Factors associated with poor maternal health care services utilization in Eswatini: A secondary analysis of a nationally representative household survey

This study investigated the prevalence and factors associated with poor maternal health care services utilization (MHCSU) i.e., having < 4 antenatal care (ANC) visits, not delivering at a health facility, and not receiving institutional postnatal care (PNC). We conducted a secondary analysis of d...

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Bibliographic Details
Published in:Midwifery 2022-03, Vol.106, p.103250-103250, Article 103250
Main Authors: Dlamini, Lindelwa Portia, Shongwe, Mduduzi Colani, Simelane, Maswati S., Chemhaka, Garikayi B., Magagula, Fortunate N.
Format: Article
Language:English
Subjects:
Antenatal Care
Cross-Sectional Studies
Eswatini
Facilities and Services Utilization
Female
Humans
Intrapartum care
Maternal Health
Maternal health care services utilization
Maternal Health Services
Multiple Cluster Indicator Survey
Patient Acceptance of Health Care
Postnatal care
Pregnancy
Prenatal Care
Socioeconomic Factors
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Summary:This study investigated the prevalence and factors associated with poor maternal health care services utilization (MHCSU) i.e., having < 4 antenatal care (ANC) visits, not delivering at a health facility, and not receiving institutional postnatal care (PNC). We conducted a secondary analysis of data from the 2014 Eswatini Multiple Cluster Indicator Survey, a cross-sectional, nationally representative household survey. Participants were childbearing women (15–49 years) who had a live birth in the past two years preceding the survey. Multivariable logistic regression analyses were performed for each outcome variable. The prevalence of poor MHCSU was 22.1% (202/903) for ANC, 10.4% (102/899) for institutional delivery or intrapartum care (IPC), and 26.9% (123/598) for PNC. Being younger, having a low education level, being never married, having no access to mass media, being a household head of low education, coming from a household of poor/middle wealth index, being a primipara, having an unintended pregnancy, and having a longer length of stay in the postpartum ward were significantly associated with poor MHCSU. Midwives should pay special attention to women who present with the factors associated with poor MHCSU identified in this study, as early as the first booking for ANC to intervene early.
ISSN:0266-6138
1532-3099
DOI:10.1016/j.midw.2022.103250