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An issue of culture: the effects of daily activities on prenatal care utilization patterns in rural South Africa

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  • McCray, Talia M.

Abstract

Utilization of healthcare facilities has been extensively analyzed in developed countries by researchers from a wide range of disciplines. However, there is still a need to develop a better understanding of the temporal and spatial factors that affect rural women within developing countries. An important piece of this exploration is addressing time constraints and the cultural context. After time has been spent attending to essential tasks that the entire family is dependent upon, do rural women have "disposable time" left to visit a healthcare facility? The setting for this study is the Ubombo Magisterial District, a northern rural area of KwaZulu Natal, South Africa. Environmental factors and socio-economical factors that motivate or discourage women from utilizing prenatal care are addressed using a multinomial logit model. Many of the factors documented in literature as affecting prenatal care utilization, i.e. age and parity, do not apply in this area. On the other hand, fetching water as a daily activity, which is usually not associated with prenatal care utilization, has a significant effect on utilization.

Suggested Citation

  • McCray, Talia M., 2004. "An issue of culture: the effects of daily activities on prenatal care utilization patterns in rural South Africa," Social Science & Medicine, Elsevier, vol. 59(9), pages 1843-1855, November.
    • Handle: RePEc:eee:socmed:v:59:y:2004:i:9:p:1843-1855
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    Cited by:

    1. Lucas, Karen, 2011. "Making the connections between transport disadvantage and the social exclusion of low income populations in the Tshwane Region of South Africa," Journal of Transport Geography, Elsevier, vol. 19(6), pages 1320-1334.
    2. Edson Servan-Mori & Leticia Avila-Burgos & Gustavo Nigenda & Rafael Lozano, 2016. "A Performance Analysis of Public Expenditure on Maternal Health in Mexico," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-14, April.
    3. Spicer, Neil J., 2005. "Sedentarization and children's health: Changing discourses in the northeast Badia of Jordan," Social Science & Medicine, Elsevier, vol. 61(10), pages 2165-2176, November.
    4. Foggin, Peter M. & Torrance, Marion E. & Dorje, Drashi & Xuri, Wenzha & Marc Foggin, J. & Torrance, Jane, 2006. "Assessment of the health status and risk factors of Kham Tibetan pastoralists in the alpine grasslands of the Tibetan plateau," Social Science & Medicine, Elsevier, vol. 63(9), pages 2512-2532, November.
    5. Walter Alando & Joachim Scheiner, 2016. "Framing Social Inclusion as a Benchmark for Cycling-Inclusive Transport Policy in Kisumu, Kenya," Social Inclusion, Cogitatio Press, vol. 4(3), pages 46-60.

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