scholarly journals Accessibility of Prenatal Care Can Affect Inequitable Health Outcomes of Pregnant Women Living in Obstetric Care Underserved Areas: a Nationwide Population-Based Study

2019 ◽  
Vol 34 (1) ◽  
Author(s):  
Mi Young Kwak ◽  
Seung Mi Lee ◽  
Tae Ho Lee ◽  
Sang Jun Eun ◽  
Jin Yong Lee ◽  
...  
2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Maureen I. Heaman ◽  
Patricia J. Martens ◽  
Marni D. Brownell ◽  
Mariette J. Chartier ◽  
Kellie R. Thiessen ◽  
...  

2021 ◽  
pp. 1-12
Author(s):  
Clariana V. Ramos de Oliveira ◽  
Paulo A. R. Neves ◽  
Barbara H. Lourenço ◽  
Rodrigo Medeiros de Souza ◽  
Maíra B. Malta ◽  
...  

2019 ◽  
Vol 7 (12) ◽  
pp. e1695-e1705 ◽  
Author(s):  
Chonge Kitojo ◽  
Julie R Gutman ◽  
Frank Chacky ◽  
Emmanuel Kigadye ◽  
Sigsbert Mkude ◽  
...  

2021 ◽  
Vol 18 (1) ◽  
pp. 26
Author(s):  
Abdolhalim Rajabi ◽  
Donya Rahebi ◽  
Tannaz Valadbeigi ◽  
Jalil Hasani ◽  
Mahmoud Hajipour ◽  
...  

2019 ◽  
Vol 43 (2) ◽  
pp. 258-265 ◽  
Author(s):  
Max N. Yang ◽  
Kristen Clements-Nolle ◽  
Brian Parrish ◽  
Wei Yang

2019 ◽  
Vol 105 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Karen Edmond ◽  
Khaksar Yousufi ◽  
Malalai Naziri ◽  
Ariel Higgins-Steele ◽  
Abdul Qadir Qadir ◽  
...  

ObjectiveTo assess whether sustained, scheduled mobile health team (MHT) services increase antenatal care (ANC), postnatal care (PNC) and childhood immunisation in conflict-affected and remote regions of Afghanistan.DesignCross-sectional, population-based study from 2013 to 2017. Proportions were compared using multivariable linear regression adjusted for clustering and socio-demographic variables.Setting54 intervention and 56 control districts in eight Afghanistan provinces.Participants338 796 pregnant women and 1 693 872 children aged under 5 years.Interventions‘Intervention districts’ that received MHT services for 3 years compared with ‘control districts’ in the same province without any MHT services over the same period.Main outcome measuresDistrict-level and clinic-level ANC, PNC, childhood immunisation (pentavalent 3, measles 1), integrated management of childhood immunisation services.ResultsProportion of pregnant women receiving at least one ANC visit was higher in intervention districts (83.6%, 161 750/193 482) than control districts (61.3%, 89 077/145 314) (adjusted mean difference (AMD) 14.8%;95% CI: 1.6% to 28.0%). Proportion of children under 1 year receiving their first dose of measles vaccine was higher in intervention (73.8%, 142 738/193 412) than control districts (57.3%, 83 253/145 293) (AMD 12.8;95% CI: 2.1% to 23.5%). There was no association with PNC (AMD 2.8%;95% CI: −5.1% to 10.7%). MHTs did not increase clinic-level service provision for ANC (AMD 41.32;95% CI: -52.46 to 135.11) or any other outcomes.ConclusionsSustained, scheduled MHT services to conflict-affected and remote regions were associated with improved coverage of important maternal and child health interventions. Outreach is an essential service and not just an ‘optional extra’ for the most deprived mothers and children.


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