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Maternal Health Care Utilization Among Ever Married Youths in Kyimyindaing Township, Myanmar

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Abstract

This study aimed to identify maternal care services utilization among ever married female youths (15–24 years) in Kyimyindaing Township, Yangon, Myanmar. A quantitative cross-sectional survey was conducted. A total of 196 ever married females who had delivered at least one child were included. Multistage sampling was employed. Face to face interviews using a structured questionnaire were carried out. Respondents were asked about their maternal care services utilization at the last pregnancy. Bivariate and logistic regression analyses were applied to determine the factors associated with utilization of maternal care services. Overall 96% of respondents received antenatal care (ANC) at least once and 79% had at least 4 ANC visits. The mean number of antenatal visits increased with women’s education level. The majority received late ANC regardless of residence, age, education and family income. Nearly 39% delivered at home, especially in rural areas and 79% of home deliveries were attended by traditional birth attendants (TBAs). Only 56.6% of women received at least one postnatal care visit. Inadequate postnatal care (<6 times) was identified (82.6%). Place of residence, women’s education and ANC frequency were the key determinants for a delivery place and postnatal care. Despite relatively high antenatal care attendance, most women practiced home deliveries and received inadequate postnatal care. Maternal health services need to be focused on rural women and women with little or no education. Quality ANC should be the entry point of safe delivery and postnatal care. Further intensification of information, education and communication activities on “safe motherhood” is needed.

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Notes

  1. Ward: an administrative area of townships in urban/cities.

  2. Village tract: a group of near-by villages in rural.

  3. CI = confidence interval.

  4. One took ANC from TBA alone.

  5. AOR = Adjusted odds ratio.

  6. Respondents could not differentiate categories of health staff (between Lady Health Visitors, Midwives & Auxiliary Midwives).

References

  1. World Health Organization. (2004). Beyond the numbers: Reviewing maternal deaths and complications to make pregnancy safer.

  2. Duong, D. V., Binns, C. W., & Lee, A. H. (2004). Utilization of delivery services at the primary health care level in rural Vietnam. Social Science and Medicine, 59, 2585–2595.

    Article  PubMed  Google Scholar 

  3. Thind, A., Mohani, A., Banerjee, K., & Hagigi, F. (2008). Where to deliver? Analysis of choice of delivery location from a national survey in India. BMC Public Health, 8(29). doi: 10.1186/1471-2458-8-29.

  4. Kamal, S. M. M. (2009). Factors affecting utilization of skilled maternity care services among married adolescents in Bangladesh. Asian Population Studies, 5(2), 153–170. doi:10.1080/1744173092992075. Downloaded on 7/12/2009 from http://dx.doi.org/10.1080/1744173092992075.

  5. Ministry of Health. (2009). Services for the target population group: Maternal and child health. Nay Pyi Taw: Health in Myanmar 2009.

  6. Ministry of Health & UNICEF. (2006). Nationwide cause-specific maternal mortality survey 2004–2005. Yangon: MOH, UNICEF, 2006.

    Google Scholar 

  7. UNFPA. (2006). Maternal and neonatal health in East and South-East Asia. Bangkok, Thailand: UNFPA country Technical Services Team for East and South-East Asia.

  8. Department of Health Planning. (2007). Health information management system. Nay Pyi Taw: Ministry of Health.

  9. Ministry of Health. (2009). Five-year strategic plan for reproductive health (2009–2013). Nay Pyi Taw: Department of Health, Ministry of Health.

  10. Ministry of Health. (2007). Township profile of Kyimyindaing Township 2008.

  11. Union of Myanmar. (2006). Knowledge and sources of information about reproductive health and sexual health. The 2004 family and youth survey, Yangon; Ministry of Immigration and Population; Department of Population & UNFPA.

  12. World Health Organization. (2009). Health service Coverage. Geneva, Switzarland: World Health Statistics 2009.

  13. World Health Organization. (2003). Antenatal care in developing countries: Promises, achievements and missed opportunities: an analysis of trends, levels and differentials, 1990–2001. Geneva.

  14. Rahman, M., Islam, R., & Islam, A. Z. (2008). Rural-urban differentials of utilization of antenatal health care services in Bangladesh. Health Policy & Development, 6(3), 117–125.

