Effects of individual and neighborhood factors on maternal care in Cambodia

This study analyzed data from the 2005 Cambodia Demographic and Health Survey to examine the effects of individual- and community-level factors on the receipt of four or more antenatal care visits, receipt of antenatal care within the first trimester of pregnancy, delivery in a health facility and d...

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Bibliographic Details
Published in:Health & place 2012-03, Vol.18 (2), p.415-423
Main Authors: Sagna, Marguerite L., Sunil, T.S.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Antenatal care
Birth
Cambodia
Community level effects
Counseling
Educational Attainment
Female
Females
Health
Health care
Health Care Services
Health Problems
Health Professions
Health services
Health technology assessment
Humans
Individual level effects
Individuality
Male
Maternal Health Services - utilization
Medical care
Medical treatment
Middle Aged
Mothers
Neighbourhoods
Pregnancy
Pregnancy care
Reproductive health
Residence Characteristics
Women
Young Adult
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Summary:This study analyzed data from the 2005 Cambodia Demographic and Health Survey to examine the effects of individual- and community-level factors on the receipt of four or more antenatal care visits, receipt of antenatal care within the first trimester of pregnancy, delivery in a health facility and delivery by trained medical professional. The findings demonstrate that age at birth, parity level, educational attainment, household wealth, occupation, media exposure and counseling about pregnancy complications are significant determinants of pregnancy care. There is also a strong evidence of the impact of community-level factors on the utilization of maternal health services. Programs to improve maternal health outcomes must take into account covariates at multiple levels of influence to better address the needs of women of reproductive age in Cambodia. ► Individual and community variables affect the use of maternal care services. ► Parity and education concentration were significant on pregnancy care variables. ► Over 50% of the variation in delivery care was explained by community variables.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2011.12.006