Maternal Health Care Service Utilization in Post-war Liberia: Analysis of Nationally Representative Cross-Sectional Household Surveys

Citation:

Yaya, Sanni, Olalekan A. Uthman, Ghose Bishwajit, and Michael Ekholuenetale. 2019. "Maternal Health Care Service Utilization in Post-war Liberia: Analysis of Nationally Representative Cross-Sectional Household Surveys." BMC Public Health 19. doi: 10.1186/s12889-018-6365-x.

Authors: Sanni Yaya, Olalekan A. Uthman, Ghose Bishwajit, Michael Ekholuenetale

Abstract:

Background: Post-war Liberia has a fast-growing population and an alarming maternal mortality ratio (MMR). To provide a better understanding about healthcare system recovery in post-war country, we explored the changes in maternal healthcare services utilization between 2007 and 2016.
 
Methods: We used 2007 and 2013 Liberia Demographic and Health Survey (LDHS) and the 2016 Malaria Indicator Survey (MIS) in this study. The outcomes of interest were: place of delivery and antenatal care visits. Univariate analysis was conducted using percentages and means (standard deviations) and multiple binary multivariable logistic models were used to examine the factors associated with the outcome variables.
 
Results: Between 2007 and 2016, the percentage of adequate ANC visits increased from 71.20 to 79.8%, and that of facility-based delivery increased from 40.90 to 74.60%. The odds of attending at least four ANC visits and formal institutional delivery were low among women residing in rural area, but high among women with higher education, used electronic media, and lived in high wealth index households. Additionally, attending ANC at least four times increased the odds of facility-based delivery by almost threefold.
 
Conclusion: The findings suggest that key maternal healthcare utilization indicators have improved substantially, especially facility-based delivery. However, a large proportion of women remain deprived of these life-saving health services in the post-war era. Greater healthcare efforts are needed to improve the quality and coverage of maternal healthcare in order to enhance maternal survival in Liberia.

Keywords: Liberia, post-war era, maternal healthcare service utilization, antenatal care, facility-based delivery

Topics: Gender, Women, Health, Reproductive Health, Post-Conflict Regions: Africa, West Africa Countries: Liberia

Year: 2019

© 2020 CONSORTIUM ON GENDER, SECURITY & HUMAN RIGHTSLEGAL STATEMENT All photographs used on this site, and any materials posted on it, are the property of their respective owners, and are used by permission. Photographs: The images used on the site may not be downloaded, used, or reproduced in any way without the permission of the owner of the image. Materials: Visitors to the site are welcome to peruse the materials posted for their own research or for educational purposes. These materials, whether the property of the Consortium or of another, may only be reproduced with the permission of the owner of the material. This website contains copyrighted materials. The Consortium believes that any use of copyrighted material on this site is both permissive and in accordance with the Fair Use doctrine of 17 U.S.C. § 107. If, however, you believe that your intellectual property rights have been violated, please contact the Consortium at info@genderandsecurity.org.