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- Title
Public health matters. Contextual influences on the use of health facilities for childbirth in Africa.
- Authors
Stephenson R; Baschieri A; Clements S; Hennink M; Madise N
- Abstract
OBJECTIVES: Previous studies of maternal health-seeking behavior focused on individual- and household-level factors. We examined community-level influences on the decision to deliver a child in a health facility across 6 African countries. METHODS: Demographic and Health Survey data were linked with contextual data, and multilevel models were fitted to identify the determinants of childbirth in a health facility in the 6 countries. RESULTS: We found strong community-level influences on a woman's decision to deliver her child in a health facility. Several pathways of influence between the community and individual were identified. CONCLUSIONS: Community economic development, the climate of female autonomy, service provision, and fertility preferences all exert an influence on a woman's decision to seek care during labor, but significant community variation remains unexplained.
- Publication
American Journal of Public Health, 2006, Vol 96, Issue 1, p84
- ISSN
0090-0036
- Publication type
Academic Journal
- DOI
10.2105/AJPH.2004.057422