Dynamics of care and sector use between birth, contraception and sick child services
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View abstract on PubMed
Summary
This summary is machine-generated.Governments must understand how people move between public and private healthcare sectors for family planning and maternal/child health. Gaps in care at birth or for contraception increase risks for sick children, highlighting the need for better cross-sectoral cooperation.
Area Of Science
- Global Health
- Health Systems Research
- Public Health Policy
Background
- Mixed health systems in low- and middle-income countries involve public and private providers.
- Policy often overlooks how individuals navigate these sectors for family planning (FP) and maternal, newborn, and child health (MNCH).
Purpose Of The Study
- To describe service and sector use among women with recent birth, FP needs, and sick children.
- To analyze associations between sector of care for birth, contraceptive use, and sick child care, including sector switching dynamics.
Main Methods
- Cross-sectional study using Demographic and Health Surveys data (2014-2021) from eight countries.
- Multivariable logistic regressions to assess sector use and missed care opportunities.
Main Results
- Sector switching for healthcare was common, but not consistently linked to missed sick child care.
- Private sector use at birth predicted lower contraceptive uptake in four countries.
- Not accessing care at birth or for contraception significantly increased odds of missed sick child care, notably in Malawi (AOR 2.5).
Conclusions
- Health system governance requires consideration of both public and private sectors.
- Enhanced cross-sectoral cooperation and continuity of care are crucial for improving health outcomes.
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