Abstract
BackgroundEvery day, globally approximately a thousand women and girls needlessly die as a result of complications during pregnancy, childbirth or the 6 weeks following delivery. The majority of maternal deaths are avoidable and could be prevented with proven interventions to prevent or manage complications during pregnancy and child birth. The aim of this study was to examine factors associated with underutilization of maternal health services in Sudan.MethodsData was obtained from the Sudan Household Health Survey 2010(SHHS). The SHHS collected data from 5730 women, aged 15–49 years and who were pregnant in the last 2 years preceding the survey. The selection of the respondents was through a multi-stage cluster sampling technique. Interviews were conducted with respondents to collect data about their demographic characteristics, reproductive history, pregnancy and child delivery. Univariate analysis and logistic regression were used to analyze the data.ResultsThe factors associated with receiving antenatal care were, higher educational level (odds ratio (OR) = 3.428, 95 % CI 2.473–4.751 – p value 0.001), higher household wealth (OR 1.656, 95 % CI: 1.484–1.855 – p value 0.001) and low parity (OR =1.214, 95 % CI: 1.035–1.423 – p value 0.017). The factors associated with institutional delivery were higher educational level (OR = 1.929, 95 % CI: 1.380–2.697 – p value 0.001), high household wealth (OR = 2.293, 95 % CI: 1.988–2.644 p value 0.001), urban residence (OR = 1.364, 95 % CI: 1.081–1.721 p value 0.009), low parity (OR = 2.222, 95 % CI: 1/786–2.765 p value 0.001), receiving ANC (OR = 3.342, 95 % CI: 2.306–4.844 p value 0.001) and complications during pregnancy (OR = 1.606, 95 % CI: 1.319–1.957 p value 0.001).ConclusionsThe factors associated with both antenatal care use and institutional delivery are similar and interventions to target these include expanding female education and improving coverage and affordability of health services.
Highlights
Every day, globally approximately a thousand women and girls needlessly die as a result of complications during pregnancy, childbirth or the 6 weeks following delivery
The present study aimed to examine factors associated with the use of Antenatal care (ANC) and institutional delivery in Sudan
The present study demonstrated the association between a range of factors and attending ANC and place of delivery
Summary
Globally approximately a thousand women and girls needlessly die as a result of complications during pregnancy, childbirth or the 6 weeks following delivery. Pregnancy and childbirth are natural and usual processes, they can put women at risk of complications. According to the World Health Organization (WHO), around a thousand women needlessly die every day as a result of complications during pregnancy, childbirth or the 6 weeks following delivery. Almost all (99 %) of these deaths occur in developing countries [1,2,3]. The second round of the Sudan Household Health Survey (SHHS-2) conducted in 2010, found there were 215.6 maternal deaths for every 100,000 live births [8]. The causes of maternal death are remarkably consistent across the developing world.
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