ArticleAmerican journal of public health2012
The role of health systems and policies in promoting safe delivery in low- and middle-income countries: a multilevel analysis.
Article in American journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Using geographically weighted regression analysis to assess predictors of home birth hot spots in Ethiopia.PloS one · 2023Article
- Efficiency, quality, and management practices in health facilities providing outpatient HIV services in Kenya, Nigeria, Rwanda, South Africa and Zambia.Health care management science · 2021Article
- Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam.BMC health services research · 2020Article
- Health facility or home delivery? Factors influencing the choice of delivery place among mothers living in rural communities of Eritrea.Journal of health, population, and nutrition · 2018Article
- Variation in quality of primary-care services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania.Bulletin of the World Health Organization · 2017Article
- Safe delivery care practices in western Nepal: Does women's autonomy influence the utilization of skilled care at birth?PloS one · 2017Article
- Next generation maternal health: external shocks and health-system innovations.Lancet (London, England) · 2016Review
- Article
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2 authors.
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Abstract
We aimed to measure the contribution of national factors, particularly health system characteristics, to the individual likelihood of professionally attended delivery ("safe delivery") for women in low- and middle-income countries. Using Demographic and Health Survey data for 165,774 women in 31 countries, we estimated multilevel logistic regression models to measure the contribution of national economic and health system characteristics to likelihood of attended delivery. More health workers, higher national income, urbanization, and lower income inequality were associated with higher odds of attended delivery. Macrosocial factors increase utilization of attended delivery and may be more efficient in reducing maternal mortality than are interventions aimed at individual women.
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