313750
Does quality of antenatal care explain rural-urban differentials in use of skilled birth attendants?
Aim: The purpose of this study is to examine the factors that influence quality of antenatal care (ANC) and use of SBAs in SSA; and whether quality of ANC partially mediates the effect of place of residence on use of SBAs.
Methods: The World Health Survey data for Ghana and Burkina Faso are used (N=2,049). The analysis includes logistic regression with mediation and moderation analysis.
Results: Net of other factors, urban residence is positively associated with better ANC quality. Urban residence and ANC quality are both positively associated with use of SBAs – controlling for socioeconomic and other factors. Quality of ANC care explains a significant amount of the rural/urban differential in use of SBAs.
Implications: Improving basic quality of ANC provided to rural women is a potential approach to bridging the rural/urban difference in use of SBAs in SSA. This may be more feasible in the short term in many SSA countries than improving access.
Learning Areas:
Program planningPublic health or related public policy
Public health or related research
Learning Objectives:
Analyze the determinants of quality of antenatal care
Analyze the determinants of use of skilled birth attendants
Assess if quality of antenatal care explains some of the rural urban differential in use of skilled birth attendants
Keyword(s): Maternal and Child Health, Quality of Care
Qualified on the content I am responsible for because: 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.