The influence of individual and contextual socioeconomic status on obstetric care utilization in the Democratic Republic of Congo: a population-based study

Olatunde Aremu, Stephen Lawoko, Koustuv Dalal

Research output: Contribution to journalArticle

Abstract

Background:
Maternal health care utilization continues to focus on the agenda of health care planners around the world, with high attention being paid to the developing countries. The devastating effect of maternal death at birth on the affected families is untold. This study examines the utilization of obstetric care in the Democratic Republic of Congo.

Methods:
We have used the nationally representative data from the 2007. Democratic Republic of Congo Demographic and Health Survey. Multilevel regression analysis has been applied to a nationally representative sample of 6,695 women, clustered around 299 communities in the country.

Results:
The results show that there are variations in the use of antenatal care and delivery care. Individual-level characteristics, such as women's occupation and household wealth status are shown to be associated with the use of antenatal care. Uptake of facility-based delivery has been seen to be dependent on the household wealth status, women's education, and partner's education. The effect of the neighborhoods’ socioeconomic disadvantage on the use of antenatal care and facility-based delivery are the same. Women from highly socioeconomically disadvantaged communities, compared to their counterparts from less socioeconomically disadvantaged neighborhoods, are less likely to utilize both the antenatal services and healthcare facility for child delivery. The result of this study has shown that both individual and contextual socioeconomic status play an important role in obstetric care uptake.

Conclusion:
Thus, intervention aimed at improving the utilization of obstetrics care should target both the individual economic abilities of the women and that of their environment when considering the demand side.
Original languageEnglish
Pages (from-to)278-285
Number of pages8
JournalInternational Journal of Preventive Medicine
Volume3
Issue number4
Publication statusPublished - 1 Apr 2012

Fingerprint

Democratic Republic of the Congo
Social Class
Obstetrics
Prenatal Care
Vulnerable Populations
Population
Patient Acceptance of Health Care
Delivery of Health Care
Education
Multilevel Analysis
Maternal Death
Women's Rights
Aptitude
Occupations
Developing Countries
Regression Analysis
Economics
Demography
Parturition

Keywords

  • healthcare
  • obstetrics
  • socioeconomic
  • utilization
  • Congo DRC

Cite this

The influence of individual and contextual socioeconomic status on obstetric care utilization in the Democratic Republic of Congo : a population-based study. / Aremu, Olatunde; Lawoko, Stephen ; Dalal, Koustuv .

In: International Journal of Preventive Medicine, Vol. 3, No. 4, 01.04.2012, p. 278-285.

Research output: Contribution to journalArticle

@article{3c85a5c378f4465ca8b04cb540891ec0,
title = "The influence of individual and contextual socioeconomic status on obstetric care utilization in the Democratic Republic of Congo: a population-based study",
abstract = "Background:Maternal health care utilization continues to focus on the agenda of health care planners around the world, with high attention being paid to the developing countries. The devastating effect of maternal death at birth on the affected families is untold. This study examines the utilization of obstetric care in the Democratic Republic of Congo.Methods:We have used the nationally representative data from the 2007. Democratic Republic of Congo Demographic and Health Survey. Multilevel regression analysis has been applied to a nationally representative sample of 6,695 women, clustered around 299 communities in the country.Results:The results show that there are variations in the use of antenatal care and delivery care. Individual-level characteristics, such as women's occupation and household wealth status are shown to be associated with the use of antenatal care. Uptake of facility-based delivery has been seen to be dependent on the household wealth status, women's education, and partner's education. The effect of the neighborhoods’ socioeconomic disadvantage on the use of antenatal care and facility-based delivery are the same. Women from highly socioeconomically disadvantaged communities, compared to their counterparts from less socioeconomically disadvantaged neighborhoods, are less likely to utilize both the antenatal services and healthcare facility for child delivery. The result of this study has shown that both individual and contextual socioeconomic status play an important role in obstetric care uptake.Conclusion:Thus, intervention aimed at improving the utilization of obstetrics care should target both the individual economic abilities of the women and that of their environment when considering the demand side.",
keywords = "healthcare, obstetrics, socioeconomic, utilization, Congo DRC",
author = "Olatunde Aremu and Stephen Lawoko and Koustuv Dalal",
year = "2012",
month = "4",
day = "1",
language = "English",
volume = "3",
pages = "278--285",
journal = "International Journal of Preventive Medicine",
issn = "2008-7802",
publisher = "Isfahan University of Medical Sciences(IUMS)",
number = "4",

}

TY - JOUR

T1 - The influence of individual and contextual socioeconomic status on obstetric care utilization in the Democratic Republic of Congo

T2 - a population-based study

AU - Aremu, Olatunde

AU - Lawoko, Stephen

AU - Dalal, Koustuv

PY - 2012/4/1

Y1 - 2012/4/1

N2 - Background:Maternal health care utilization continues to focus on the agenda of health care planners around the world, with high attention being paid to the developing countries. The devastating effect of maternal death at birth on the affected families is untold. This study examines the utilization of obstetric care in the Democratic Republic of Congo.Methods:We have used the nationally representative data from the 2007. Democratic Republic of Congo Demographic and Health Survey. Multilevel regression analysis has been applied to a nationally representative sample of 6,695 women, clustered around 299 communities in the country.Results:The results show that there are variations in the use of antenatal care and delivery care. Individual-level characteristics, such as women's occupation and household wealth status are shown to be associated with the use of antenatal care. Uptake of facility-based delivery has been seen to be dependent on the household wealth status, women's education, and partner's education. The effect of the neighborhoods’ socioeconomic disadvantage on the use of antenatal care and facility-based delivery are the same. Women from highly socioeconomically disadvantaged communities, compared to their counterparts from less socioeconomically disadvantaged neighborhoods, are less likely to utilize both the antenatal services and healthcare facility for child delivery. The result of this study has shown that both individual and contextual socioeconomic status play an important role in obstetric care uptake.Conclusion:Thus, intervention aimed at improving the utilization of obstetrics care should target both the individual economic abilities of the women and that of their environment when considering the demand side.

AB - Background:Maternal health care utilization continues to focus on the agenda of health care planners around the world, with high attention being paid to the developing countries. The devastating effect of maternal death at birth on the affected families is untold. This study examines the utilization of obstetric care in the Democratic Republic of Congo.Methods:We have used the nationally representative data from the 2007. Democratic Republic of Congo Demographic and Health Survey. Multilevel regression analysis has been applied to a nationally representative sample of 6,695 women, clustered around 299 communities in the country.Results:The results show that there are variations in the use of antenatal care and delivery care. Individual-level characteristics, such as women's occupation and household wealth status are shown to be associated with the use of antenatal care. Uptake of facility-based delivery has been seen to be dependent on the household wealth status, women's education, and partner's education. The effect of the neighborhoods’ socioeconomic disadvantage on the use of antenatal care and facility-based delivery are the same. Women from highly socioeconomically disadvantaged communities, compared to their counterparts from less socioeconomically disadvantaged neighborhoods, are less likely to utilize both the antenatal services and healthcare facility for child delivery. The result of this study has shown that both individual and contextual socioeconomic status play an important role in obstetric care uptake.Conclusion:Thus, intervention aimed at improving the utilization of obstetrics care should target both the individual economic abilities of the women and that of their environment when considering the demand side.

KW - healthcare

KW - obstetrics

KW - socioeconomic

KW - utilization

KW - Congo DRC

M3 - Article

VL - 3

SP - 278

EP - 285

JO - International Journal of Preventive Medicine

JF - International Journal of Preventive Medicine

SN - 2008-7802

IS - 4

ER -