Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey

Kpebo Djoukou Olga Denise; Koumi Mélèdje Marie-Dorothée; Agbré Yacé Marie-Laurette; Tano-Kamelan Akoua; Essis Esme Marie Laure; Yavo Williams; Kouassi Dinard

doi:doi:10.11648/j.sjph.20190704.12

Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey

Kpebo Djoukou Olga Denise, Koumi Mélèdje Marie-Dorothée, Agbré Yacé Marie-Laurette, Tano-Kamelan Akoua, Essis Esme Marie Laure, Yavo Williams, Kouassi Dinard

Published in Science Journal of Public Health (Volume 7, Issue 4)

Received: 5 March 2019 Accepted: 8 May 2019 Published: 8 August 2019

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Abstract

Adequate and timely utilization of maternal health services, namely antenatal care and skilled birth attendants, represents a significant intervention for reducing maternal deaths. In Cote d'Ivoire, despite a very high maternal mortality ratio, these services are poorly used. Understanding the factors influencing such poor utilization is critical in designing effective strategies to address this problem. The objective of this study was to analyze factors associated with the use of ANC and Skilled Births Attendants in Cote d’Ivoire. Using data from the 2011 Ivorian Demographic and Health Survey, multivariate logistic regression analysis was conducted to explore determinants of ANC attendance and Skilled Births Attendants at delivery, among 15-49 years old women. Results showed that the coverage of at least 4 ANC and SBA at delivery were low, 43,4% and 59,1% respectively. Factors associated with the use of these services were women's and partner's education, household wealth index, media exposure, women's autonomy in health-related decision making and parity. Besides, utilization of at least 4 ANC was also positively associated with the presence of a skilled attendant at birth. These results imply that the determinants of maternal health service utilization are multi-sectoral and thus, need a multi-sectoral approach to tackle it. Policy makers, program managers, and researchers should also explore effective ways of increasing service utilization among less educated women, women from poor households, multipara, and those who are not achieving ANC.

Published in	Science Journal of Public Health (Volume 7, Issue 4)
DOI	10.11648/j.sjph.20190704.12
Page(s)	115-122
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Antenatal Care, Skilled Delivery Attendant, Maternal Health Service, Determinants, Cote d’Ivoire

References

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APA Style

Kpebo Djoukou Olga Denise, Koumi Mélèdje Marie-Dorothée, Agbré Yacé Marie-Laurette, Tano-Kamelan Akoua, Essis Esme Marie Laure, et al. (2019). Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey. Science Journal of Public Health, 7(4), 115-122. https://doi.org/10.11648/j.sjph.20190704.12

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ACS Style

Kpebo Djoukou Olga Denise; Koumi Mélèdje Marie-Dorothée; Agbré Yacé Marie-Laurette; Tano-Kamelan Akoua; Essis Esme Marie Laure, et al. Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey. Sci. J. Public Health 2019, 7(4), 115-122. doi: 10.11648/j.sjph.20190704.12

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AMA Style

Kpebo Djoukou Olga Denise, Koumi Mélèdje Marie-Dorothée, Agbré Yacé Marie-Laurette, Tano-Kamelan Akoua, Essis Esme Marie Laure, et al. Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey. Sci J Public Health. 2019;7(4):115-122. doi: 10.11648/j.sjph.20190704.12

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@article{10.11648/j.sjph.20190704.12,
  author = {Kpebo Djoukou Olga Denise and Koumi Mélèdje Marie-Dorothée and Agbré Yacé Marie-Laurette and Tano-Kamelan Akoua and Essis Esme Marie Laure and Yavo Williams and Kouassi Dinard},
  title = {Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey},
  journal = {Science Journal of Public Health},
  volume = {7},
  number = {4},
  pages = {115-122},
  doi = {10.11648/j.sjph.20190704.12},
  url = {https://doi.org/10.11648/j.sjph.20190704.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20190704.12},
  abstract = {Adequate and timely utilization of maternal health services, namely antenatal care and skilled birth attendants, represents a significant intervention for reducing maternal deaths. In Cote d'Ivoire, despite a very high maternal mortality ratio, these services are poorly used. Understanding the factors influencing such poor utilization is critical in designing effective strategies to address this problem. The objective of this study was to analyze factors associated with the use of ANC and Skilled Births Attendants in Cote d’Ivoire. Using data from the 2011 Ivorian Demographic and Health Survey, multivariate logistic regression analysis was conducted to explore determinants of ANC attendance and Skilled Births Attendants at delivery, among 15-49 years old women. Results showed that the coverage of at least 4 ANC and SBA at delivery were low, 43,4% and 59,1% respectively. Factors associated with the use of these services were women's and partner's education, household wealth index, media exposure, women's autonomy in health-related decision making and parity. Besides, utilization of at least 4 ANC was also positively associated with the presence of a skilled attendant at birth. These results imply that the determinants of maternal health service utilization are multi-sectoral and thus, need a multi-sectoral approach to tackle it. Policy makers, program managers, and researchers should also explore effective ways of increasing service utilization among less educated women, women from poor households, multipara, and those who are not achieving ANC.},
 year = {2019}
}

