Uptake of Skilled Maternal Healthcare in Ethiopia
A Positive Deviance Approach
Bibliographic Data
| ID | 15470243 |
|---|---|
| Authors | Seman K Ousman (0000-0001-5355-5278, University of Oslo, corresponding author), Jeanette H Magnus (0000-0002-1645-5910, Tulane University), Johanne Sundby (0000-0002-6603-0515, University of Oslo), Mekdes K Gebremariam (0000-0002-2626-2346, University of Oslo) |
| Year | 2020 |
| Volume | 17 |
| Issue | 5 |
| Pages | 1712-1712 |
| Publication date | 2020-03-05 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph17051712 |
| PMID | 32151041 |
| OpenAlex | W3009290186 |
| Language | EN |
| References cited | 52 |
Risk factor approaches are often used when implementing programs aimed at enforcing advantageous health care behaviors. A less frequently-used strategy is to identify and capitalize on those who, despite risk factors, exhibit positive behaviors. The aim of our study was to identify positive deviant (PD) mothers for the uptake of skilled maternal services and to explore their characteristics. Data for the study came from two waves of the Ethiopian Demographic and Health Surveys conducted in 2011 and in 2016. PD mothers were defined as those reporting no formal education but with adequate use of antenatal care (ANC) and/or institutional delivery services. Two-level multilevel regression analysis was used to analyze the data. Factors associated with PD for the use of ANC services were: partner's education status, involvement in household decision making, exposure to media, and distance to the health facility. Factors associated with PD for health facility delivery were: partner's education, woman's employment status, ANC visit during index pregnancy, exposure to media, and perceived challenge to reach health facility. Rural-urban and time-related differences were also identified. The positive deviance approach provides a means for local policy makers and program managers to identify factors facilitating improved health behaviour and ultimately better health outcomes while acknowledging adverse risk profiles
Deviance (statistics · Economic growth · Environmental health · Health care · Health facility · Health services · Population · Positive deviance · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Psychology
Factors Associated With Women’s Health Care Decision-Making Autonomy
Effect of Individual and Community Factors on Maternal Health Care Service Use in India
Breastfeeding and maternal health outcomes
Women's autonomy in health care decision-making in developing countries
Maternal mortality
Patterns and determinants of antenatal care utilization
A Deviance Approach to Understanding Use of Maternal Health Care Services in Bangladesh
Towards an understanding of the multilevel factors associated with maternal health care utilization in Uttar Pradesh, India
Trends and Determinants of Antenatal Care Service Use in Ethiopia between 2000 and 2016
Skilled delivery inequality in Ethiopia
Determinants of better health
Using Positive Deviance to Understand the Uptake of Optimal Infant and Young Child Feeding Practices by Mothers in an Urban Slum of Mumbai
Exploring the Concept of Positive Deviance Related to Breastfeeding Initiation in Black and White WIC Enrolled First Time Mothers
A statistical model for the analysis of ordinal level dependent variables
National Health Surveys and the Behavioral Model of Health Services Use
Utilization of maternal health care services in Southern India
| Citation velocity | historical |
|---|---|
| Highly cited | No |