Women with disabilities' use of maternal care services in sub-Saharan Africa.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES African Journal of Disability Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI:10.4102/ajod.v13i0.1327
Sara H Rotenberg, Calum Davey, Emily McFadden
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Abstract

Background: Quality maternal health care is central to the Sustainable Development Goals efforts to reduce maternal mortality, yet there remain limited quantitative data on maternal care inequities for women with disabilities in sub-Saharan Africa.

Objectives: This study aims to understand the differences in maternal care providers for women with and without disabilities.

Method: We used Multiple Indicator Cluster Surveys from 13 sub-Saharan African countries conducted between 2017-2020. We used logistic and multinomial logistic regression to examine the relationship between disability (Washington Group definition) and antenatal care attendance and the type of care provider for antenatal care, skilled birth attendance, and postnatal and postpartum checks. All analyses were adjusted for age, wealth, country, and location.

Results: The sample included 10 021 women, including 306 (3.1%) women with disabilities. There were small absolute and no relative differences in antenatal care attendance, qualified antenatal care provider, postnatal, and postpartum checks, for disabled and women without disabilities. Women with disabilities had some evidence of higher odds of having a doctor at their birth compared to women without disabilities (aOR = 1.52, 95% CI: 0.99-2.33).

Conclusion: This study shows small absolute and no relative differences between women with and without disabilities for antenatal access and provider types for maternal care, though these findings are limited by a small sample and no data on care quality, acceptability, or outcomes. More research on care quality and outcomes is needed.

Contribution: This study is the first quantitative, multi-country study in sub-Saharan Africa to examine maternal care seeking patterns, demonstrating important data on maternal health indicators for women with disabilities.

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撒哈拉以南非洲残疾妇女使用孕产妇护理服务的情况。
背景:优质孕产妇保健是可持续发展目标降低孕产妇死亡率工作的核心:优质的孕产妇保健是可持续发展目标降低孕产妇死亡率工作的核心,但撒哈拉以南非洲地区有关残疾妇女孕产妇保健不平等的定量数据仍然有限:本研究旨在了解残疾妇女和非残疾妇女在孕产妇保健提供者方面的差异:我们使用了 2017-2020 年间在 13 个撒哈拉以南非洲国家进行的多指标类集调查。我们使用逻辑回归和多项式逻辑回归来研究残疾(华盛顿小组定义)与产前护理就诊率之间的关系,以及产前护理、熟练助产护理、产后和产后检查的护理提供者类型之间的关系。所有分析均根据年龄、财富、国家和地点进行了调整:样本包括 10 021 名妇女,其中包括 306 名残疾妇女(3.1%)。残疾妇女和非残疾妇女在产前检查就诊率、合格产前检查提供者、产后检查和产后检查方面的绝对差异很小,没有相对差异。有证据表明,与非残疾妇女相比,残疾妇女在分娩时有医生在场的几率更高(aOR = 1.52,95% CI:0.99-2.33):这项研究表明,残疾妇女和非残疾妇女在产前就医和孕产妇护理服务提供者类型方面的绝对差异较小,没有相对差异,但由于样本较少,且没有关于护理质量、可接受性或结果的数据,这些研究结果受到了限制。需要对护理质量和结果进行更多的研究:本研究是撒哈拉以南非洲地区首个对孕产妇就医模式进行研究的多国定量研究,展示了有关残疾妇女孕产妇健康指标的重要数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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