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Individual and contextual factors associated with maternal and child health essential health services indicators : a multilevel analysis of universal health coverage in 58 low & middle-income countries
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Anjorin, Seun S., Ayorinde, Abimbola A., Oyebode, Oyinlola and Uthman, Olalekan A. (2022) Individual and contextual factors associated with maternal and child health essential health services indicators : a multilevel analysis of universal health coverage in 58 low & middle-income countries. International Journal of Health Policy and Management, 11 (10). pp. 2062-2071. doi:10.34172/ijhpm.2021.121 ISSN 2322-5939.
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WRAP-Individual-and-contextual-factors-associated-with-maternal-and-child-health-essential-health-services-indicators-Anjorin-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1181Kb) | Preview |
Official URL: https://doi.org/10.34172/ijhpm.2021.121
Abstract
Background: Universal health coverage (UHC) is part of the global health agenda to tackle the lack of access to essential health services (EHS). This study developed and tested models to examine the individual, neighbourhood and country-level determinants associated with access to coverage of EHS under the UHC agenda in low- and middle-income countries (LMICs). Methods: We used datasets from the Demographic and Health Surveys of 58 LMICs. Suboptimal and optimal access to EHS were computed using nine indicators. Descriptive and multilevel multinomial regression analyses were performed using R & STATA. Result: The prevalence of suboptimal and optimal access to EHS varies across the countries, the former ranging from 5.55% to 100%, and the latter ranging from 0% to 90.36% both in Honduras and Colombia, respectively. In the fully adjusted model, children of mothers with lower educational attainment (RRR 2.11, 95% credible interval [CrI] 1.92 to 2.32) and those from poor households (RRR 1.79, 95%CrI 1.61 to 2.00) were more likely to have suboptimal access to EHS. Also, those with health insurance (RRR 0.72, 95% CrI 0.59 to 0.85) and access to media (RRR 0.59, 95% CrI 0.51 to 0.67) were at lesser risk of having suboptimal EHS. Similar trends, although in the opposite direction, were observed in the analysis involving optimal access. The intra-neighbourhood and intra-country correlation coefficients were estimated using the intercept component variance; 57.50%% and 27.70% of variances in suboptimal access to EHS are attributable to the neighbourhood and country-level factors. Conclusion: Neighbourhood-level poverty, illiteracy, and rurality modify access to EHS coverage in LMICs. Interventions aimed at achieving the 2030 UHC goals should consider integrating socioeconomic and living conditions of people.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RG Gynecology and obstetrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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SWORD Depositor: | Library Publications Router | ||||||||
Library of Congress Subject Headings (LCSH): | Medical policy, Medical care, Public health, Child health services, Maternal health services | ||||||||
Journal or Publication Title: | International Journal of Health Policy and Management | ||||||||
Publisher: | Kerman University of Medical Sciences | ||||||||
ISSN: | 2322-5939 | ||||||||
Official Date: | October 2022 | ||||||||
Dates: |
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Volume: | 11 | ||||||||
Number: | 10 | ||||||||
Page Range: | pp. 2062-2071 | ||||||||
DOI: | 10.34172/ijhpm.2021.121 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 9 November 2022 | ||||||||
Date of first compliant Open Access: | 9 November 2022 | ||||||||
RIOXX Funder/Project Grant: |
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