Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis
Objective To assess the socioeconomic, geographical and demographic inequities in the use of postnatal health-care services in low- and middle-income countries. Methods We searched Medline, Embase and Cochrane Central databases and grey literature for experimental, quasi-experimental and observation...
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| Format: | Article |
| Language: | English |
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The World Health Organization
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| Series: | Bulletin of the World Health Organization |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862015000500259&lng=en&tlng=en |
| _version_ | 1797281663281004544 |
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| author | Étienne V Langlois Malgorzata Miszkurka Maria Victoria Zunzunegui Abdul Ghaffar Daniela Ziegler Igor Karp |
| author_facet | Étienne V Langlois Malgorzata Miszkurka Maria Victoria Zunzunegui Abdul Ghaffar Daniela Ziegler Igor Karp |
| author_sort | Étienne V Langlois |
| collection | DOAJ |
| description | Objective To assess the socioeconomic, geographical and demographic inequities in the use of postnatal health-care services in low- and middle-income countries. Methods We searched Medline, Embase and Cochrane Central databases and grey literature for experimental, quasi-experimental and observational studies that had been conducted in low- and middle-income countries. We summarized the relevant studies qualitatively and performed meta-analyses of the use of postnatal care services according to selected indicators of socioeconomic status and residence in an urban or rural setting. Findings A total of 36 studies were included in the narrative synthesis and 10 of them were used for the meta-analyses. Compared with women in the lowest quintile of socioeconomic status, the pooled odds ratios for use of postnatal care by women in the second, third, fourth and fifth quintiles were: 1.14 (95% confidence interval, CI : 0.96–1.34), 1.32 (95% CI: 1.12–1.55), 1.60 (95% CI: 1.30–1.98) and 2.27 (95% CI: 1.75–2.93) respectively. Compared to women living in rural settings, the pooled odds ratio for the use of postnatal care by women living in urban settings was 1.36 (95% CI: 1.01–1.81). A qualitative assessment of the relevant published data also indicated that use of postnatal care services increased with increasing level of education. Conclusion In low- and middle-income countries, use of postnatal care services remains highly inequitable and varies markedly with socioeconomic status and between urban and rural residents. |
| first_indexed | 2024-03-07T17:00:40Z |
| format | Article |
| id | doaj.art-1dde266b2853427bacb4923289c819ba |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T17:00:40Z |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-1dde266b2853427bacb4923289c819ba2024-03-03T03:20:17ZengThe World Health OrganizationBulletin of the World Health Organization0042-9686934259270G10.2471/0042-9686-bwho-93-04-259S0042-96862015000500259Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysisÉtienne V LangloisMalgorzata MiszkurkaMaria Victoria ZunzuneguiAbdul GhaffarDaniela ZieglerIgor KarpObjective To assess the socioeconomic, geographical and demographic inequities in the use of postnatal health-care services in low- and middle-income countries. Methods We searched Medline, Embase and Cochrane Central databases and grey literature for experimental, quasi-experimental and observational studies that had been conducted in low- and middle-income countries. We summarized the relevant studies qualitatively and performed meta-analyses of the use of postnatal care services according to selected indicators of socioeconomic status and residence in an urban or rural setting. Findings A total of 36 studies were included in the narrative synthesis and 10 of them were used for the meta-analyses. Compared with women in the lowest quintile of socioeconomic status, the pooled odds ratios for use of postnatal care by women in the second, third, fourth and fifth quintiles were: 1.14 (95% confidence interval, CI : 0.96–1.34), 1.32 (95% CI: 1.12–1.55), 1.60 (95% CI: 1.30–1.98) and 2.27 (95% CI: 1.75–2.93) respectively. Compared to women living in rural settings, the pooled odds ratio for the use of postnatal care by women living in urban settings was 1.36 (95% CI: 1.01–1.81). A qualitative assessment of the relevant published data also indicated that use of postnatal care services increased with increasing level of education. Conclusion In low- and middle-income countries, use of postnatal care services remains highly inequitable and varies markedly with socioeconomic status and between urban and rural residents.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862015000500259&lng=en&tlng=en |
| spellingShingle | Étienne V Langlois Malgorzata Miszkurka Maria Victoria Zunzunegui Abdul Ghaffar Daniela Ziegler Igor Karp Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis Bulletin of the World Health Organization |
| title | Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis |
| title_full | Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis |
| title_fullStr | Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis |
| title_full_unstemmed | Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis |
| title_short | Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis |
| title_sort | inequities in postnatal care in low and middle income countries a systematic review and meta analysis |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862015000500259&lng=en&tlng=en |
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