296172
Decomposing rural urban differences in use of skilled birth attendants: Does quality of antenatal care matter?
Aim: The purpose of this study is to examine the factors that influence quality of antenatal care (ANC) and use of SBAs; and whether quality of ANC explains some of the effects of place of residence on use of SBAs.
Methods: The World Health Survey data for Ghana and Burkina Faso are used (N=2,049). Analytic techniques include linear and logistic regressions with mediation and moderation analysis.
Results: Net of other factors, urban residence and higher education are positively associated with better quality of ANC; but the effect of education is conditional on country. Urban residence, higher education, greater wealth, quality of ANC and perceived accessibility of health facilities are also positively associated with use of SBAs. Quality of ANC and perceived accessibility of health facilities explain some of the effect of place of residence on use of SBAs, but this is also conditional on country.
Implications: Improving quality of ANC provided to rural women is a potential approach to bridging rural urban differences in use of SBAs.
Learning Areas:
Planning of health education strategies, interventions, and programsProgram planning
Provision of health care to the public
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health
Learning Objectives:
Analyze the determinants of use of skilled birth attendants
Analyze the determinants of quality of antenatal care
Assess if quality of antenatal care explains some of the rural urban differential in use of skilled birth attendants
Keyword(s): International MCH, Quality of Care
Qualified on the content I am responsible for because: I am currently a PhD candidate in the Department of Community Health Sciences at UCLA School of Public Health. I am also from Ghana where I was trained as a medical doctor. My area of specialty is maternal and child health. I conceived the study, conducted the analyses and wrote up the content of this abstract.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.