Prevalence and Risk Factors for Stunting and Severe Stunting Among Under-Fives in North Maluku Province of Indonesia

doi:10.1201/b13133-8

Cited by 112 publications

(166 citation statements)

References 35 publications

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“…The analysis showed that mothers from wealthier households and women with higher educational achievement exclusively breast-feed their babies compared with mothers from poorer households and women with no schooling, respectively, perhaps reflecting that mothers from higher SES groups are more likely to access and respond to health messages at a health facility (36) compared with mothers from lower SES groups. A previous study found that primary education is the minimum level required to gain from health promotion messages and it empowers vulnerable populations -especially women -to act on health messages (37) .…”

Section: Discussionmentioning

confidence: 97%

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Determinants of trends in breast-feeding indicators in Nigeria, 1999–2013

Ogbo¹,

Page²,

Agho³

et al. 2015

Public Health Nutr.

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Objective: The present study aimed to examine the trends and differentials in key breast-feeding indicators in Nigeria for the period 1999-2013. Design: Longitudinal study of trends (1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013) in optimal feeding practices using a series of population-based Nigerian Demographic and Health Surveys. Trends in socio-economic, health service and individual characteristics associated with key breast-feeding indicators were examined using multilevel regression analyses. Setting: Nigeria. Subjects: Children (n 88 152) aged under 24 months (n 8199 in 1999; n 7620 in 2003; n 33 385 in 2008; n 38 948 in 2013). Results: Among educated mothers, there was an increase in prevalence of exclusive breast-feeding (26 % in 1999 to 30 % in 2013) and predominant breastfeeding (27 % in 1999 to 39 % in 2013) compared with mothers with no schooling. A similar increasing trend was evident for mothers from wealthier households and mothers who had a higher frequency of health service access compared with mothers from poorer households and women who reported no health service access, respectively. Mothers with no schooling predominantly breast-fed, but the odds for bottle-feeding were higher among educated mothers and women from wealthier households. The odds for early initiation of breast-feeding were lower for mothers who reported no health service contacts and mothers of lower socio-economic status. Conclusions: Significant increasing trends in key breast-feeding indicators were evident among mothers with higher socio-economic status and mothers who had more health service access in Nigeria. Broader national and sub-national policies that underpin nursing mothers in work environments and a comprehensive community-based approach are proposed to improve feeding practices in Nigeria.

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Section: Discussionmentioning

confidence: 97%

“…Information received during health service contactsmore likely to be accessed by higher SES women (36,(53)(54)(55) may also be an important driver of trends in optimal feeding practices. A previous Nigerian study found that mothers who had more contact with health services received information on optimal feeding practices (33) .…”

Section: ·591 0·179mentioning

confidence: 99%

Determinants of trends in breast-feeding indicators in Nigeria, 1999–2013

Ogbo¹,

Page²,

Agho³

et al. 2015

Public Health Nutr.

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“…A study on maternal health care utilization in nine high-focus states in India noted that for women who belonged to scheduled castes or scheduled tribes, it was the intersection of their low SES status, their segregated habitation, and their lack of knowledge about maternal care that led to under-utilization of maternal health care services [40]. Studies about maternal health care utilization in Nigeria and Mali [37–39] have stressed the importance of using a multilevel approach in understanding maternal health utilization [38]. These studies describe how higher levels of education interact with a host of pathways such as improved knowledge of health services and increasing autonomy at the individual level [39].…”

Section: Discussionmentioning

confidence: 99%

“…Studies about maternal health care utilization in Nigeria and Mali [37–39] have stressed the importance of using a multilevel approach in understanding maternal health utilization [38]. These studies describe how higher levels of education interact with a host of pathways such as improved knowledge of health services and increasing autonomy at the individual level [39]. …”

Section: Discussionmentioning

confidence: 99%

Heterogeneities in utilization of antenatal care in Uttar Pradesh, India: the need to contextualize interventions to individual contexts

