Maternal health care utilization in Viet Nam: increasing ethnic inequity

Målqvist, Mats; Lincetto, Ornella; Du, Nguyen Huy; Burgess, Craig; Hoa, Dinh Thi Phuong

doi:10.2471/blt.12.112425

Cited by 54 publications

(57 citation statements)

References 27 publications

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“…This finding was consistent with findings from elsewhere in the world Målqvist et al 2013;Mekonnen and Mekonnen 2003). A number of explanations qualify the correlation of maternal education and health care use.…”

Section: Discussionsupporting

confidence: 95%

“…Women of the Kamba and Luhya ethnic descent were, generally, less likely to use MHC services compared with women of Kikuyu descent. Similar findings suggesting that belonging to an ethnic minority group is a risk factor in itself are pervasive in the literature (Goland, Hoa, and Målqvist 2012;LaVeist and Isaac 2012;Målqvist et al 2013). …”

Section: Discussionmentioning

confidence: 57%

“…Other studies (Målqvist et al 2013;Matijasevich et al 2012;Ssengooba et al 2003) have confirmed that use of MHC services is correlated with household income.…”

Section: Discussionmentioning

confidence: 72%

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Individual and Contextual Determinants of Adequate Maternal Health Care Services in Kenya

Achia

Mageto

2015

Women & Health

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This study aimed to examine individual and community level factors associated with adequate use of maternal antenatal health services in Kenya. Individual and community level factors associated with adequate use of maternal health care (MHC) services were obtained from the 2008-09 Kenya Demographic and Health Survey data set. Multilevel partial-proportional odds logit models were fitted using STATA 13.0 to quantify the relations of the selected covariates to adequate MHC use, defined as a three-category ordinal variable. The sample consisted of 3,621 women who had at least one live birth in the five-year period preceding this survey. Only 18 percent of the women had adequate use of MHC services. Greater educational attainment by the woman or her partner, higher socioeconomic status, access to medical insurance coverage, and greater media exposure were the individual-level factors associated with adequate use of MHC services. Greater community ethnic diversity, higher community-level socioeconomic status, and greater community-level health facility deliveries were the contextual-level factors associated with adequate use of MHC. To improve the use of MHC services in Kenya, the government needs to design and implement programs that target underlying individual and community level factors, providing focused and sustained health education to promote the use of antenatal, delivery, and postnatal care.

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Section: Discussionsupporting

confidence: 95%

Section: Discussionmentioning

confidence: 57%

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Individual and Contextual Determinants of Adequate Maternal Health Care Services in Kenya

Achia

Mageto

2015

Women & Health

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“…[29] It has previously been shown how inequities in maternal health care utilization not only depend on socioeconomic status but also on maternal education and ethnicity. [30] Its strong association with maternal and child mortality makes maternal health care utilization a prioritized area for monitoring when it comes to universal health coverage. [24,25]…”

Section: Discussionmentioning

confidence: 99%

Persistent inequity in maternal health care utilization in Nepal despite impressive overall gains

Pun

Raaijmakers

2017

Global Health Action

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Background: Maternal health care utilization is at the core of global public health provision and an area of focus in the now-concluded Millennium Development Goal agenda. Objective: This study aims to examine trends in maternal health care utilization over the last 15 years in Nepal, focusing on coverage and equity. Methods: This paper used data from the Demographic Health Survey (DHS) 2001, 2006 and 2011 and Multiple Indicator Cluster Survey (MICS), 2014. Coverage rates were calculated and logistic regression models used to examine inequity. Results: Impressive gains were found in antenatal care (ANC) attendance, which increased from nearly half of women attending (49%) in 2001 to 88% in 2014, and the rate of facility delivery increased from just 7–44%. This development did not, however, influence the equity gap in ANC and skilled attendance at birth, as women from low socioeconomic backgrounds were six times more likely to deliver without skilled assistance than those from high socioeconomic backgrounds (AdjOR 6.38 CI 95% 4.57–8.90) in 2014. Conclusion: These persistent equity gaps call for targeted interventions focusing on the most disadvantaged and vulnerable women in order to achieve the new Sustainable Development Goal of universal health coverage.

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“…; Målqvist et al . ). Assessing the status of HU, its determinants, as well as its relationship with patients’ outcome may provide valuable evidences to health policy makers and may help them to develop appropriate interventions for controlling CRC.…”

Section: Introductionmentioning

confidence: 97%

Determinants of healthcare utilisation and predictors of outcome in colorectal cancer patients from Northern Iran

et al. 2015

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We aimed to assess healthcare utilisation (HU), its determinants, as well as its relationship with survival in colorectal cancer (CRC) patients. This study was conducted on incident CRC cases from Northern Iran. Information on HU was collected using a valid questionnaire, considering eight diagnostic and four therapeutic services. The results were categorised as good and poor HU. Multivariate logistic regression analysis was used to assess the relationship between HU and other variables. Cox regression analysis was performed to determine major predictors of survival. In total, 227 new cases of CRC were enrolled. HU could be assessed in 218 subjects (96%). Living in rural areas was the strongest variable related to poor HU (adjusted OR, odds ratio = 2.65; CI, confidence interval: 1.30-5.40). The median survival time was 40.5 months. The 1-, 3- and 5-year survival rates were 71%, 52% and 44% respectively. Cox regression analysis showed a significant lower survival rate in patients with poor HU (HR = 2.3; CI: 1.46-3.64). HU was an independent predictor of survival in our CRC patients. Patients' place of residence was a significant determinant of HU. Regarding its effects on patients' outcome, HU and its determinants should be considered in designing CRC controlling programmes in our region and similar high-risk populations.

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Maternal health care utilization in Viet Nam: increasing ethnic inequity

Cited by 54 publications

References 27 publications

Individual and Contextual Determinants of Adequate Maternal Health Care Services in Kenya

Individual and Contextual Determinants of Adequate Maternal Health Care Services in Kenya

Persistent inequity in maternal health care utilization in Nepal despite impressive overall gains

Determinants of healthcare utilisation and predictors of outcome in colorectal cancer patients from Northern Iran

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