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Contextual influences on the use of health facilities for childbirth in Africa

Stephenson, Rob, Clements, Steve, Baschieri, Angela, Hennink, Monique and Madise, Nyovani (2004) Contextual influences on the use of health facilities for childbirth in Africa , Southampton, UK Southampton Statistical Sciences Research Institute 35pp. (S3RI Applications and Policy Working Papers, A04/18).

Record type: Monograph (Working Paper)

Abstract

Studies of maternal health seeking behaviour have focused on individual and household level factors. This analysis examines community level influences on the decision to deliver a child in a health facility across six African countries. Demographic and Health Survey data are linked with contextual data, and multilevel models are fitted to identify the determinants of childbirth in a health facility in the six countries. There are 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. 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 labour, although significant community variation remains unexplained.

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Published date: 22 November 2004

Identifiers

Local EPrints ID: 12493
URI: http://eprints.soton.ac.uk/id/eprint/12493
PURE UUID: d4a1c620-f70f-4ce9-96ef-b255c0a82978
ORCID for Nyovani Madise: ORCID iD orcid.org/0000-0002-2813-5295

Catalogue record

Date deposited: 22 Nov 2004
Last modified: 17 Jul 2017 17:03

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Contributors

Author: Rob Stephenson
Author: Steve Clements
Author: Angela Baschieri
Author: Monique Hennink
Author: Nyovani Madise ORCID iD

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