Measurement and mapping of maternal health service coverage through a novel composite index: a sub-national level analysis in India

Kiran, Tanvi; Junaid, K. P.; Rajagopal, Vineeth; Gupta, Madhu; Sharma, Divya

doi:10.1186/s12884-022-05080-5

Cited by 4 publications

(3 citation statements)

References 49 publications

(33 reference statements)

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“…From model three, we noticed that the regression coefficients of all independent variables are significant. This also indicates that human care (x 1 ), public environment (x 2 ), and social economy (x 4 ) have a significant influence on the overall satisfaction of the community's aging construction (y) ( 30 , 31 ). Therefore, the regression model is established as formula (1):…”

Section: Resultsmentioning

confidence: 99%

Research on the establishment of evaluation index system of the aging construction of the community

Mei²,

Huang³

2023

Front. Public Health

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IntroductionConstructing the evaluation index system for the community's aging-friendly construction can provide a decision-making basis for the overall investment and priority satisfaction strategy for the community's aging-friendly construction.MethodsThrough questionnaire survey and statistical analysis, this paper evaluates and analyzes the satisfaction level of various indicators of the community's aging-friendly construction.ResultsThe results show that the community's humanistic care, public environment, and socio-economic criteria are significantly linearly linked to the overall construction satisfaction level. There are significant differences in the general satisfaction level of older adults in the variables of “age, educational background, residence duration, residence personnel, number of children, and marital status”.DiscussionTo this end, the article concludes with specific recommendations that improving older-adult care services for older adults with low age and high education, helping older adults in the community to familiarize themselves with the community environment as soon as possible, cultivating the professional abilities of community service personnel, reflecting the warmth of the community for older-adult care and improving social security capabilities are the core content of the future community building for aging.

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Section: Resultsmentioning

confidence: 99%

Research on the establishment of evaluation index system of the aging construction of the community

Mei²,

Huang³

2023

Front. Public Health

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“…Subsequently, we performed confirmatory factor analysis (CFA) on both datasets and successfully confirmed the presence of HAIs in them. There are several different methods that might be used for the construction of an index, for example the UNDP approach ( 14 , 15 ), Principal component analysis ( 16 ) etc. CFA was the most suitable method as it allowed us to test specific hypotheses regarding the underlying factor structure and the model’s fit to the data.…”

Section: Discussionmentioning

confidence: 99%

Construction of healthy aging index from two different datasets

Miķelsone,

Reine,

Tomsone

et al. 2023

Front. Public Health

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IntroductionThe aging population presents both unique challenges and opportunities for societies around the world. To develop an effective healthy aging strategy, a tool for assessing aging process is needed. Numerous attempts to quantify the aging process have been made. However, there is still a challenge in developing and choosing a good enough score that is easy to apply, has a construct of variables that are available in most nationwide surveys for comparable results, and at the same time reflects the aging process of older individuals. The purpose of this study is to present our approach to construct a comparable Healthy Aging Index (HAI).Materials and methodsIn Latvia, data from Wave 8 of the Survey of Health, Aging and Retirement in Europe (SHARE), involving 420 respondents, were used. For comparative analysis, data from a HL20 study on the health and wellbeing of the older adults in Iceland, which included 1,033 respondents, were used.ResultsFor Latvia, 13 items were selected, and for Iceland, nine items were selected. We constructed the HAI with four similar subscales for both countries—“Autonomy,” “Health,” “Wellbeing,” and “Activities,” and an additional subscale “Cognitive” for Latvia. We found matching items in all four subscales. For the Autonomy subscale, they were related to difficulties with everyday and daily tasks. In the Health subscale, the only matching item was self-rated physical health. One item related to loneliness was found for the Wellbeing subscale and one item related to social participation for the Activities subscale.DiscussionIn our study, we found evidence for the successful construction of a HAI in two different datasets. The strength of our construct lies in the use of data from one of the largest social science panel studies in Europe (SHARE). As we were able to apply the construct to the Icelandic study, we believe that items presented in our approach are available in other population-based studies as well, and, therefore, can be easily replicated by others. By examining the existing SHARE data, HAI could be used to analyze long-term changes and could provide a foundation for comparing and monitoring the evolution of aging over time as well as comparing the aging process across societies. This is required for the authorities to conduct further analyses, proposals, and action plans in support of healthy aging.

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“…Moreover, the increasing availability of detailed geographic data is allowing the integration of more realistic measures of travel time to health facilities into assessments of geographic accessibility [28,41,42] Other studies on maternal care access use composite indices that combine into a single measure either multiple types of maternal health care (antenatal, delivery and postnatal care), or multiple factors related to geographic accessibility (e.g. travel time, transportation options, and topographical constraints) [43][44][45]. In contrast, we analyzed each maternal care indicator separately, revealing how geographic accessibility can impact them differently.…”

Section: Discussionmentioning

confidence: 99%

Persistence of geographic barriers to maternal care services following a health system strengthening initiative in rural Madagascar

Ihantamalala,

Randriamihaja,

Miller

et al. 2023

Preprint

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Geographic access to healthcare continues to pose a significant challenge for pregnant women in rural areas of sub-Saharan Africa, resulting in consistently high rates of maternal mortality. Geographic barriers can persist even in settings where financial barriers have been reduced and health system strengthening (HSS) efforts are in place. The aim of this study is to combine analyses of a population-representative cohort and geolocated maternal consultation data at the village level to gain a precise understanding of spatiotemporal changes in the utilization of maternal care services in a rural district of Madagascar benefiting from HSS support. We collected monthly information on antenatal care visits, deliveries and postnatal visits from the registries of 18 primary care health centers in Ifanadiana District, from 2016 to 2018. Similar data were collected from a district-representative cohort via surveys on over 1500 households done in 2016 and 2018. We estimated precise travel time from each village to the nearest health center to understand spatio-temporal variations in maternal care access, and to assess the impact of geographic barriers via statistical analyses. Women who lived within a one-hour walk from a health facility in the HSS catchment area had rates of per capita utilization of most maternal health services were roughly twice that those who lived 1-2 hours away and three times higher than those who lived over 2 hours away. The exception was the first antenatal care visit (ANC1), for which travel time had more modest effect. Improvements to primary care services due to HSS in this setting were only observed among women living within two hours from health centers. Statistical models revealed that ravel of women time from a health facility was the strongest determinant of maternal care service utilization. This study shows how a combination of geo-located health system information and population-representative data can help assess the impact of geographical barriers to maternal care in rural areas of sub-Saharan Africa. It highlights that women who live more than 2 hours from a health facility had virtually no access to maternal health services despite efforts in place to reduce financial barriers to care and strengthen the health system.

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Measurement and mapping of maternal health service coverage through a novel composite index: a sub-national level analysis in India

Cited by 4 publications

References 49 publications

Research on the establishment of evaluation index system of the aging construction of the community

Research on the establishment of evaluation index system of the aging construction of the community

Construction of healthy aging index from two different datasets

Persistence of geographic barriers to maternal care services following a health system strengthening initiative in rural Madagascar

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