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Understanding Barriers and Facilitators of Maternal Health Care Utilization in Central Myanmar

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Listed:
  • Maja Aleksandra Milkowska-Shibata

    (Global Environmental Health LAB, Brooklyn, NY 11026, USA)

  • Thin Thin Aye

    (Department of International Relation, Yadanabon University, Mandalay 05063, Myanmar)

  • San Myint Yi

    (Department of International Relation, Yadanabon University, Mandalay 05063, Myanmar)

  • Khin Thein Oo

    (Department of Geography, Meiktila University, Meiktila 05181, Myanmar)

  • Kyi Khaing

    (Department of Geography, Mandalar Degree College, Mandalay 05052, Myanmar)

  • Marlar Than

    (Department, of Applied Economics, Meiktila University of Economics, Meiktila 05181, Myanmar)

  • Thinzar Win

    (Department of Economics, Mandalay University, Mandalay 05032, Myanmar)

  • Su Yi Myo

    (Mandalay City Development Committee, Mandalay 100102, Myanmar)

  • Su Yi Toe

    (Department of Preventive and Social Medicine, University of Medicine, Mandalay 05024, Myanmar)

  • Heidi Sierra West

    (Global Environmental Health LAB, Brooklyn, NY 11026, USA
    Department of Health Policy and Management, University of California, Los Angeles, CA 90095, USA)

  • Kristin Melissa Ringstad

    (Global Environmental Health LAB, Brooklyn, NY 11026, USA)

  • Lizeth Galarza

    (Global Environmental Health LAB, Brooklyn, NY 11026, USA)

  • Can Meng

    (Yale Center for Analytical Sciences, Yale University, New Haven, CT 06511, USA)

  • Tomoyuki Shibata

    (Global Environmental Health LAB, Brooklyn, NY 11026, USA
    Public Health Program, Northern Illinois University, Dekalb, IL 60115, USA
    Center for Southeast Asian Studies, Northern Illinois University, Dekalb, IL 60115, USA)

Abstract

The study objective was to examine barriers and facilitators of maternal health services utilization in Myanmar with the highest maternal mortality ratio in Southeast Asia. Data for 258 mothers with children under five were extracted from a community health survey administered between 2016 and 2017 in Mandalay, the largest city in central Myanmar, and analyzed for associations between determinants of maternal health care choices and related outcomes. The study showed that late antenatal care was underutilized (41.7%), and antenatal care attendance was significantly associated with geographical setting, household income, education, and access to transportation ( p ≤ 0.05). Less than one-third of women gave birth at home and 18.5% of them did so without the assistance of traditional birth attendants. Household education level was a significant predictor for home delivery ( p < 0.01). Utilization of postnatal care services was irregular (47.9%–70.9%) and strongly associated with women’s places of delivery ( p < 0.01). Efforts geared towards improving maternal health outcomes should focus on supporting traditional birth attendants in their role of facilitating high-quality care and helping women reach traditional health facilities, as well as on maternal health literacy based on culturally appropriate communication.

Suggested Citation

  • Maja Aleksandra Milkowska-Shibata & Thin Thin Aye & San Myint Yi & Khin Thein Oo & Kyi Khaing & Marlar Than & Thinzar Win & Su Yi Myo & Su Yi Toe & Heidi Sierra West & Kristin Melissa Ringstad & Lizet, 2020. "Understanding Barriers and Facilitators of Maternal Health Care Utilization in Central Myanmar," IJERPH, MDPI, vol. 17(5), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1464-:d:324803
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    References listed on IDEAS

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    1. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    2. Jowett, Matthew, 2000. "Safe motherhood interventions in low-income countries: an economic justification and evidence of cost effectiveness," Health Policy, Elsevier, vol. 53(3), pages 201-228, October.
    3. Tomoyuki Shibata & James L. Wilson & Lindsey M. Watson & Alyse LeDuc & Can Meng & Ansariadi & Ruslan La Ane & Syamsuar Manyullei & Alimin Maidin, 2014. "Childhood Acute Respiratory Infections and Household Environment in an Eastern Indonesian Urban Setting," IJERPH, MDPI, vol. 11(12), pages 1-14, November.
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