ArticleBMC pregnancy and childbirth2021
Factors influencing maternal healthcare seeking in a highland region of Madagascar: a mixed methods analysis.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Female genital schistosomiasis, human papilloma virus infection, and cervical cancer in rural Madagascar: a cross sectional study.Infectious diseases of poverty · 2023Trial
- Cleanliness Grades as Clinical Indicators of Vaginal Infection Burden in Women from Northern Madagascar: A Cross-Sectional Study.Journal of clinical medicine · 2026Article
- What compels enrollment in a mobile maternal health wallet? A mixed-methods doer/non-doer analysis in Analamanga, Madagascar.BMC health services research · 2025Article
- Persistence of geographic barriers to maternal care services following a health system strengthening initiative in rural Madagascar.BMC pregnancy and childbirth · 2025Article
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- Public health surveillance of tropical diseases in Madagascar: a scoping review of population burden, intervention strategies, and health system responses.BMC public health · 2025Article
- Health Status of Tsimihety Women: Sexually Transmitted Infections and Schistosomiasis, Northern Madagascar.Journal of clinical medicine · 2025Article
- Antenatal Food Avoidances in Madagascar Suggest an Evolutionary Link Between Subsistence Patterns, Carbohydrate Consumption, and Determinants of Obstructed Labor.American journal of biological anthropology · 2025Article
- A multilevel analysis of social determinants of skilled birth attendant utilisation among married and cohabiting women of Madagascar.International health · 2024Article
- Simulation training on respectful emergency obstetric and neonatal care in north-western Madagascar: a mixed-methods evaluation of an innovative training program.Advances in simulation (London, England) · 2024Article
- What predicts health facility delivery among women? analysis from the 2021 Madagascar Demographic and Health Survey.BMC pregnancy and childbirth · 2024Article
- Article
- Do public health expenditures affect maternal and child health in Madagascar?Health economics review · 2023Article
- One Health: navigating plague in Madagascar amidst COVID-19.Infectious diseases of poverty · 2023Article
- Understanding factors that influence whether a woman will seek care for reproductive health: A national survey.Health psychology research · 2023Article
- Equity dimensions in initiatives promoting urban health and wellbeing in east and southern Africa.Frontiers in public health · 2023Review
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6 authors.
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Abstract
backgroundIn Madagascar, maternal mortality remains stable and high (426 deaths per 100,000 live births). This situation is mainly due to a delay or lack of use of maternal healthcare services. Problems related to maternal healthcare services are well documented in Madagascar, but little information related to maternal healthcare seeking is known. Thus, this paper aims to identify and analyze the factors that influence the utilization of maternal services, specifically, the use of antenatal care (ANC) during pregnancy and the use of skilled birth attendants (SBAs) at delivery.
methodWe used quantitative and qualitative approaches in the study. Two communes of the Vakinankaratra region, which are located in the highlands, were the settings. Data collection occurred from October 2016 to July 2017. A total of 245 pregnant women were included and followed up in the quantitative survey, and among them, 35 participated in in-depth interviews(IDIs). Logistic regressions were applied to explore the influencing factors of antenatal and delivery healthcare seeking practices through thematic qualitative analysis.
resultsAmong the 245 women surveyed, 13.9% did not attend any ANC visits. School level, occupation and gravidity positively influenced the likelihood of attending one or more ANC visits. The additional use of traditional caregivers remained predominant and was perceived as potentially complementary to medical care. Nine in ten (91%) women expressed a preference for delivery at healthcare facilities (HFs), but 61% of births were assisted by a skilled birth attendant (SBA).The school level; the frequency of ANCs; the origin region; and the preference between modern or traditional care influenced the use of SBAs at delivery. A lack of preparation (financial and logistics problems) and women's low involvement in decision making at delivery were the main barriers to giving birth at HFs.
conclusionThe use of maternal healthcare services is starting to gain ground, although many women and their relatives still use traditional caregivers at the same time. Relatives play a crucial role in maternal healthcare seeking. It would be necessary to target women's relatives for awareness-raising messages about ANC and childbirth in healthcare facilities and to support and formalize collaborations between traditional healers and biomedical caregivers.
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