Association between the ownership of home-based records and continuous, quality maternal and child health service utilisation: a multi-country analysis of Demographic Health Surveys from 18 low- and middle-income countries

  • 0Faculty of Health Science Technology, Bunkyo Gakuin University, Tokyo, Japan.

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Summary

This summary is machine-generated.

Home-based records (HBRs) improve maternal and child health service use in low- and middle-income countries. While HBR ownership boosts care continuity, specific handbooks like the Maternal and Child Health Handbook (MCHHB) showed no superior advantage over other HBR types.

Area Of Science

  • Global Health
  • Maternal and Child Health
  • Health Informatics

Background

  • Continuity and quality of maternal and child health (MCH) services are critical challenges in low- and middle-income countries (LMICs).
  • Home-based records (HBRs), such as the integrated Maternal and Child Health Handbook (MCHHB), show potential for enhancing consistent MCH service utilization and care quality.
  • This study evaluates the impact of HBRs on the continuum of quality MCH care.

Purpose Of The Study

  • To assess the association between owning HBRs and the continuum of quality MCH care.
  • To identify differences in this association between MCHHB and other types of HBRs.
  • To understand how HBRs influence the consistent provision of MCH services.

Main Methods

  • Pooled analysis of Demographic and Health Surveys (DHS) data from 18 LMICs.
  • Definition of the continuum of quality MCH care: quality antenatal care (ANC), skilled birth attendance, and quality postnatal care (qPNC).
  • Multivariable logistic regression used to analyze associations between HBR ownership, HBR type, and the continuum of care, adjusting for covariates.

Main Results

  • HBR ownership was significantly associated with higher odds of completing the continuum of quality MCH care.
  • No significant differences in continuum of care were found between MCHHB owners and owners of other HBR types.
  • MCHHB ownership showed a significant association with improved uptake of specific ANC services, like urine and blood tests.

Conclusions

  • Owning HBRs positively correlates with increased utilization of quality MCH services.
  • While MCHHB ownership is linked to better uptake of certain tests, it did not demonstrate a significant advantage over other HBRs for the overall continuum of care.
  • Further research is recommended to investigate the impact of actual HBR usage, provider factors, and variations in HBR content.

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