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TY  - JOUR
T1  - Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey
AU  - Kpebo Djoukou Olga Denise
AU  - Koumi Mélèdje Marie-Dorothée
AU  - Agbré Yacé Marie-Laurette
AU  - Tano-Kamelan Akoua
AU  - Essis Esme Marie Laure
AU  - Yavo Williams
AU  - Kouassi Dinard
Y1  - 2019/08/08
PY  - 2019
N1  - https://doi.org/10.11648/j.sjph.20190704.12
DO  - 10.11648/j.sjph.20190704.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 115
EP  - 122
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20190704.12
AB  - Adequate and timely utilization of maternal health services, namely antenatal care and skilled birth attendants, represents a significant intervention for reducing maternal deaths. In Cote d'Ivoire, despite a very high maternal mortality ratio, these services are poorly used. Understanding the factors influencing such poor utilization is critical in designing effective strategies to address this problem. The objective of this study was to analyze factors associated with the use of ANC and Skilled Births Attendants in Cote d’Ivoire. Using data from the 2011 Ivorian Demographic and Health Survey, multivariate logistic regression analysis was conducted to explore determinants of ANC attendance and Skilled Births Attendants at delivery, among 15-49 years old women. Results showed that the coverage of at least 4 ANC and SBA at delivery were low, 43,4% and 59,1% respectively. Factors associated with the use of these services were women's and partner's education, household wealth index, media exposure, women's autonomy in health-related decision making and parity. Besides, utilization of at least 4 ANC was also positively associated with the presence of a skilled attendant at birth. These results imply that the determinants of maternal health service utilization are multi-sectoral and thus, need a multi-sectoral approach to tackle it. Policy makers, program managers, and researchers should also explore effective ways of increasing service utilization among less educated women, women from poor households, multipara, and those who are not achieving ANC.
VL  - 7
IS  - 4
ER  -

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Author Information

Kpebo Djoukou Olga Denise

Maternal and Child Health Unit, National Institute of Public Health, Abidjan, Cote d’Ivoire
Koumi Mélèdje Marie-Dorothée

Maternal and Child Health Unit, National Institute of Public Health, Abidjan, Cote d’Ivoire
Agbré Yacé Marie-Laurette

Maternal and Child Health Unit, National Institute of Public Health, Abidjan, Cote d’Ivoire
Tano-Kamelan Akoua

Maternal and Child Health Unit, National Institute of Public Health, Abidjan, Cote d’Ivoire
Essis Esme Marie Laure

Maternal and Child Health Unit, National Institute of Public Health, Abidjan, Cote d’Ivoire
Yavo Williams

Maternal and Child Health Unit, National Institute of Public Health, Abidjan, Cote d’Ivoire
Kouassi Dinard

Maternal and Child Health Unit, National Institute of Public Health, Abidjan, Cote d’Ivoire

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APA Style

Kpebo Djoukou Olga Denise, Koumi Mélèdje Marie-Dorothée, Agbré Yacé Marie-Laurette, Tano-Kamelan Akoua, Essis Esme Marie Laure, et al. (2019). Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey. Science Journal of Public Health, 7(4), 115-122. https://doi.org/10.11648/j.sjph.20190704.12

