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Antenatal care and skilled birth in the fragile and conflict‐affected situation of Burundi

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  • Bianca R Ziegler
  • Moses Kansanga
  • Yuji Sano
  • Joseph Kangmennaang
  • Daniel Kpienbaareh
  • Isaac Luginaah

Abstract

Burundi is a fragile and conflict‐affected state characterized by persistent conflict and political violence. Amid this conflict, Burundi has one of the highest maternal mortality rates globally—548 per 100,000 births as of 2017, such deaths could be prevented with antenatal care (ANC). This cross‐sectional study aimed to examine the association between conflict and ANC and skilled birth attendant (SBA) utilization. Logistic regression analysis was conducted using the 2016–2017 Burundi Demographic and Health Survey (n = 8581), as well as a Near Analysis Geographic Information System exploration. Results show that women in extremely high conflict regions were less likely to have four antenatal visits (odds ratio [OR] = 0.79, p

Suggested Citation

  • Bianca R Ziegler & Moses Kansanga & Yuji Sano & Joseph Kangmennaang & Daniel Kpienbaareh & Isaac Luginaah, 2021. "Antenatal care and skilled birth in the fragile and conflict‐affected situation of Burundi," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(4), pages 1081-1106, July.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:4:p:1081-1106
    DOI: 10.1002/hpm.3157
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    References listed on IDEAS

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    1. Kpienbaareh, Daniel & Atuoye, Kilian N. & Ngabonzima, Anaclet & Bagambe, Patrick G. & Rulisa, Stephen & Luginaah, Isaac & Cechetto, David F., 2019. "Spatio-temporal disparities in maternal health service utilization in Rwanda: What next for SDGs?," Social Science & Medicine, Elsevier, vol. 226(C), pages 164-175.
    2. Nathalie E. J. Dijkman & Catrien Bijleveld & Philip Verwimp, 2014. "Sexual Violence in Burundi: Victims, perpetrators, and the role of conflict," HiCN Working Papers 172, Households in Conflict Network.
    3. Luginaah, Isaac N. & Kangmennaang, Joseph & Fallah, Mosoka & Dahn, Bernice & Kateh, Francis & Nyenswah, Tolbert, 2016. "Timing and utilization of antenatal care services in Liberia: Understanding the pre-Ebola epidemic context," Social Science & Medicine, Elsevier, vol. 160(C), pages 75-86.
    4. Ziegler, Bianca R. & Kansanga, Moses & Sano, Yuji & Kangmennaang, Joseph & Kpienbaareh, Daniel & Luginaah, Isaac, 2020. "Antenatal care utilization in the fragile and conflict-affected context of the Democratic Republic of the Congo," Social Science & Medicine, Elsevier, vol. 262(C).
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