TY - JOUR
T1 - Population-Based Study on the Maternal-Newborn-Child Health Continuum of Care
T2 - Evidence From Lower-Middle-Income Countries in Southeast Asia
AU - Andriani, Helen
AU - Rahmawati, Nurul Dina
AU - Fauzia, Sifa
AU - Kosasih, Reynaldi Ikhsan
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the Directorate of Research and Community Engagement of Universitas Indonesia, grant number NKB-1619/UN2.RST/HKP.05.00/2020. The funder had no involvement in the manuscript’s study, drafting, evaluation, or approval.
Publisher Copyright:
© 2022 APJPH.
PY - 2022/4/8
Y1 - 2022/4/8
N2 - This article aimed to assess the relationships within the continuum of care for maternal, neonatal, and child health (MNCH) at four service levels, the utilization distribution, and its contributing factors in six lower-middle-income countries in Southeast Asia. It was based on data from the Demographic and Health Survey, a nationally representative and repeated cross-sectional survey, on 50 619 ever-married women aged 15-49 years. Only 21.9% of women (n = 10 252) obtained all four levels of continuing MNCH services. Women and husbands’ education and employment, parity, mass media consumption, and wealth quintiles were the strongest determinants for the continuation of care, apart from access to health care, decision-making autonomy in health care, and women’s age. Identifying populations that experience health inequalities, prominent policy intervention, and better health promotion and advocacy systems regarding pregnancy, delivery, and postnatal and immunization care might help to enhance maternal and child health and equity outcomes.
AB - This article aimed to assess the relationships within the continuum of care for maternal, neonatal, and child health (MNCH) at four service levels, the utilization distribution, and its contributing factors in six lower-middle-income countries in Southeast Asia. It was based on data from the Demographic and Health Survey, a nationally representative and repeated cross-sectional survey, on 50 619 ever-married women aged 15-49 years. Only 21.9% of women (n = 10 252) obtained all four levels of continuing MNCH services. Women and husbands’ education and employment, parity, mass media consumption, and wealth quintiles were the strongest determinants for the continuation of care, apart from access to health care, decision-making autonomy in health care, and women’s age. Identifying populations that experience health inequalities, prominent policy intervention, and better health promotion and advocacy systems regarding pregnancy, delivery, and postnatal and immunization care might help to enhance maternal and child health and equity outcomes.
KW - antenatal care
KW - child immunization
KW - continuum of care
KW - postnatal care
KW - skilled birth attendant
UR - http://www.scopus.com/inward/record.url?scp=85129141544&partnerID=8YFLogxK
U2 - 10.1177/10105395221088615
DO - 10.1177/10105395221088615
M3 - Article
AN - SCOPUS:85129141544
SN - 1010-5395
VL - 34
SP - 547
EP - 556
JO - Asia-Pacific Journal of Public Health
JF - Asia-Pacific Journal of Public Health
IS - 5
ER -
