Factors associated with use of maternal health services in Haiti: a multilevel analysis
OBJECTIVE: To assess factors associated with utilization of maternal health services (MHS) among women giving birth in Haiti from 2007 - 2012. METHODS: Observational data derived from the 2012 Haiti Mortality, Morbidity and Service Use Survey are analyzed. Multilevel analytic methods are used to ass...
Main Author: | |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
2014
|
Subjects: | |
Online Access: | https://doaj.org/article/599a784919a844caa47f8c4dfcd2c16c |
id |
ftdoajarticles:oai:doaj.org/article:599a784919a844caa47f8c4dfcd2c16c |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:599a784919a844caa47f8c4dfcd2c16c 2023-05-15T15:13:31+02:00 Factors associated with use of maternal health services in Haiti: a multilevel analysis Stella O. Babalola 2014-07-01T00:00:00Z https://doaj.org/article/599a784919a844caa47f8c4dfcd2c16c EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000600001&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/599a784919a844caa47f8c4dfcd2c16c Revista Panamericana de Salud Pública, Vol 36, Iss 1, Pp 1-09 (2014) Servicios de salud materna accesibilidad a los servicios de salud equidad en el acceso análisis multinivel Haití Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2014 ftdoajarticles 2022-12-31T02:13:09Z OBJECTIVE: To assess factors associated with utilization of maternal health services (MHS) among women giving birth in Haiti from 2007 - 2012. METHODS: Observational data derived from the 2012 Haiti Mortality, Morbidity and Service Use Survey are analyzed. Multilevel analytic methods are used to assess factors associated with use of antenatal services and skilled birth attendance (SBA). RESULTS: The strongest adjusted predictors include child's birth rank, household poverty, and community media saturation. The odds of obtaining four antenatal care visits decrease by 53% (odds ratio (OR) = 0.47; 95% confidence interval (CI): 0.37-0.57) with high birth rank and by 37% (OR = 0.63; 95% CI: 0.51-0.78) with household poverty, and increase by 38% (OR = 1.38; 95% CI: 1.01-1.88) with high community media saturation. The odds of using SBA at delivery decrease by 72% (OR = 0.28; 95% CI: 0.22-0.34) with high birth rank and by 42% (OR = 0.58; 95% CI: 0.46-0.73) with household poverty, and increase by 92% (OR = 1.92; 95% CI: 1.41-2.61) with high community media saturation. Use of antenatal services is strongly associated with SBA (OR = 2.20; 95% CI: 1.85-2.61). Significant clustering of use of MHS exists at the community level. CONCLUSIONS: Factors associated with use of MHS operate at multiple levels. Efforts to promote such services should identify and pay special attention to the needs of multiparous and uneducated women, address the distance-decay phenomenon, and improve access for the poor. Community mobilization efforts designed to change norms hindering the use of MHS are also relevant. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Servicios de salud materna accesibilidad a los servicios de salud equidad en el acceso análisis multinivel Haití Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Servicios de salud materna accesibilidad a los servicios de salud equidad en el acceso análisis multinivel Haití Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Stella O. Babalola Factors associated with use of maternal health services in Haiti: a multilevel analysis |
topic_facet |
Servicios de salud materna accesibilidad a los servicios de salud equidad en el acceso análisis multinivel Haití Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To assess factors associated with utilization of maternal health services (MHS) among women giving birth in Haiti from 2007 - 2012. METHODS: Observational data derived from the 2012 Haiti Mortality, Morbidity and Service Use Survey are analyzed. Multilevel analytic methods are used to assess factors associated with use of antenatal services and skilled birth attendance (SBA). RESULTS: The strongest adjusted predictors include child's birth rank, household poverty, and community media saturation. The odds of obtaining four antenatal care visits decrease by 53% (odds ratio (OR) = 0.47; 95% confidence interval (CI): 0.37-0.57) with high birth rank and by 37% (OR = 0.63; 95% CI: 0.51-0.78) with household poverty, and increase by 38% (OR = 1.38; 95% CI: 1.01-1.88) with high community media saturation. The odds of using SBA at delivery decrease by 72% (OR = 0.28; 95% CI: 0.22-0.34) with high birth rank and by 42% (OR = 0.58; 95% CI: 0.46-0.73) with household poverty, and increase by 92% (OR = 1.92; 95% CI: 1.41-2.61) with high community media saturation. Use of antenatal services is strongly associated with SBA (OR = 2.20; 95% CI: 1.85-2.61). Significant clustering of use of MHS exists at the community level. CONCLUSIONS: Factors associated with use of MHS operate at multiple levels. Efforts to promote such services should identify and pay special attention to the needs of multiparous and uneducated women, address the distance-decay phenomenon, and improve access for the poor. Community mobilization efforts designed to change norms hindering the use of MHS are also relevant. |
format |
Article in Journal/Newspaper |
author |
Stella O. Babalola |
author_facet |
Stella O. Babalola |
author_sort |
Stella O. Babalola |
title |
Factors associated with use of maternal health services in Haiti: a multilevel analysis |
title_short |
Factors associated with use of maternal health services in Haiti: a multilevel analysis |
title_full |
Factors associated with use of maternal health services in Haiti: a multilevel analysis |
title_fullStr |
Factors associated with use of maternal health services in Haiti: a multilevel analysis |
title_full_unstemmed |
Factors associated with use of maternal health services in Haiti: a multilevel analysis |
title_sort |
factors associated with use of maternal health services in haiti: a multilevel analysis |
publisher |
Pan American Health Organization |
publishDate |
2014 |
url |
https://doaj.org/article/599a784919a844caa47f8c4dfcd2c16c |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 36, Iss 1, Pp 1-09 (2014) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000600001&lng=en&tlng=en https://doaj.org/toc/1020-4989 1020-4989 https://doaj.org/article/599a784919a844caa47f8c4dfcd2c16c |
_version_ |
1766344067701014528 |