218282 Community influences on maternal health care seeking behavior in Bangladesh, Egypt and Rwanda

Wednesday, November 10, 2010

K. Miriam Elfstrom, BA , Rollins School of Public Health, Hubert Department of Global Health, Emory University, Atlanta, GA
Rob Stephenson, PhD , Rollins School of Public Health, Emory University, Atlanta, GA
Previous studies of maternal health care behavior have focused on how the health care infrastructure impacts care seeking behavior during pregnancy, in the absence of the consideration of other contextual factors, such as prevailing community norm, structural factors and economic/ social opportunities. This study explores associations between community-level characteristics and the uptake of maternal care services in 3 resource-poor settings. Representative samples of women age 15 49 are taken from 3 Demographic and Health Surveys: Bangladesh (2007), Egypt (2008), and Rwanda (2005). The study identifies the contribution of individual, household and community-level variables in explaining differentials in maternal health care utilization. Multi-level models are fitted to identify the determinants of receiving any antenatal care, receiving at least four visits, and receiving the first care visit during the first trimester of pregnancy. The results show that community influences are significantly associated with the use of maternal health care services and persist after controlling for individual and household factors. These findings can be used to inform public health interventions to increase the use of maternal health care and inform health policy in other environments, particularly resource-poor settings.

Learning Areas:
Diversity and culture
Program planning
Social and behavioral sciences

Learning Objectives:
Describe the ways that community-level characteristics influence maternal health care service utilization in three differing cultural and economic settings: Bangladesh, Egypt, and Rwanda.

Keywords: Maternal Health, Community

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I have completed the analysis and background research for this project and I am completing a masters degree in global health, with a focus in community health and development and reproductive health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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