    Google Scholar 

  15. Idris, S. H., Gwarzo, U. M. D., & Shehu, A. U. (2006). Determinants of place of delivery among women in a semi-urban settlement in Zaria, Northern Nigeria. Annals of African Medicine, 5(2), 68–72.

    Google Scholar 

  16. World Health Organization. (2002). WHO antenatal care randomized trial: Manual for the implementation of the new model, WHO/RHR/01.30.

  17. Than Tun Sein. (1995). Quality of antenatal care performance of midwives in a rural area of Myanmar. In Maternal and child health: Research abstracts - South-East Asia Region. ID No. SN 1020, pp. 121–125.

  18. Department of Health. (2008). Assessment of BHS skills on essential newborn care. Nay Pyi Taw (Unpublished report).

  19. Department of Population and UNFPA. (2009). Country report on 2007 fertility and reproductive health survey. Nay Pyi Taw and UNFPA Myanmar: Department of Population.

  20. Amooti-Kaguna, B., & Nuwaha, F. (2000). Factors influencing choice of delivery sites in Rakai district of Uganda. Social Science and Medicine, 50, 203–213.

    Article  PubMed  CAS  Google Scholar 

  21. Van Eijk, A. M., Bles, H. M., Odhiambo, F., Ayisi, J. G., Blokland, I. E., Rosen, D. H., Adazu, K., Slutsker, L., & Lind-blade, K. A. (2006). Use of antenatal care services and delivery care among women in rural western Kenya: A community based survey. Reproductive Health, 3(2). doi:10.1186/1742-4755-3-2.

  22. World Health Organization. (2009). Proportion of births attended by a skilled health worker: 2008 updates. Fact sheet, Department of Reproductive Health and Research.

  23. Fernando, D. N. (2004). Maternal Health: Current status and challenges. In Health Development in the South-East Asia region: An overview. SEARO Regional Publications No: 44. 107–122.

  24. World Health Organization. (2004). Reproductive Health Strategy to accelerate progress towards the attainment of international development goals and targets.

  25. World Health Organization. (2007). Health questions about the 11 SEAR countries. Regional Office for South-East Asia: World Health Organization.

    Google Scholar 

  26. Mekonnen, Y., & Mekonnen, A. (2002). Utilization of maternal health care services in Ethiopia. Ethiopia; Ethiopian Health and Nutrition Research Institute.

  27. Barbar, S. (2006). Does the quality of prenatal care matter in promoting skilled institutional delivery? A study in rural Mexico. Maternal and Child Health Journal, 10(5), 419–425. doi:10.1007/s10995-006-0079-x.

    Article  Google Scholar 

  28. Bloom, S. S., Lippeveld, T., & Wypij, D. (1999). Does antenatal care make a difference to safe delivery? A study in urban Uttar Pradesh, India. Health Policy and Planning, 14(1), 38–48. doi:10.1093/heapol/14.1.38.

    Article  PubMed  CAS  Google Scholar 

  29. Rockers, P. C., Wilson, M. L., Mbaruku, G., & Kruk, M. E. (2009). Source of antenatal care influences facility delivery in Rural Tanzania: A population- based study. Maternal and Child Health Journal, 13, 879–885. doi:10.1007/s10995-008-0412-7.

    Article  PubMed  Google Scholar 

  30. Anwar, I., Sami, M., Akhtar, N., Chowdhury, M. E., Salma, U., Rahmanc, M., et al. (2008). Inequity in maternal health-care services: Evidence from home-based skilled-birth-attendant programmes in Bangladesh. Bulletin of the World Health Organization, 86(4), 252–259. doi:10.2471/BLT.07.042754.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

Sincere gratitude goes to Professor Myo Oo for providing helpful comments and guidance. I am indebted to local health authorities for their kind and generous assistance for data collection. A special note of appreciation must go to all respondents. Without their contribution, this study would not be possible.

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  1. Department of Health Behaviour and Communication, University of Public Health, No: 246, Myomakyaung Street, Latha Township, 11142, Yangon, Myanmar

    Kyi Kyi Sein

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Correspondence to Kyi Kyi Sein.

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Sein, K.K. Maternal Health Care Utilization Among Ever Married Youths in Kyimyindaing Township, Myanmar. Matern Child Health J 16, 1021–1030 (2012). https://doi.org/10.1007/s10995-011-0815-8

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