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Sexual Relationship Power and Socio-demographic Factors Predicting Contraceptive Use, Antenatal Visits and Sick Child Health Service Use in Northern Togo.

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  • Additional Information
    • Source:
      Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 9715672 Publication Model: Print Cited Medium: Internet ISSN: 1573-6628 (Electronic) Linking ISSN: 10927875 NLM ISO Abbreviation: Matern Child Health J Subsets: MEDLINE
    • Publication Information:
      Publication: 1999- : New York, NY : Kluwer Academic/Plenum Publishers
      Original Publication: New York : Plenum Press, c1997-
    • Subject Terms:
      Socioeconomic Factors*; Contraception Behavior/*statistics & numerical data ; Prenatal Care/*statistics & numerical data ; Sexual Behavior/*psychology; Adolescent ; Adult ; Child ; Child Care/methods ; Child Care/statistics & numerical data ; Contraception Behavior/psychology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Patient Acceptance of Health Care/statistics & numerical data ; Pregnancy ; Prenatal Care/methods ; Prenatal Care/trends ; Sick Leave/statistics & numerical data ; Surveys and Questionnaires ; Togo
    • Abstract:
      Introduction: Implementation of community-based healthcare services offering effective contraception, antenatal care (ANC), and treatment for symptomatic children under five has reduced maternal and child mortality in Togo. However, understanding if women are utilizing these services differentially based on social or demographic factors is important. This study identifies whether sexual relationship and socio-demographic factors are associated with healthcare utilization in four health facility catchment areas.
      Methods: We conducted a cross-sectional household survey of women aged 15-49 in four health facility catchment areas in 2016 (three rural sites, one urban site). We used multivariable Poisson regression to test whether socio-demographic factors and a validated sexual relationship power scale were associated with contraceptive use, ANC visits, and seeking treatment for symptomatic children under five.
      Results: Among women not pregnant or desiring pregnancy, older age, lower education, and single relationship status were associated with lower use of effective contraception. Among women who gave birth in two years preceding survey, low relationship power and low wealth quintile were associated with being less likely to attend at least four ANC visits. Women in rural sites were slightly more likely than women in the urban site to report seeking treatment for child under five with malaria, pneumonia, and/or diarrhea symptoms in last 2 weeks.
      Discussion: Interventions in low-resource settings should explore ways to reach women with low health-service utilization to improve contraceptive use, ANC visits, and treatment for sick children. Furthermore, age, education, marital status, wealth status and sexual relationship power must be considered when targeting maternal health behaviors.
      Trial Registration: ClinicalTrials.gov Identifier: NCT03773913; Date of registration: 12 Dec. 2018.
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    • Grant Information:
      K12 HS026396 United States HS AHRQ HHS
    • Contributed Indexing:
      Keywords: Antenatal care; Care seeking; Child mortality; Contraception; Sexual relationship power; Togo
    • Molecular Sequence:
      ClinicalTrials.gov NCT03773913
    • Publication Date:
      Date Created: 20200430 Date Completed: 20210203 Latest Revision: 20210203
    • Publication Date:
      20240513
    • Accession Number:
      PMC7340338
    • Accession Number:
      10.1007/s10995-020-02948-w
    • Accession Number:
      32347439