Associations Between Acute Conflict and Maternal Care Usage in Egypt: An Uncontrolled Before-and-After Study Using Demographic and Health Survey Data
| Autor: | Richard J. Silverwood, Natasha Howard, Saji Saraswathy Gopalan, Omar Salman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Postnatal Care
Male Health (social science) 0302 clinical medicine Health Information Management Odds Ratio Medicine 030212 general & internal medicine Service usage Birth Rate Child egypt 030219 obstetrics & reproductive medicine Health Policy lcsh:Public aspects of medicine Hospitals Hospitalization Perinatal Care Female Original Article acute conflict maternal care Adult Adolescent Leadership and Management Management Monitoring Policy and Law Affect (psychology) Odds 03 medical and health sciences Young Adult Physicians Humans Maternal Health Services Socioeconomic status Developing Countries Demography business.industry lcsh:RA1-1270 Odds ratio Armed Conflicts Patient Acceptance of Health Care Delivery Obstetric Health Surveys multi-level modelling Health survey Before and after study Health Facilities business |
| Zdroj: | International Journal of Health Policy and Management, Vol 8, Iss 3, Pp 158-167 (2019) International Journal of Health Policy and Management |
| ISSN: | 2322-5939 |
| Popis: | Background: United Nations’ (UN) data indicate that conflict-affected low- and middle-income countries (LMICs) contribute considerably to global maternal deaths. Maternal care usage patterns during conflict have not been rigorously quantitatively examined for policy insights. This study analysed associations between acute conflict and maternal services usage and quality in Egypt using reliable secondary data (as conflict-affected settings generally lack reliable primary data). Methods: An uncontrolled before-and-after study used data from the 2014 Egypt Demographic and Health Survey (EDHS). The ‘pre-conflict sample’ included births occurring from January 2009 to January 2011. The ‘peri-conflict sample’ included births from February 2011 to December 2012. The hierarchical nature of demographic and household survey (DHS) data was addressed using multi-level modelling (MLM). Results: In total, 2569 pre-conflict and 4641 peri-conflict births were reported. After adjusting for socioeconomic variables, conflict did not significantly affect antenatal service usage. Compared to the pre-conflict period, periconflict births had slightly lower odds of delivery in public institutions (odds ratio [OR]: 0.987; 95% CI: 0.975-0.998; P |
| Databáze: | OpenAIRE |
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