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Inequalities in maternal health care utilization in Benin : a population based cross-sectional study
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Yaya, Sanni, Uthman, Olalekan A., Amouzou, Agbessi, Ekholuenetale, Michael and Bishwajit, Ghose (2018) Inequalities in maternal health care utilization in Benin : a population based cross-sectional study. BMC Pregnancy and Childbirth, 18 (1). 194. doi:10.1186/s12884-018-1846-6
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WRAP-inequalities-maternal-health-care-population-cross-sectional-study-Uthman-2018.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1047Kb) | Preview |
Official URL: http://dx.doi.org/10.1186/s12884-018-1846-6
Abstract
Background
Ensuring equitable access to maternal health care including antenatal, delivery, postnatal services and fertility control methods, is one of the most critical challenges for public health sector. There are significant disparities in maternal health care indicators across many geographical locations, maternal, economic, socio-demographic factors in many countries in sub-Sahara Africa. In this study, we comparatively explored the utilization level of maternal health care, and examined disparities in the determinants of major maternal health outcomes.
Methods
This paper used data from two rounds of Benin Demographic and Health Survey (BDHS) to examine the utilization and disparities in factors of maternal health care indicators using logistic regression models. Participants were 17,794 and 16,599 women aged between15–49 years in 2006 and 2012 respectively. Women’s characteristics were reported in percentage, mean and standard deviation.
Results
Mean (±SD) age of the participants was 29.0 (±9.0) in both surveys. The percentage of at least 4 ANC visits was approximately 61% without any change between the two rounds of surveys, facility based delivery was 93.5% in 2012, with 4.9% increase from 2006; postnatal care was currently 18.4% and contraceptive use was estimated below one-fifth. The results of multivariable logistic regression models showed disparities in maternal health care service utilization, including antenatal care, facility-based delivery, postnatal care and contraceptive use across selected maternal factors. The current BHDS showed age, region, religion were significantly associated with maternal health care services. Educated women, those from households of high wealth index and women currently working were more likely to utilize maternal health care services, compared to women with no formal education, from poorest households or not currently employed. Women who watch television (TV) were 1.31 (OR = 1.31; 95% CI = 1.13–1.52), 1.69 (OR = 1.69; 95% CI = 1.20–2.37) and 1.38 (OR = 1.38; 95% CI = 1.16–1.65) times as likely to utilize maternal health care services after adjusting for other covariates.
Conclusion
The findings would guide stakeholders to address inequalities in maternal health care services. More so, health care programmes and policies should be strengthened to enhance accessibility as well as improve the utilization of maternal care services, especially for the disadvantaged, uneducated and those who live in hard-to-reach rural areas in Benin. The Benin government needs to create strategies that cover both the supply and demand side factors at attain the universal health coverage.
| Item Type: | Journal Article | ||||||
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| Subjects: | H Social Sciences > HQ The family. Marriage. Woman R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
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| Divisions: | Faculty of Medicine > Warwick Medical School | ||||||
| Library of Congress Subject Headings (LCSH): | Women's health services -- Regional disparities -- Bénin, Mothers -- Health aspects -- Regional disparities -- Bénin, Prenatal care, Childbirth, Postnatal care, Contraception | ||||||
| Journal or Publication Title: | BMC Pregnancy and Childbirth | ||||||
| Publisher: | BioMed Central Ltd. | ||||||
| ISSN: | 1471-2393 | ||||||
| Official Date: | 31 May 2018 | ||||||
| Dates: |
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| Date of first compliant deposit: | 1 June 2018 | ||||||
| Volume: | 18 | ||||||
| Number: | 1 | ||||||
| Article Number: | 194 | ||||||
| DOI: | 10.1186/s12884-018-1846-6 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access |
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