IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v74y2012i3p452-459.html
   My bibliography  Save this article

Women’s social networks and birth attendant decisions: Application of the Network-Episode Model

Author

Listed:
  • Edmonds, Joyce K.
  • Hruschka, Daniel
  • Bernard, H. Russell
  • Sibley, Lynn

Abstract

This paper examines the association of women’s social networks with the use of skilled birth attendants in uncomplicated pregnancy and childbirth in Matlab, Bangladesh. The Network-Episode Model was applied to determine if network structure variables (density/kinship homogeneity/strength of ties) together with network content (endorsement for or against a particular type of birth attendant) explain the type of birth attendant used by women above and beyond the variance explained by women’s individual attributes. Data were collected by interviewing a representative sample of 246 women, 18–45 years of age, using survey and social network methods between October and December 2008. Logistic regression models were used to examine the associations. Results suggest that the structural properties of networks did not add to explanatory value but instead network content or the perceived advice of network members add significantly to the explanation of variation in service use. Testing aggregate network variables at the individual level extends the ability of the individual profile matrix to explain outcomes. Community health education and mobilization interventions attempting to increase demand for skilled attendants need to reflect the centrality of kinship networks to women in Bangladesh and the likelihood of women to heed the advice of their network of advisors with regard to place of birth.

Suggested Citation

  • Edmonds, Joyce K. & Hruschka, Daniel & Bernard, H. Russell & Sibley, Lynn, 2012. "Women’s social networks and birth attendant decisions: Application of the Network-Episode Model," Social Science & Medicine, Elsevier, vol. 74(3), pages 452-459.
  • Handle: RePEc:eee:socmed:v:74:y:2012:i:3:p:452-459
    DOI: 10.1016/j.socscimed.2011.10.032
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953611006769
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Jere Behrman & Hans-Peter Kohler & Susan Watkins, 2002. "Social networks and changes in contraceptive use over time: Evidence from a longitudinal study in rural Kenya," Demography, Springer;Population Association of America (PAA), vol. 39(4), pages 713-738, November.
    2. Gayen, Kaberi & Raeside, Robert, 2007. "Social networks, normative influence and health delivery in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 65(5), pages 900-914, September.
    3. Glei, Dana A. & Goldman, Noreen & Rodríguez, Germán, 2003. "Utilization of care during pregnancy in rural Guatemala: does obstetrical need matter?," Social Science & Medicine, Elsevier, vol. 57(12), pages 2447-2463, December.
    4. Devillanova, Carlo, 2008. "Social networks, information and health care utilization: Evidence from undocumented immigrants in Milan," Journal of Health Economics, Elsevier, vol. 27(2), pages 265-286, March.
    5. Deri, Catherine, 2005. "Social networks and health service utilization," Journal of Health Economics, Elsevier, vol. 24(6), pages 1076-1107, November.
    6. Duong, Dat V & Binns, Colin W & Lee, Andy H, 2004. "Utilization of delivery services at the primary health care level in rural Vietnam," Social Science & Medicine, Elsevier, vol. 59(12), pages 2585-2595, December.
    7. Amooti-Kaguna, B. & Nuwaha, F., 2000. "Factors influencing choice of delivery sites in Rakai district of Uganda," Social Science & Medicine, Elsevier, vol. 50(2), pages 203-213, January.
    8. Valente, Thomas W. & Watkins, Susan C. & Jato, Miriam N. & Van Der Straten, Ariane & Tsitsol, Louis-Philippe M., 1997. "Social network associations with contraceptive use among Cameroonian women in voluntary associations," Social Science & Medicine, Elsevier, vol. 45(5), pages 677-687, September.
    9. Anson, Ofra, 2004. "Utilization of maternal care in rural HeBei Province, the People's Republic of China: individual and structural characteristics," Health Policy, Elsevier, vol. 70(2), pages 197-206, November.
    10. Hans-Peter Kohler & Jere Behrman & Susan Watkins, 2001. "The density of social networks and fertility decisions: evidence from south nyanza district, kenya," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 43-58, February.
    11. Paul, Bimal Kanti & Rumsey, Deborah J., 2002. "Utilization of health facilities and trained birth attendants for childbirth in rural Bangladesh: an empirical study," Social Science & Medicine, Elsevier, vol. 54(12), pages 1755-1765, June.
    12. Sunil, T.S. & Rajaram, S. & Zottarelli, Lisa K., 2006. "Do individual and program factors matter in the utilization of maternal care services in rural India? A theoretical approach," Social Science & Medicine, Elsevier, vol. 62(8), pages 1943-1957, April.
    13. Berkman, Lisa F. & Glass, Thomas & Brissette, Ian & Seeman, Teresa E., 2000. "From social integration to health: Durkheim in the new millennium," Social Science & Medicine, Elsevier, vol. 51(6), pages 843-857, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Sheabo Dessalegn, S., 2017. "Social capital and maternal health care use in rural Ethiopia," Other publications TiSEM bb0ec225-4ec3-4028-90d6-1, Tilburg University, School of Economics and Management.
    2. Perkins, Jessica M. & Subramanian, S.V. & Christakis, Nicholas A., 2015. "Social networks and health: A systematic review of sociocentric network studies in low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 125(C), pages 60-78.

    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:eee:socmed:v:74:y:2012:i:3:p:452-459. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    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 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.

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

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.