These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: The determinants of use of maternal and child health services in Metro Cebu, the Philippines.
    Author: Becker S, Peters DH, Gray RH, Gultiano C, Black RE.
    Journal: Health Transit Rev; 1993 Apr; 3(1):77-89. PubMed ID: 10148799.
    Abstract:
    The determinants of the use of family planning, prenatal care, childhood immunizations and oral rehydration salts (ORS) were studied with survey data of 8000 women in Metro Cebu, the Philippines. Polytomous logistic regression methods were used. The level of maternal education was the most consistent and important determinant of use of these four health services in both urban and rural areas. For example, the estimated odds of using modern contraception increased by six and eleven per cent for each additional year of schooling in urban and rural strata respectively. Economic status and access to service variables had less consistent patterns: women's work status, for example, was associated only with contraceptive use. Between July 1988 and January 1989, local interviewers surveyed 8330 currently married nonpregnant mothers of 9586 children less than 30 months old (age range, 15-52 years) to gather baseline data with which to evaluate the effect of health services on child health in Metro Cebu on one of the central Visayan islands of the Philippines. This analysis of the data describes the patterns and determinants of use of maternal and child health services by mothers and children. The mother's education was the most significant and uniform predictor of use of maternal and child health services (except for use of prenatal care among urban women). The estimated odds of full immunization rose by 15% and 10% for every year of education in urban and rural women, respectively. The researchers could not define the mechanisms for the maternal education effect, however, Socioeconomic factors were significant predictors of contraceptive use, adequate immunizations, and knowledge and use of oral rehydration salts (ORS). Such factors had no effect on prenatal care use in rural areas, however, and only a minimal effect in urban areas. Any paid work at all by mothers increased the likelihood of contraceptive use. Some categories of employed mothers and fathers reduced the odds of immunization, possible because immunization clinics were closed after working hours. Owning a radio and/or television had a greater effect on use of contraception, immunization, and prenatal care in urban areas than it did in rural areas. Since other economic indicators had a less significant effect on use, possession of a radio and/or television may actually represent access to information rather than wealth. Distance to a health facility was significant for all uses in rural areas, except prenatal care. It was not important in urban areas. These results showed a need for short term health programs to attract less educated women.
    [Abstract] [Full Text] [Related] [New Search]