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Factors associated with the continuum of care for maternal, newborn and child health in The Gambia: a cross-sectional study using Demographic and Health Survey 2013

OBJECTIVES: To identify factors associated with the continuum of maternal, newborn and child health care in The Gambia. DESIGN: A secondary statistical analysis using Demographic and Health Survey conducted in 2013. SETTING: The Gambia. PARTICIPANTS: 1308 married women (or with a partner) whose most...

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Autores principales: Oh, Jiyoung, Moon, Juyoung, Choi, Jae Wook, Kim, Kyunghee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7692971/
https://www.ncbi.nlm.nih.gov/pubmed/33243786
http://dx.doi.org/10.1136/bmjopen-2019-036516
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author Oh, Jiyoung
Moon, Juyoung
Choi, Jae Wook
Kim, Kyunghee
author_facet Oh, Jiyoung
Moon, Juyoung
Choi, Jae Wook
Kim, Kyunghee
author_sort Oh, Jiyoung
collection PubMed
description OBJECTIVES: To identify factors associated with the continuum of maternal, newborn and child health care in The Gambia. DESIGN: A secondary statistical analysis using Demographic and Health Survey conducted in 2013. SETTING: The Gambia. PARTICIPANTS: 1308 married women (or with a partner) whose most recent children were aged 12–23 months at the time of the survey. OUTCOME MEASURES: The main outcome was continuum of care for maternal, newborn and child health. The modified composite coverage index was calculated to express the completion level of continuum of care. RESULTS: The following factors were associated with the continuum of maternal, newborn and child health care: women’s autonomy in decision-making of her own healthcare (β=0.063, p=0.015), having higher educated husbands (β=0.138, p<0.001), listening to the radio at least once a week (β=0.078, p=0.006), having a child with birth order less than 5 (β=0.069, p=0.037), initiating the first antenatal care within 16 weeks of pregnancy (β=0.170, p<0.001), having been informed of signs of pregnancy complications (β=0.057, p=0.029), living in rural areas (β=−0.107, p=0.006) and having higher burden due to distance to health facility (β=−0.100, p<0.001), with an explanatory power of 15.5% (R(2)=0.155). CONCLUSIONS: Efforts on future policies and programmes should focus on the concept of continuum of care considering the associated factors. In particular, more attention should be given to providing country-wide family planning and education to women, men and community members in The Gambia.
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spelling pubmed-76929712020-12-09 Factors associated with the continuum of care for maternal, newborn and child health in The Gambia: a cross-sectional study using Demographic and Health Survey 2013 Oh, Jiyoung Moon, Juyoung Choi, Jae Wook Kim, Kyunghee BMJ Open Public Health OBJECTIVES: To identify factors associated with the continuum of maternal, newborn and child health care in The Gambia. DESIGN: A secondary statistical analysis using Demographic and Health Survey conducted in 2013. SETTING: The Gambia. PARTICIPANTS: 1308 married women (or with a partner) whose most recent children were aged 12–23 months at the time of the survey. OUTCOME MEASURES: The main outcome was continuum of care for maternal, newborn and child health. The modified composite coverage index was calculated to express the completion level of continuum of care. RESULTS: The following factors were associated with the continuum of maternal, newborn and child health care: women’s autonomy in decision-making of her own healthcare (β=0.063, p=0.015), having higher educated husbands (β=0.138, p<0.001), listening to the radio at least once a week (β=0.078, p=0.006), having a child with birth order less than 5 (β=0.069, p=0.037), initiating the first antenatal care within 16 weeks of pregnancy (β=0.170, p<0.001), having been informed of signs of pregnancy complications (β=0.057, p=0.029), living in rural areas (β=−0.107, p=0.006) and having higher burden due to distance to health facility (β=−0.100, p<0.001), with an explanatory power of 15.5% (R(2)=0.155). CONCLUSIONS: Efforts on future policies and programmes should focus on the concept of continuum of care considering the associated factors. In particular, more attention should be given to providing country-wide family planning and education to women, men and community members in The Gambia. BMJ Publishing Group 2020-11-26 /pmc/articles/PMC7692971/ /pubmed/33243786 http://dx.doi.org/10.1136/bmjopen-2019-036516 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Oh, Jiyoung
Moon, Juyoung
Choi, Jae Wook
Kim, Kyunghee
Factors associated with the continuum of care for maternal, newborn and child health in The Gambia: a cross-sectional study using Demographic and Health Survey 2013
title Factors associated with the continuum of care for maternal, newborn and child health in The Gambia: a cross-sectional study using Demographic and Health Survey 2013
title_full Factors associated with the continuum of care for maternal, newborn and child health in The Gambia: a cross-sectional study using Demographic and Health Survey 2013
title_fullStr Factors associated with the continuum of care for maternal, newborn and child health in The Gambia: a cross-sectional study using Demographic and Health Survey 2013
title_full_unstemmed Factors associated with the continuum of care for maternal, newborn and child health in The Gambia: a cross-sectional study using Demographic and Health Survey 2013
title_short Factors associated with the continuum of care for maternal, newborn and child health in The Gambia: a cross-sectional study using Demographic and Health Survey 2013
title_sort factors associated with the continuum of care for maternal, newborn and child health in the gambia: a cross-sectional study using demographic and health survey 2013
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7692971/
https://www.ncbi.nlm.nih.gov/pubmed/33243786
http://dx.doi.org/10.1136/bmjopen-2019-036516
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