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Modelling prenatal health care utilization in Tajikistan using a two-stage approach

Implications for policy and research

Bibliographic Data

ID11490292
AuthorsNazim Habibov (0000-0003-3862-4348, University of Windsor, corresponding author), N N Habibov, Lida Fan (0000-0002-3059-8264, Lakehead University)
Year2008
Volume23
Issue6
Pages443-451
Publication date2008-08-13
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Policy and Planning (JOURNAL)
Journal identifiersISSN: 0268-1080 • E-ISSN: 1460-2237
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czn032
PMID18757467
OpenAlexW2129962036
LanguageEN
Citations received13
References cited18

Since the transition from a centrally planned to a market economy, Tajikistan has witnessed a high rate of child and maternal mortality, a decline in the birth rate and a significant drop in public expenditures on health care. Against this backdrop, this paper analyses the determinants of prenatal health care utilization using Andersen's behavioural model, which has been modified to the context of Tajikistan. We applied a two-stage sequential model to data drawn from a nationally representative survey. Binary logit regression is used to predict and explain the probability of using prenatal health care services, while negative binomial regression is used to predict and explain the frequency of using these services. Findings suggest that higher educational attainment increases the utilization of prenatal care. Conversely, poverty, limited knowledge about matters related to sex, low quality of health care service, lack of public infrastructure, as well as absence of or long distance of travel to the nearest health facility, all reduce the utilization of prenatal health care. Health policy and research implications are presented and discussed.

Business · Context (archaeology) · Demographic economics · Economic growth · Economics · Educational attainment · Environmental health · Geography · Health care · Logistic regression · Population · Poverty · Prenatal care · Public health · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing · Health Policy

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    Open Access•Xiaohui Hou, Ning Ma•Health Policy and Planning•2013

  • Does prenatal healthcare improve child birthweight outcomes in Azerbaijan? Results of the national Demographic and Health Survey

    Open Access•Nazim Habibov, Nazim N Habibov et al.•Economics & Human Biology•2010

  • Determinants of maternal healthcare-seeking behaviours in Ghana

    Open Access•Alex Bawuah, Samuel Ampaw•International Journal of Social…•2023

  • On Individual, Household, and Community Factors Explaining Enrollment to Early Childhood Education and Care in Post-Soviet Transitional Countries

    Open Access•Nazim Habibov•Child Indicators Research•2014

  • Maternal Healthcare in Tajikistan

    Mieke Meurs, Lisa Giddings et al.•Feminist Economics•2012

  • Factors Affecting Adequate Prenatal Care and the Prenatal Care Visits of Immigrant Women to Taiwan

    Open Access•Yia-Wun Liang, Hua-Pin Chang et al.•Journal of Immigrant and Minority…•2012

  • Equitable access to developmental surveillance and early intervention – understanding the barriers for children from culturally and linguistically diverse ( Cald ) backgrounds

    Open Access•Susan Woolfenden, Natalie Posada et al.•Health Expectations•2015

  • Determinants of prenatal care use

    Open Access•Harminder Guliani, Ardeshir Sepehri et al.•Health Policy and Planning•2014

  • Lessons from two decades of health reform in Central Asia

    Open Access•Carmen Fernández Sánchez, B Rechel et al.•Health Policy and Planning•2012

  • Effect of maternal nutritional status on children nutritional status in India

    Open Access•Dharmendra Singh, Dharmendra P Singh et al.•Children and Youth Services Review•2021

  • Public beliefs regarding the causes of poverty during transition

    Open Access•Nazim Habibov, Nazim N Habibov•International Journal of…•2011

  • How the Community Shapes Unmet Need for Modern Contraception

    Open Access•Nicholas Metheny, Rob Stephenson•Studies in Family Planning•2017

  • Self-rated health and social capital in transitional countries

    Open Access•Nazim Habibov, Nazim N Habibov et al.•Social Science & Medicine•2011

  • Consumer out-of-pocket spending for pharmaceuticals in Kazakhstan

    Open Access•Nazmi Sari•Health Policy and Planning•2001

  • The gender gap in primary health care resource utilization in Central Asia

    Open Access•Cheryl Cashin, C E Cashin•Health Policy and Planning•2002

  • Geographic aspects of poverty and health in Tanzania

    Open Access•M M Khan, David R Hotchki et al.•Health Policy and Planning•2006

  • Health care-seeking behaviour and out-of-pocket payments in Tbilisi, Georgia

    Open Access•George Gotsadze, Sara Bennett et al.•Health Policy and Planning•2005

  • Health Care during Transition and Health Systems Reform

    Open Access•Maria E Bonilla‐Chacin, María Eugenia Bonilla-Chacín et al.•Social Policy and Administration•2005

  • Second progress report

    J R Watson•Landscape Research•1986

  • Inequality and Changes in Women's Use of Maternal Health‐care Services in Tajikistan

    Open Access•Jane Falkingham•Studies in Family Planning•2003

  • Child access to health services during the economic crisis

    Open Access•Eunike Suci, Eunike Sri Tyas Suci•Social Science & Medicine•2006

  • Poverty, out-of-pocket payments and access to health care

    Open Access•Jane Falkingham•Social Science & Medicine•2004

  • Revisiting the Behavioral Model and Access to Medical Care

    Ronald Andersen, Ronald M Andersen•Journal of Health and Social…•1995

Unique citing works13
Citations per year0,81
Citation span2010 - 2023 (14)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 13

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