Intra-household decision-making on health and resource allocation in Borgou, Bénin

Ngom, Pierre; Wawire, Salome; Gandaho, Timothee; Klissou, Pierre; Adjimon, Toussaint; Seye, Mbaye; Akouanou, Emile; Winter, Laurie A.

doi:10.31899/rh4.1121

Cited by 2 publications

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“…Onoh et al [ 24 ] further disapproved complications or illness in previous pregnancy and instead they established that illness in the index pregnancy and personal wish were significant determinants to ANC booking. Illness in index pregnancy as determining factor for booking or not booking ANC early was also established in other studies [ 18 , 19 , 25 – 27 ]. These mixed reactions clearly indicate that the decision to book ANC is a complex decision that is influenced by more than just structural, geographical and socio-demographic variables which are dominating especially in the Kenyan literature [ 5 , 8 , 14 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 65%

“I should have started earlier, but I was not feeling ill!” Perceptions of Kalenjin women on antenatal care and its implications on initial access and differentials in patterns of antenatal care utilization in rural Uasin Gishu County Kenya

2018

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AimThe aim of this study was to explore how Kalenjin women in rural Uasing Gishu County in Kenya perceive antenatal care and how their perceptions impede or motivate earlier access and continuous use of antenatal care services.MethodsA study was conducted among 188 pregnant and post-natal mothers seeking care in 23 rural public health facilities. Gestational age at the initial antenatal care booking was established from their medical cards. Further researcher-administered questionnaire with closed and open-ended questions was used. Key informant interviews with traditional birth attendants (n = 6) and maternal and child health nursing officers (n = 6) were also conducted for triangulation. Descriptive statistics were applied using SPSS programme. The interviews of women who gave consent to be audio recorded (n = 52) were transcribed and thematically analysed using MAXQDA program, based on Andersen and Newman’s (1973) behavioural model of health services utilization.ResultsThe mean gestational age at booking initial biomedical care was 23.36 weeks. Only 18 patients (10%) booked before 13 weeks and 45% made four or more visits. The main reasons given for early booking were: illness in index pregnancy (42%) checking the foetus position and monitoring foetus progress (7%). The main reasons given for late booking were: no reason (31%), was not feeling sick (16%), fear or shame due to unexpected pregnancy (13%). Almost half of the respondents (44%) used both biomedical and traditional antenatal care services. Main reasons for visiting traditional care were to: check foetus position and reposition it (63%), collect medicinal herbs (31%), relief discomforts through massage (18%).ConclusionEarly antenatal care booking is meant for women with unpleasant physical signs and symptoms. Later ANC is meant to check foetus position and reposition it to cephalic presentation and monitor its progress and this is only possible if the foetus is large.

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Section: Introductionmentioning

confidence: 65%

“I should have started earlier, but I was not feeling ill!” Perceptions of Kalenjin women on antenatal care and its implications on initial access and differentials in patterns of antenatal care utilization in rural Uasin Gishu County Kenya

2018

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Demographic surveillance and health equity in sub-Saharan Africa

Ngom

Binka

Phillips³

et al. 2001

Health Policy and Planning

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Accurate data are always needed to inform health policy, but are especially critical in tackling health inequities. The growing number of field research stations in sub-Saharan Africa are well-placed to generate relevant data and so support health policy action. Over the past 60 years, demographic surveillance systems have been crucial research tools for the evaluation of health interventions aimed at reducing socioeconomic differentials in mortality and morbidity in sub-Saharan Africa. The bulk of such work has been carried out by field research sites, often operating in remote, resource-constrained settings. The present paper reviews what we have learned since the pioneering work carried out in the field sites of Pholela (South Africa) and Niakhar (Senegal). It then focuses on current efforts to address health equity through INDEPTH, the international network of field sites with continuous demographic evaluation of population and their health in developing countries.

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Intra-household decision-making on health and resource allocation in Borgou, Bénin

Cited by 2 publications

References 2 publications

“I should have started earlier, but I was not feeling ill!” Perceptions of Kalenjin women on antenatal care and its implications on initial access and differentials in patterns of antenatal care utilization in rural Uasin Gishu County Kenya

“I should have started earlier, but I was not feeling ill!” Perceptions of Kalenjin women on antenatal care and its implications on initial access and differentials in patterns of antenatal care utilization in rural Uasin Gishu County Kenya

Demographic surveillance and health equity in sub-Saharan Africa

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