ArticleReproductive health2023
Socio-economic and cultural factors associated with the utilization of maternal healthcare services in Togo: a cross-sectional study.
Article in Reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed, 25 citations in OpenAlex.
- Socioeconomic Inequalities in Health Service Utilization in the Peruvian Population: A National Population-Based Study.Healthcare (Basel, Switzerland) · 2026Article
- Predicting facility delivery and its determinants among reproductive-age women in Ethiopia using machine learning algorithm: evidence from performance monitoring for action Ethiopia 2019 dataset.BMC pregnancy and childbirth · 2026Article
- Prevalence, sociodemographic determinants and regional disparities in health facility delivery in Somalia.Research in health services & regions · 2026Article
- Sociodemographic Determinants of Health Facility Delivery Among Women in Nigeria: A Cross-Sectional Study Using 2018 NDHS Data.Health science reports · 2026Article
- Nexus between sociocultural practices and maternal mortality in Pakistan: a geospatial analysis using Spatial Durbin model and multiscale geographically weighted regression.BMC public health · 2026Article
- Beyond Access: Behavior Change and Gendered Realities in the Adoption of Digital Health Tools for Maternal, Newborn, and Child Health in Nigeria.International journal of MCH and AIDS · 2026Review
- Antenatal Care Utilization and Delivery Location: Evidence from Postpartum Women in Enugu, South East Nigeria.International journal of MCH and AIDS · 2026Article
- Regional variations in prevalence and factors associated with maternal healthcare services utilisation in Nigeria.BMC women's health · 2025Article
- The role of significant others in the inadequate use of maternal healthcare among married women in Uganda: a secondary analysis of the 2016 demographic and health survey.Journal of health, population, and nutrition · 2025Article
- Maternal awareness, attitudes, and practices relating to green spaces and their impact on child health in Sunyani, Ghana.BMC pregnancy and childbirth · 2025Article
- Determinants of antenatal care service utilisation in sub-Saharan Africa: an analysis of demographic and health surveys data (2015-2022).Archives of public health = Archives belges de sante publique · 2025Article
- Impact of household food insecurity on the use of maternal health services in the Savanes region, Togo: a qualitative study.BMC public health · 2025Article
- Looking into opportunities for maternity continuum of care improvement within the primary health care system in Northwest Ethiopia: primary health care-oriented research.BMC health services research · 2025Article
- A scoping review of digital technologies in antenatal care: recent progress and applications of digital technologies.BMC pregnancy and childbirth · 2025Article
- Acute respiratory infections and its associated risk factors among children aged 6-59 months in Ghana: a multinomial regression analysis of the 2022 demographic and health survey.Frontiers in public health · 2025Article
- Geographic disparities and determinants of full utilization of the continuum of maternal and newborn healthcare services in rural India.BMC public health · 2024Article
- Wealth disparities in maternal health service utilization among women of reproductive age in Ethiopia: findings from the mini-EDHS 2019.BMC health services research · 2024Article
- Article
- Factors Associated with Late Antenatal Initiation among Women in Malawi.International journal of environmental research and public health · 2024Article
- The nexus between poverty and maternal healthcare utilization with a focus on antenatal care visits and choice of place of birth in Somaliland.Frontiers in public health · 2024Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProper utilization of maternal healthcare services plays a major role on pregnancy and birth outcomes. In sub-Saharan Africa, maternal and child mortality remains a major public health concern, especially in least developed countries such as Togo. In this study, we aimed to analyze factors associated with use of maternal health services among Togolese women aged 15-49 years.
methodsThis study used data from third round of nationally representative Demographic and Health Survey conducted in Togo in 2013. Analysis included 4,631 women aged 15-49 years. Outcome variables were timely first antenatal care (ANC) visits, adequate ANC4 + visits, and health facility delivery. Data were analyzed using Stata version 16.
resultsOverall, proportion of maternal healthcare utilization was 27.53% for timely first ANC visits, 59.99% for adequate ANC visits, and 75.66% for health facility delivery. Our multivariable analysis showed significant differences among women in highest wealth quintile, especially in rural areas with increasing odds of timely first ANC visits (Odds ratio (OR) = 3.46, 95% CI = 2.32,5.16), attending adequate ANC visits (OR = 2.19, 95% CI = 1.48,3.24), and delivering in health facilities (OR = 8.53, 95% CI = 4.06, 17.92) compared to those in the poorest quintile. Also, women with higher education had increased odds of timely first ANC visits (OR = 1.37, 95% CI = 1.11,1.69), and attending adequate ANC visits (OR = 1.73, 95% CI = 1.42,2.12) compared to those with no formal education. However, having higher parity and indigenous beliefs especially in rural areas decreased odds of using healthcare services.
conclusionsFindings from this study showed that socio-economic inequality and socio-cultural barriers influenced the use of maternal healthcare services in Togo. There is therefore a need to improve accessibility and the utilization of maternal healthcare services through women's economic empowerment and education to reduce the barriers.
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