IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i13p7861-d848577.html
   My bibliography  Save this article

Factors Associated with Underutilization of Maternity Health Care Cascade in Mozambique: Analysis of the 2015 National Health Survey

Author

Listed:
  • Sérgio Chicumbe

    (Health System and Policy Program, Instituto Nacional de Saúde, Estrada Nacional 1, Parcela N° 3943, Vila de Marracuene 020502, Mozambique)

  • Maria do Rosário Oliveira Martins

    (Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Rua da Junqueira N° 100, 1349-008 Lisboa, Portugal)

Abstract

Maternity health care services utilization determines maternal and neonate outcomes. Evidence about factors associated with composite non-utilization of four or more antenatal consultations and intrapartum health care services is needed in Mozambique. This study uses data from the 2015 nationwide Mozambique’s Malaria, Immunization and HIV Indicators Survey. At selected representative households, women ( n = 2629) with child aged up to 3 years answered a standardized structured questionnaire. Adjusted binary logistic regression assessed associations between women-child pairs characteristics and non-utilization of maternity health care. Seventy five percent (95% confidence interval (CI) = 71.8–77.7%) of women missed a health care cascade step during their last pregnancy. Higher education (adjusted odds ratio (AOR) = 0.65; 95% CI = 0.46–0.91), lowest wealth (AOR = 2.1; 95% CI = 1.2–3.7), rural residency (AOR = 1.5; 95% CI = 1.1–2.2), living distant from health facility (AOR = 1.5; 95% CI = 1.1–1.9) and unknown HIV status (AOR = 1.9; 95% CI = 1.4–2.7) were factors associated with non-utilization of the maternity health care cascade. The study highlights that, by 2015, recommended maternity health care cascade utilization did not cover 7 out of 10 pregnant women in Mozambique. Unfavorable sociodemographic and economic factors increase the relative odds for women not being covered by the maternity health care cascade.

Suggested Citation

  • Sérgio Chicumbe & Maria do Rosário Oliveira Martins, 2022. "Factors Associated with Underutilization of Maternity Health Care Cascade in Mozambique: Analysis of the 2015 National Health Survey," IJERPH, MDPI, vol. 19(13), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:7861-:d:848577
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/13/7861/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/13/7861/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Mikkel Zahle Oestergaard & Mie Inoue & Sachiyo Yoshida & Wahyu Retno Mahanani & Fiona M Gore & Simon Cousens & Joy E Lawn & Colin Douglas Mathers & on behalf of the United Nations Inter-agency Group f, 2011. "Neonatal Mortality Levels for 193 Countries in 2009 with Trends since 1990: A Systematic Analysis of Progress, Projections, and Priorities," PLOS Medicine, Public Library of Science, vol. 8(8), pages 1-13, August.
    2. Ashton, Toni, 2015. "Measuring health system performance: A new approach to accountability and quality improvement in New Zealand," Health Policy, Elsevier, vol. 119(8), pages 999-1004.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mansoor Ahmed & Youngjoon Won, 2017. "Cross-National Systematic Review of Neonatal Mortality and Postnatal Newborn Care: Special Focus on Pakistan," IJERPH, MDPI, vol. 14(12), pages 1-14, November.
    2. Paul Welaga & Cheryl A Moyer & Raymond Aborigo & Philip Adongo & John Williams & Abraham Hodgson & Abraham Oduro & Cyril Engmann, 2013. "Why Are Babies Dying in the First Month after Birth? A 7-Year Study of Neonatal Mortality in Northern Ghana," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-8, March.
    3. Corinna Vossius & Editha Lotto & Sara Lyanga & Estomih Mduma & Georgina Msemo & Jeffrey Perlman & Hege L Ersdal, 2014. "Cost-Effectiveness of the “Helping Babies Breathe” Program in a Missionary Hospital in Rural Tanzania," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-6, July.
    4. Abel Fekadu Dadi, 2015. "A Systematic Review and Meta-Analysis of the Effect of Short Birth Interval on Infant Mortality in Ethiopia," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-11, May.
    5. Hunter, Erin C. & Callaghan-Koru, Jennifer A. & Al Mahmud, Abdullah & Shah, Rashed & Farzin, Azadeh & Cristofalo, Elizabeth A. & Akhter, Sadika & Baqui, Abdullah H., 2014. "Newborn care practices in rural Bangladesh: Implications for the adaptation of kangaroo mother care for community-based interventions," Social Science & Medicine, Elsevier, vol. 122(C), pages 21-30.
    6. Angelica Sousa & Mario R Dal Poz & Cynthia Boschi-Pinto, 2013. "Reducing Inequities in Neonatal Mortality through Adequate Supply of Health Workers: Evidence from Newborn Health in Brazil," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-7, September.
    7. Tenbensel, Tim & Burau, Viola, 2017. "Contrasting approaches to primary care performance governance in Denmark and New Zealand," Health Policy, Elsevier, vol. 121(8), pages 853-861.
    8. Backman, Chantal & Vanderloo, Saskia & Forster, Alan John, 2016. "Measuring and improving quality in university hospitals in Canada: The Collaborative for Excellence in Healthcare Quality," Health Policy, Elsevier, vol. 120(9), pages 982-986.
    9. Monica Alexander & Leontine Alkema, 2018. "Global estimation of neonatal mortality using a Bayesian hierarchical splines regression model," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(15), pages 335-372.
    10. Dohmen, Peter J.G. & van Raaij, Erik M., 2019. "A new approach to preferred provider selection in health care," Health Policy, Elsevier, vol. 123(3), pages 300-305.
    11. Camille Poroes & Laurence Seematter-Bagnoud & Kaspar Wyss & Isabelle Peytremann-Bridevaux, 2023. "Health System Performance and Resilience in Times of Crisis: An Adapted Conceptual Framework," IJERPH, MDPI, vol. 20(17), pages 1-23, August.
    12. Yun Huang & Yue Wu & David C. Schwebel & Liang Zhou & Guoqing Hu, 2016. "Disparities in Under-Five Child Injury Mortality between Developing and Developed Countries: 1990–2013," IJERPH, MDPI, vol. 13(7), pages 1-11, July.
    13. Ibinceanu Onica Mihaela Cristina & Cristache Nicoleta & Dobrea Răzvan Cătălin & Florescu Margareta, 2021. "Regional Development in Romania: Empirical Evidence Regarding the Factors for Measuring a Prosperous and Sustainable Economy," Sustainability, MDPI, vol. 13(7), pages 1-19, April.
    14. Chalmers, Linda Maree & Ashton, Toni & Tenbensel, Tim, 2017. "Measuring and managing health system performance: An update from New Zealand," Health Policy, Elsevier, vol. 121(8), pages 831-835.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:7861-:d:848577. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.