Women with disabilities’ use of maternal care services in sub-Saharan Africa

African Journal of Disability

 
 
Field Value
 
Title Women with disabilities’ use of maternal care services in sub-Saharan Africa
 
Creator Rotenberg, Sara H. Davey, Calum McFadden, Emily
 
Subject reproductive health care; maternal health disability; maternal health; antenatal care; health equity; post-natal care; skilled birth attendance
Description Background: Quality maternal health care is central to the Sustainable Development Goals efforts to reduce maternal mortality, yet there remain limited quantitative data on maternal care inequities for women with disabilities in sub-Saharan Africa.Objectives: This study aims to understand the differences in maternal care providers for women with and without disabilities.Method: We used Multiple Indicator Cluster Surveys from 13 sub-Saharan African countries conducted between 2017–2020. We used logistic and multinomial logistic regression to examine the relationship between disability (Washington Group definition) and antenatal care attendance and the type of care provider for antenatal care, skilled birth attendance, and postnatal and postpartum checks. All analyses were adjusted for age, wealth, country, and location.Results: The sample included 10 021 women, including 306 (3.1%) women with disabilities. There were small absolute and no relative differences in antenatal care attendance, qualified antenatal care provider, postnatal, and postpartum checks, for disabled and women without disabilities. Women with disabilities had some evidence of higher odds of having a doctor at their birth compared to women without disabilities (aOR = 1.52, 95% CI: 0.99–2.33).Conclusion: This study shows small absolute and no relative differences between women with and without disabilities for antenatal access and provider types for maternal care, though these findings are limited by a small sample and no data on care quality, acceptability, or outcomes. More research on care quality and outcomes is needed.Contribution: This study is the first quantitative, multi-country study in sub-Saharan Africa to examine maternal care seeking patterns, demonstrating important data on maternal health indicators for women with disabilities.
 
Publisher AOSIS
 
Contributor UNICEF
Date 2024-07-31
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — cross-sectional survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v13i0.1327
 
Source African Journal of Disability; Vol 13 (2024); 7 pages 2226-7220 2223-9170
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/1327/2788 https://ajod.org/index.php/ajod/article/view/1327/2789 https://ajod.org/index.php/ajod/article/view/1327/2790 https://ajod.org/index.php/ajod/article/view/1327/2791
 
Coverage sub-Saharan Africa; Central African Republic, Chad, Democratic Republic of Congo, Gambia, Ghana, Guinea-Bissau, Lesotho, Madagascar, Malawi, Sao Tome et Principe, Sierra Leone, Togo, Zimbabwe 2017-2021 —
Rights Copyright (c) 2024 Sara H. Rotenberg, Calum Davey, Emily McFadden https://creativecommons.org/licenses/by/4.0
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