Egyptian status of continuum of care for maternal, newborn, and child health: Sohag Governorate as an example
Journal Title: International Journal of Medical Science and Public Health - Year 2018, Vol 7, Issue 6
Abstract
Background: Utilization of maternal health-care service is essential for the improvement of both maternal and child health, reduction in maternal and child mortality. Objective: Recognize factors that affect women continuation in getting care through pregnancy, delivery and after delivery. Material and Methods: This is a cross-sectional study conducted at Sohag governorate, Egypt, within a period extended from April to August 2017, we approached all women aged 18–49 years, who gave birth in the past 5 years before the survey, attending primary health-care center and mother and child health centers at Sohag city. Bivariate and multivariate logistic regression models were fit, and the significant level was set to be <0.05. Results: The study shows that (50.4%) of the participants had achieved (continuum of care), (90%) had antenatal care (ANC4) + visits, (85%) delivered by skilled birth attendance (SBA), and (53.2%) had postpartum care, the result highlights that women’s age, education level of both partners, birth orders, socioeconomic status, accessibility of services, and exposure to the mass media, are associated with women’s use of ANC, and their continuation to have SBA and postnatal care (PNC). The odd of having SBA and PNC increase for mothers who have urine and blood samples were taken, and blood pressure was measured as a part of antenatal services. Conclusion: We conclude that half of the participants complete the continuum of care from pregnancy through postpartum care. Quality of ANC is associated with women’s use of SBA and PNC that should be given more attention.
Authors and Affiliations
Ahmed Fathy Hamed, Eman Roshdy, Mohamed Sabry
Keywords
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- EP ID EP482613
- DOI 10.5455/ijmsph.2018.0102607032018
- Views 75
- Downloads 0
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