI 22.8-31.1%). This result is in line with other work conducted on maternal health both in pastoral and settled agrarian communities [18,[42][43][44]. To improve maternal health care, local female health professionals should be included in designing population-specific interventions.…”

supporting

confidence: 86%

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Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

Umer

Zinsstag

Schelling

et al. 2019

Tropical Med Int Health

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Objective To assess maternal health care service utilisation and associated factors in Somali pastoral communities of eastern Ethiopia. Methods Community‐based cross‐sectional study complemented by qualitative assessments in Adadle district, Somali region, eastern Ethiopia, among 450 women in six kebeles from August to September 2016. Logistic regression was used to assess factors associated with antenatal care use and skilled delivery care use, controlling for confounders. Results About 27% [95%CI 22.8–31.2%] of women used antenatal care, and 22.6% [95%CI 18.7–26.5%] received skilled delivery service. None of the respondents reported post‐natal care. About 43% reported that they had no knowledge of antenatal care, and 46% did not perceive delivery at a health facility as important. Pastoral lifestyle, husband’s educational status, women’s attitude towards health care service and financial support from the husband were significantly associated with antenatal care utilisation. Health professionals’ attitudes, perceptions of institutional delivery, antenatal care utilisation and information about exemptions from maternal health care fees were associated with skilled delivery service utilisation. Conclusion Improving community awareness of antenatal care, employing female health professionals and culturally adapted guidelines could improve skilled delivery utilisation. In a patriarchal society, involving male partners in all maternal health issues is essential to increase use of maternal health services and to decrease maternal mortality.

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Section: Discussionsupporting

confidence: 79%

supporting

confidence: 86%

Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

Umer

Zinsstag

Schelling

et al. 2019

Tropical Med Int Health

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“…A number of factors have been found to be significantly associated with WTP for health care from some studies. Age, education, income, quality of health care services and location (urban/rural) [7] were some of the factors documented to be influencing health care services. Information on cost to clients and their perception about the good quality of care was also essential factors found to be affecting changes in WTP [8].…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Women-Willingness to Pay for Maternal, Neonatal andChild Health Services (MNCH) in Gombe State, Nigeria

Yahya¹,

Pumpaibool²

2017

J Women's Health Care

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Background: Gombe State in North Eastern Nigeria is one of the states in the region that records the highest maternal and new-born death rates in the world. The region has a maternal mortality ratio of 1549/100,000, child mortality rate of 260/1,000 and neonatal mortality rate of 43/1,000. With a poverty incidence of 72.2% in the state and the displacement due to insurgency, a great deal of women in the villages is vulnerable to more poverty and maternal deaths. Establishing the factors that affect the willingness to pay (WTP) for maternal services will help to improve maternal health services thereby reducing maternal deaths in the state. This study looked at the factors that affect women's willingness to pay for maternal services in relation to antenatal care (ANC), delivery in health facilities and post-natal care (PNC) through a baseline survey.Methods: This study was cross sectional where data were collected from women groups (including women not registered with the groups) in two purposively selected Local Government Areas (LGAs) of the state. Seven hundred and fifty (750) women were sampled for the survey in the two LGAs. The main outcome variables are utilization of maternal service (specifically improved antenatal care attendance, facility delivery and postnatal care) and WTP for these services by the women. Descriptive statistics of the respondents were analysed using IBM SPSS 22 software. Logistic regression analysis was done to determine the factors affecting WTP for the maternal services. Results:The findings from this study have shown statistically significant association between WTP for maternal health care and several factors. Women are more likely to be willingness to pay for ANC and delivery in the health facility if they belong to the savings and loans group (p<0.05), had an average of 1-10 visits to a facility, married (p<0.05), can read and write in English (p<0.05) and live near health facilities (p<0.05). Income and employment (p<0.05) are additional factors affecting WTP for delivery. Post-natal care on the other hand was only associated with membership of savings and loans group. Conclusions:Factors associated with the willingness to pay ANC and delivery in health facilities according to the findings of this study were membership of savings and loans group, closeness to a health facility, education, income and marital status. Number of previous visits to the health facility and occupation were also found to be significant predictors of willingness to pay for maternal services. Further studies on the association of WTP and PNC are suggested in order to improve PNC in the state.

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“…1 A lack of accurate data 17 prevents anything but speculative estimates of the global population of mobile pastoralists, 18 though numbers ranging from 50 to 217.5 million have been put forth. 4,5 Pastoralists across the 19 globe face stressors that threaten their health and livelihoods including ecologic disruptions, 20 large-scale development projects, conflict, and protracted humanitarian crises. With mounting 21 concerns about emerging zoonotic pandemic disease, it is critical to find logistically feasible 22 ways of including nomadic populations in health surveillance systems.…”

Section: Introduction 1mentioning

confidence: 99%

Making Pastoralists Count: Geospatial Methods for the Health Surveillance of Nomadic Populations

Wild

Glowacki

Maples

et al. 2019

Preprint

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words AbstractNomadic pastoralists are among the world's hardest-to-reach and least-served populations.Pastoralist communities are notoriously difficult to capture in household surveys due to factors including their high degree of mobility, the remote terrain they inhabit, fluid domestic arrangements, and cultural barriers. Most surveys utilize census-based sampling frames which do not accurately capture the demographic and health parameters of nomadic populations. As a result, pastoralists are largely "invisible" in population data such as the Demographic and Health Surveys (DHS). By combining remote sensing and geospatial analysis, we developed an alternative sampling strategy designed to capture the current distribution of nomadic populations.We then implemented this sampling frame to survey a population of mobile pastoralists in southwest Ethiopia, focusing on maternal and child health (MCH) indicators. Using standardized instruments from DHS questionnaires, we assessed the MCH status of this population in order to draw comparisons with regional and national data. We find substantial disparities between our data collected using a geospatial sampling frame and regional DHS data in core MCH indicators including vaccination coverage, skilled birth attendance, and nutritional status. Census-based measures do not adequately capture population-level characteristics, risking substantial misreporting of the health status of mobile populations. Our study is the first to employ a geospatial survey of a nomadic group at the population level, and our field validation demonstrates that this methodology is a logistically feasible alternative to conventional sampling frames. Geospatial sampling methods open up cost-affordable and logistically feasible strategies for sampling pastoralists and other mobile populations, which is a crucial first step towards reaching these underserved groups with health services. 157

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Factors influencing the utilization of maternal health care services by nomads in Sudan

Cited by 49 publications

References 34 publications

Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

Antenatal care and skilled delivery service utilisation in Somali pastoral communities of Eastern Ethiopia

Factors Affecting Women-Willingness to Pay for Maternal, Neonatal andChild Health Services (MNCH) in Gombe State, Nigeria

Making Pastoralists Count: Geospatial Methods for the Health Surveillance of Nomadic Populations

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