Sridharan

Pereira

Hay

et al. 2018

Global Health Action

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Background: This paper explores the heterogeneities in antenatal care (ANC) utilization in India’s most populated state, Uttar Pradesh. Taking an intersectionality lens, multiple individual- and district-level factors are used to identify segments of any antenatal care usage in Uttar Pradesh Objective: This paper seeks to understand the multilevel contexts of ANC utilization. The planning and programming challenge is that such knowledge of contextual specificity is rarely known upfront at the initial stages of planning or implementing an intervention. Exploratory data analysis might be needed to identify such contextual specificity. Methods: Tree-structured regression methods are used to identify segments and interactions between factors. The results from the tree-structured regression were complemented with multilevel models that controlled for the clustering of individuals within districts. Results: Heterogeneities in utilization of any ANC were observed. The multiple segments of ANC utilization that were developed went from a low utilization of 23.7% for respondents who were not literate and did not have home ownership to a high of 82.4% for respondents who were literate and at the highest level of wealth. Key variables that helped define the segments of ANC utilization include: woman’s literacy, ownership of home, wealth index, and district-level sex ratio. Based on the multilevel model of any ANC utilization, cross-level interactions also were obtained between sex ratio and ownership of home as well as between sex ratio and literacy. Increases in sex ratio increased the influence of ownership of home on any ANC, while increases in sex ratio reduced the impact of woman’s literacy on receiving any ANC. Conclusion: We argue that a focus on heterogeneous segments of utilization can help build knowledge of the mechanisms that underlie inequities in maternal health utilization. Such knowledge of heterogeneity needs to be incorporated in contextualizing interventions to meet a variety of recipients’ needs.

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“…Women who watch television or read newspaper/magazine more frequently had higher probability of initiating ANC visit in the 1st trimester and have at least 4 ANC visits, while those listening to radio frequently had higher probability of initiating ANC visit at 1st trimester compared to those who don't at all. A study in Nigeria has also shown that community media saturation was found to be a strong predictor of maternal health service utilization [31].…”

Section: Discussionmentioning

confidence: 99%

Maternal Vulnerabilities and Disparities in Availability of Antenatal Care Content in Kenya: Analysis of KDHS 2008/9

Ouma¹,

Asweto²

2017

AJPHR

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Background: ANC provides the opportunity to detect and treat anomalies of pregnancy and access to preventive maternal and child healthcare. However, detailed information about the actual quality and content of ANC in practice is scanty, especially in developing countries. We analyzed the pattern and content of antenatal care service in Kenya in order to assess the quality of ANC. Methods: We used data from the 2008/9 KDHS, a nationally representative survey of women aged 15-49 years in Kenya. Proportion was used for description purpose while association was determined by bivariate and multivariate analysis in which odds ratio with a 95% confidence interval values were calculated. Results: About 50.9% of women sought ANC services either in health centers or dispensaries but these lower level health facilities had more content gaps. Multivariate analysis indicated that maternal age, regional residence, urban residence, wealth index, education and the media influenced ANC initiation and at least 4 ANC visits. There was a coverage gap existing in terms of iron-folate supplementation (66.1%), tetanus toxoid (66.5%), presumptive/preventive treatment for malaria with SP (38.7%) and education on pregnancy complication (44.3%). Nearly a third of women missed the screening for complication during pregnancy. Conclusion: Disparities exist in provision of ANC components, by type of facility attended, rural-urban and low versus higher income biases. Consequently vulnerable women attending ANC miss important care including screening for complication during pregnancy and labor. Efforts should be designed to improve on supplies to government health centers and dispensaries. Well stocked outreach village clinics with the requirements of a comprehensive antenatal care resource allocation should be used to eliminate service disparities. Government policy should help to increase media penetration amongst the masses and sensitize mothers on the importance of ANC.

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Prevalence and Risk Factors for Stunting and Severe Stunting Among Under-Fives in North Maluku Province of Indonesia

Cited by 112 publications

References 35 publications

Determinants of trends in breast-feeding indicators in Nigeria, 1999–2013

Determinants of trends in breast-feeding indicators in Nigeria, 1999–2013

Heterogeneities in utilization of antenatal care in Uttar Pradesh, India: the need to contextualize interventions to individual contexts

Maternal Vulnerabilities and Disparities in Availability of Antenatal Care Content in Kenya: Analysis of KDHS 2008/9

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