Antenatal care and skilled birth in the fragile and conflict‐affected situation of Burundi

Burundi is a fragile and conflict‐affected state characterized by persistent conflict and political violence. Amid this conflict, Burundi has one of the highest maternal mortality rates globally—548 per 100,000 births as of 2017, such deaths could be prevented with antenatal care (ANC). This cross‐s...

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Bibliographic Details
Published in:The International journal of health planning and management 2021-07, Vol.36 (4), p.1081-1106
Main Authors: Ziegler, Bianca R, Kansanga, Moses, Sano, Yuji, Kangmennaang, Joseph, Kpienbaareh, Daniel, Luginaah, Isaac
Format: Article
Language:English
Subjects:
Aggression
antenatal care
Birth
Births
Burundi
Childbirth & labor
Conflict
Gender inequality
Geographic information systems
Health administration
Health care
Health surveys
Maternal mortality
Mortality
Mortality rates
Political violence
Prenatal care
Regression analysis
Remote sensing
skilled birth
Sustainable development
Television
Television viewing
Uptake
Violence
Women
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Summary:Burundi is a fragile and conflict‐affected state characterized by persistent conflict and political violence. Amid this conflict, Burundi has one of the highest maternal mortality rates globally—548 per 100,000 births as of 2017, such deaths could be prevented with antenatal care (ANC). This cross‐sectional study aimed to examine the association between conflict and ANC and skilled birth attendant (SBA) utilization. Logistic regression analysis was conducted using the 2016–2017 Burundi Demographic and Health Survey (n = 8581), as well as a Near Analysis Geographic Information System exploration. Results show that women in extremely high conflict regions were less likely to have four antenatal visits (odds ratio [OR] = 0.79, p 
ISSN:0749-6753
1099-1751
DOI:10.1002/hpm.3157