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ACS Style

Kpebo Djoukou Olga Denise; Koumi Mélèdje Marie-Dorothée; Agbré Yacé Marie-Laurette; Tano-Kamelan Akoua; Essis Esme Marie Laure, et al. Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey. Sci. J. Public Health 2019, 7(4), 115-122. doi: 10.11648/j.sjph.20190704.12

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AMA Style

Kpebo Djoukou Olga Denise, Koumi Mélèdje Marie-Dorothée, Agbré Yacé Marie-Laurette, Tano-Kamelan Akoua, Essis Esme Marie Laure, et al. Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey. Sci J Public Health. 2019;7(4):115-122. doi: 10.11648/j.sjph.20190704.12

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@article{10.11648/j.sjph.20190704.12,
  author = {Kpebo Djoukou Olga Denise and Koumi Mélèdje Marie-Dorothée and Agbré Yacé Marie-Laurette and Tano-Kamelan Akoua and Essis Esme Marie Laure and Yavo Williams and Kouassi Dinard},
  title = {Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey},
  journal = {Science Journal of Public Health},
  volume = {7},
  number = {4},
  pages = {115-122},
  doi = {10.11648/j.sjph.20190704.12},
  url = {https://doi.org/10.11648/j.sjph.20190704.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20190704.12},
  abstract = {Adequate and timely utilization of maternal health services, namely antenatal care and skilled birth attendants, represents a significant intervention for reducing maternal deaths. In Cote d'Ivoire, despite a very high maternal mortality ratio, these services are poorly used. Understanding the factors influencing such poor utilization is critical in designing effective strategies to address this problem. The objective of this study was to analyze factors associated with the use of ANC and Skilled Births Attendants in Cote d’Ivoire. Using data from the 2011 Ivorian Demographic and Health Survey, multivariate logistic regression analysis was conducted to explore determinants of ANC attendance and Skilled Births Attendants at delivery, among 15-49 years old women. Results showed that the coverage of at least 4 ANC and SBA at delivery were low, 43,4% and 59,1% respectively. Factors associated with the use of these services were women's and partner's education, household wealth index, media exposure, women's autonomy in health-related decision making and parity. Besides, utilization of at least 4 ANC was also positively associated with the presence of a skilled attendant at birth. These results imply that the determinants of maternal health service utilization are multi-sectoral and thus, need a multi-sectoral approach to tackle it. Policy makers, program managers, and researchers should also explore effective ways of increasing service utilization among less educated women, women from poor households, multipara, and those who are not achieving ANC.},
 year = {2019}
}

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TY  - JOUR
T1  - Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey
AU  - Kpebo Djoukou Olga Denise
AU  - Koumi Mélèdje Marie-Dorothée
AU  - Agbré Yacé Marie-Laurette
AU  - Tano-Kamelan Akoua
AU  - Essis Esme Marie Laure
AU  - Yavo Williams
AU  - Kouassi Dinard
Y1  - 2019/08/08
PY  - 2019
N1  - https://doi.org/10.11648/j.sjph.20190704.12
DO  - 10.11648/j.sjph.20190704.12
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 115
EP  - 122
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20190704.12
AB  - Adequate and timely utilization of maternal health services, namely antenatal care and skilled birth attendants, represents a significant intervention for reducing maternal deaths. In Cote d'Ivoire, despite a very high maternal mortality ratio, these services are poorly used. Understanding the factors influencing such poor utilization is critical in designing effective strategies to address this problem. The objective of this study was to analyze factors associated with the use of ANC and Skilled Births Attendants in Cote d’Ivoire. Using data from the 2011 Ivorian Demographic and Health Survey, multivariate logistic regression analysis was conducted to explore determinants of ANC attendance and Skilled Births Attendants at delivery, among 15-49 years old women. Results showed that the coverage of at least 4 ANC and SBA at delivery were low, 43,4% and 59,1% respectively. Factors associated with the use of these services were women's and partner's education, household wealth index, media exposure, women's autonomy in health-related decision making and parity. Besides, utilization of at least 4 ANC was also positively associated with the presence of a skilled attendant at birth. These results imply that the determinants of maternal health service utilization are multi-sectoral and thus, need a multi-sectoral approach to tackle it. Policy makers, program managers, and researchers should also explore effective ways of increasing service utilization among less educated women, women from poor households, multipara, and those who are not achieving ANC.
VL  - 7
IS  - 4
ER  -

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