ArticlePLOS global public health2023
Integrating the rights-based and capability approaches in the analysis of maternal healthcare utilization in sub-Saharan Africa: A multilevel modelling study.
Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed, 2 citations in OpenAlex.
- Religion and Maternal Healthcare-Seeking Behavior in Muslim and Hindu Communities in Rural Bangladesh: A Qualitative Comparative Study.Journal of religion and health · 2026Article
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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
The rights-based and capability approaches received increased attention relative to maternal health in the aftermath of the 2015 Millennium Development Goals (MDGs). This may be in view of the sub-optimal progress gained in reducing maternal and child mortality, especially in developing countries. Despite the combined potential of these approaches, there are limited empirical studies testing their viability in aiding our understanding of maternal healthcare utilization in developing countries. This is what this study sought to accomplish. We combined several datasets, including the Demographic Health Surveys (DHS), World Development Indicators, the World Governance Indicators and Freedom House. Bayesian multilevel logistic regression models were applied on three indicators of maternal healthcare utilization (antenatal care visits, institutional delivery, and postnatal check-ups) in relation to selected variables representing right-based and capability approaches. After controlling for relevant individual and community-level factors, the results show that living in countries with high freedom status (POR = 1.19) and higher female secondary school enrolments (POR = 1.54) increases the odds of adequate antenatal care. Residence in countries with high freedom status (POR = 1.33) and higher voice and accountability (POR = 1.72) has a positive influence on institutional delivery. Similar results are reported for postnatal care where country freedom status (POR = 1.89), voice and accountability (POR = 1.25) and female school enrolment (POR = 1.41) are significant predictors. The results imply that the rights-based and capability approaches have the potential to enhance maternal healthcare utilization in sub-Saharan Africa. Therefore, policy strategies emphasizing on freedoms, accountability, and individual capability functionings should be encouraged in the pursuit of partly achieving Sustainable Development Goals (SDG) number 3.
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Registered trials
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