Sociodemographic characteristics associated with the utilization of maternal health services in Cambodia
Abstract Background Cambodia is a Southeast Asian country and has one the highest rates of maternal and child mortality with inadequate use of maternal healthcare services in the region. The present study aimed to analyse the progress made in terms of using maternal healthcare services since 2000. M...
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| Language: | English |
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BMC
2020-08-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-020-05652-1 |
| _version_ | 1818407796451835904 |
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| author | Donghua Zhou Zhonghe Zhou Cheng Yang Lu Ji Bishwajit Ghose Shangfeng Tang |
| author_facet | Donghua Zhou Zhonghe Zhou Cheng Yang Lu Ji Bishwajit Ghose Shangfeng Tang |
| author_sort | Donghua Zhou |
| collection | DOAJ |
| description | Abstract Background Cambodia is a Southeast Asian country and has one the highest rates of maternal and child mortality with inadequate use of maternal healthcare services in the region. The present study aimed to analyse the progress made in terms of using maternal healthcare services since 2000. Methods Two rounds of Demographic and Health Surveys (DHS 2000 and DHS 2014) were used in the study. Sample population consisted 11,961 women aged between 15 and 49 years. The outcome measures were: Timing of first antenatal care (ANC) attendance, adequacy of ANC attendance, place of delivery and postnatal checkup. WHO guidelines were used to set the cut-off/define these measures. Data were analyzed in Stata version 14 using descriptive and multivariate regression analyses. Results Findings indicated that the overall prevalence of making the first ANC visit in the first trimester was 64.19% [95%CI = 62.22,66.11], and that of having at least four ANC visits was 43.80% [95%CI = 41.89,45.73]. Prevalence of health facility delivery was 48.76% [46.62,50.90] and that of postnatal checkup was 71.14% [95%CI = 69.21,73.01]. Between 2000 and 2014, the percentage of timely and adequate use of ANC increased by respectively 61.8 and 65.3%, while that of health facility delivery and postnatal care increased by respectively 74.5 and 43.9%. Important demographic, socioeconomic and geographic disparities were observed in the utilization of ANC, health facility delivery and postnatal care services. Urban residency, having better educational status, white collar job, access to electronic media showed positive association, whereas higher parity (having > 2 children) and unwanted pregnancy showed negative association with the use of maternal healthcare services. Having at least four ANC visits was associated with significantly increased higher odds of using health facility delivery and postnatal care. Conclusion There has a been a remarkable increase in the prevalence of women who are using the maternal healthcare services since 2000. The current findings provide important insights regarding the sociodemographic factors associated with the utilization of maternal health services in Cambodia that could contribute to evidence-based health policy making and designing intervention programs. |
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| format | Article |
| id | doaj.art-7b67eabbbb5548d5b752fbf2c64c33f3 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-14T09:33:32Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-7b67eabbbb5548d5b752fbf2c64c33f32022-12-21T23:08:01ZengBMCBMC Health Services Research1472-69632020-08-0120111210.1186/s12913-020-05652-1Sociodemographic characteristics associated with the utilization of maternal health services in CambodiaDonghua Zhou0Zhonghe Zhou1Cheng Yang2Lu Ji3Bishwajit Ghose4Shangfeng Tang5School of Physical Education, Research Center of Sports and Health, Wuhan Business UniversityDepartment of Neurology, General Hospital of Northern Theater CommandSchool of Physical Education, Wuhan Business UniversitySchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and TechnologyFaculty of Social Sciences, University of OttawaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background Cambodia is a Southeast Asian country and has one the highest rates of maternal and child mortality with inadequate use of maternal healthcare services in the region. The present study aimed to analyse the progress made in terms of using maternal healthcare services since 2000. Methods Two rounds of Demographic and Health Surveys (DHS 2000 and DHS 2014) were used in the study. Sample population consisted 11,961 women aged between 15 and 49 years. The outcome measures were: Timing of first antenatal care (ANC) attendance, adequacy of ANC attendance, place of delivery and postnatal checkup. WHO guidelines were used to set the cut-off/define these measures. Data were analyzed in Stata version 14 using descriptive and multivariate regression analyses. Results Findings indicated that the overall prevalence of making the first ANC visit in the first trimester was 64.19% [95%CI = 62.22,66.11], and that of having at least four ANC visits was 43.80% [95%CI = 41.89,45.73]. Prevalence of health facility delivery was 48.76% [46.62,50.90] and that of postnatal checkup was 71.14% [95%CI = 69.21,73.01]. Between 2000 and 2014, the percentage of timely and adequate use of ANC increased by respectively 61.8 and 65.3%, while that of health facility delivery and postnatal care increased by respectively 74.5 and 43.9%. Important demographic, socioeconomic and geographic disparities were observed in the utilization of ANC, health facility delivery and postnatal care services. Urban residency, having better educational status, white collar job, access to electronic media showed positive association, whereas higher parity (having > 2 children) and unwanted pregnancy showed negative association with the use of maternal healthcare services. Having at least four ANC visits was associated with significantly increased higher odds of using health facility delivery and postnatal care. Conclusion There has a been a remarkable increase in the prevalence of women who are using the maternal healthcare services since 2000. The current findings provide important insights regarding the sociodemographic factors associated with the utilization of maternal health services in Cambodia that could contribute to evidence-based health policy making and designing intervention programs.http://link.springer.com/article/10.1186/s12913-020-05652-1CambodiaDemographic and health surveyMaternal healthcare servicesSociodemographic inequality |
| spellingShingle | Donghua Zhou Zhonghe Zhou Cheng Yang Lu Ji Bishwajit Ghose Shangfeng Tang Sociodemographic characteristics associated with the utilization of maternal health services in Cambodia BMC Health Services Research Cambodia Demographic and health survey Maternal healthcare services Sociodemographic inequality |
| title | Sociodemographic characteristics associated with the utilization of maternal health services in Cambodia |
| title_full | Sociodemographic characteristics associated with the utilization of maternal health services in Cambodia |
| title_fullStr | Sociodemographic characteristics associated with the utilization of maternal health services in Cambodia |
| title_full_unstemmed | Sociodemographic characteristics associated with the utilization of maternal health services in Cambodia |
| title_short | Sociodemographic characteristics associated with the utilization of maternal health services in Cambodia |
| title_sort | sociodemographic characteristics associated with the utilization of maternal health services in cambodia |
| topic | Cambodia Demographic and health survey Maternal healthcare services Sociodemographic inequality |
| url | http://link.springer.com/article/10.1186/s12913-020-05652-1 |
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