Wealth inequality and utilization of reproductive health services in the Republic of Vanuatu: insights from the multiple indicator cluster survey, 2007

Rahman, Mosiur; Haque, Syed Emdadul; Mostofa, Golam; Tarivonda, Len; Shuaib, Muhammad

doi:10.1186/1475-9276-10-58

Cited by 30 publications

(28 citation statements)

References 17 publications

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“…Having more children may also cause resource constraints, which has a negative effect on healthcare utilization. The present results also support the hypothesis indicating that women with more children were less likely to receive sufficient ANC or assisted deliveries from medically trained personnel than women with fewer children [11,47]. …”

Section: Discussionsupporting

confidence: 88%

Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample

et al. 2012

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BackgroundData from a statewide survey in India and clinic-based studies in developed settings have previously suggested an association between maternal physical intimate partner violence (IPV) experiences and the low use of antenatal care (ANC). This study aimed to explore the association between maternal experiences of physical and sexual IPV and the use of reproductive health care services, using a large nationally representative data set from Bangladesh.MethodsThis paper used data from the 2007 Bangladesh Demographic Health Survey. The analyses were based on the responses of 2001currently married women living with at least one child younger than 5 years. Exposure was determined from maternal reports of physical and sexual IPV. The utilization of ANC according to amount and type of provider and utilization of delivery assistance according to provider type were used as proxy outcome variables for reproductive health care utilization. Descriptive statistics and multivariate logistic regression analysis used in the study.ResultsApproximately two out of four (48.2%) respondents had experienced physical IPV. Maternal experience of physical IPV was associated with low use of receiving sufficient ANC (adjusted odds ratio [AOR] 0.69; 95% confidence interval [CI] 0.49–0.96), lower likelihood of receiving ANC (AOR 0.69; 95% CI 0.53–0.89), and assisted deliveries from skilled provider (AOR 0.54; 95% CI 0.37–0.78). Women who had been sexually abused were significantly less likely to have visited a skilled ANC and delivery care provider. Furthermore, severity of physical IPV appeared to have more profound consequences on the outcome measured.ConclusionsThe association between exposure to IPV and use of reproductive health care services suggests that partner violence plays a significant role in lower utilization of reproductive health services among women in Bangladesh. Our findings suggest that, in addition to a wide range of socio-demographic factors, preventing maternal physical and sexual IPV need to be considered as an important psychosocial determinates for the higher utilization of reproductive health care services in Bangladesh.

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Section: Discussionsupporting

confidence: 88%

Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample

et al. 2012

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“…The findings of this study shows that household poverty is significantly associated with low utilization of skilled birth attendants during delivery. This is consistent with previous studies in Nigeria, Vanuatu, and Namibia [21,39,48]. This may be due to high financial burden such as the cost of transportation, inpatient cost as well as delivery cost.…”

Section: Discussionsupporting

confidence: 92%

Socioeconomic Inequalities in Access to Skilled Birth Attendants During Childbirth in Ghana: A Decomposition Analysis

Kpodotsi¹,

Baku²,

Adam³

et al. 2020

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Background: Equitable access to, and use of skilled birth attendance during delivery is vital for the achievement of the Sustainable Development Goals (SDGs) in reducing global maternal deaths to 70 deaths per 100, 000. Although several initiatives have been implemented to reduce maternal mortality in Ghana, inequities in the use of skilled birth attendance during delivery still exist among women of different socioeconomic groups. This study assessed the socioeconomic inequalities related to the use of skilled birth attendants during delivery in Ghana.Methods: This study analyzed data from the 2014 Ghana Demographic and Health Survey (GDHS). Concentration index (CI) and concentration curves (CC) were employed to measure the magnitude of socioeconomic inequality in the use of skilled birth attendants during child delivery. The concentration index was decomposed to identify the underlying factors driving the inequalities.Results: Out of a total of the 1,305 women who gave birth in the year prior to the interview, 28% of the deliveries had no skilled birth attendants of which 60% lives in rural compared to 40% in urban. A concentration index of 0.147 showed a pro-rich utilization of skilled birth attendance during delivery. The decomposition analysis revealed that wealth, education and location of residence were the major contributors to socioeconomic inequalities in the use of skilled birth attendants during child delivery among Ghanaian women.Conclusion: This study suggests that factors such as wealth, area of residence and education are worthy of increased attention and policy interventions because they are amenable to the reduction of observed inequality.

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“…However, talking about inequities in the use of family planning methods is more difficult than talking about health inequities in general [19-21], because, in addition to objective factors regarding knowledge of and access to said methods, there is also the influence of moral issues, such as the fear of transgressing certain taboos, cultural factors and even religious impediments. In developing countries, and particularly African countries, it is important to take into account that the attitudes towards and use of contraception may vary due to a multitude of factors, including the quality of the health service and its professionals, availability of and access to family planning methods [22], level of wealth [23], gender roles and the socioeconomic context of the country [20] . Discrepancies have also been found in developing countries with regard to interest in modern family planning methods and their real use.…”

Section: Introductionmentioning

confidence: 99%

Factors determining family planning in Catalonia. Sources of inequity

Saurina

Vall-llosera

Sáez

2012

Int J Equity Health

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IntroductionIn recent decades, the foreign population in Spain has increased significantly, particularly for Catalonia, an autonomous region of Spain (2.90% in 2000 and 15.95% in 2010) and in particular Girona province (6.18% in 2000 and 21.55% in 2010). Several studies have shown a lower use of family planning methods by immigrants. This same trend is observed in Spain. The objective of this paper is to determine the existence of differences and possible sources of inequity in the use of family planning methods among health service users in Catalonia (Spain) by sex, health status, place of birth and socioeconomic conditions.MethodsData were taken from an ad-hoc questionnaire which was compiled following a qualitative stage of individual interviews. Said questionnaire was administered to 1094 Catalan public health service users during 2007. A complete descriptive analysis was carried out for variables related to public health service users’ sociodemographic characteristics and variables indicating knowledge and use of family planning methods, and bivariate relationships were analysed by means of chi-square contrasts. Considering the use (or non-use) of family planning methods as a dependent variable and a set of demographic, socioeconomic and health status variables as explanatory factors, the relationship was modelled using mixed models.ResultsThe analysed sample is comprised of 54.3% women and 45.7% men, with 74.3% natives (or from the EU) and 25.7% economic immigrants. 54.8% use some method of family planning, the condom (46.7%) and the pill (28.0%) being the two most frequently used methods. Statistical modelling indicates that those factors which most influence the use of family planning methods are level of education (30.59% and 39.29% more likelihood) and having children over 14 (35.35% more likelihood). With regard to the origin of the user, we observe that patients from North Africa,sub. Saharan Africa and Asia are less likely to use family planning methods (36.68%, 38.59% and 70.51%, respectively).ConclusionsThe use of family planning methods is positively related to a higher level of education and having children over 14. Factors such as sex, age, income and self-perceived health do not appear to influence their use. Furthermore, being a native of this country, the European Union or Central/South America represents a greater likelihood of use than being African or Asian. Although no general differences in use were found between sexes, the difference found in the case of Asian women stands out, with a higher likelihood of use.

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Wealth inequality and utilization of reproductive health services in the Republic of Vanuatu: insights from the multiple indicator cluster survey, 2007

Cited by 30 publications

References 17 publications

Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample

Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample

Socioeconomic Inequalities in Access to Skilled Birth Attendants During Childbirth in Ghana: A Decomposition Analysis

Factors determining family planning in Catalonia. Sources of inequity

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