The effects of maternal-child health service utilization on subsequent contraceptive use in Morocco.
J Biosoc Sci
; 31(2): 145-65, 1999 Apr.
Article
en En
| MEDLINE
| ID: mdl-10333649
ABSTRACT
PIP: This study examined the association between frequency of use of maternal and child health (MCH) services and subsequent contraceptive use (CU) in Morocco. Data were obtained from a 1992 Moroccan Health Survey among 3267 married women with at least 1 live birth and the 1992 Service Availability Module. Analysis was based on full information maximum likelihood estimates and nonparametric, discrete factor strategies. The analysis ignored the possibility that CU can lead to increase MCH use, because few women use contraception before a first birth. Findings indicate that intensity of MCH service use was a statistically significant determinant of subsequent CU. The magnitude of the effect was large. For example, an increase in MCH service use from 2 to 4 would result in an increase of over 71% in contraceptive prevalence, from 32% to 55%. Modern CU would increase from 55% to 65%. Traditional CU would increase from 7% to 19%. Increases were more likely despite controls for individual and household characteristics. Findings do not explain the role of integrated services. Since there are numerous sources of supply, it is likely that counseling and promotion by health facility staff were significant factors. Evidence supports the need to include community-level factors in the analysis, but key community factors remain unmeasured.
Palabras clave
Africa; Arab Countries; Contraception; Contraceptive Usage; Correlation Studies; Currently Married--women; Delivery Of Health Care; Developing Countries; Family And Household; Family Characteristics; Family Planning; Family Relationships; French Speaking Africa; Health; Health Services; Marital Status; Maternal-child Health Services; Mediterranean Countries; Morocco; Mothers; Northern Africa; Nuptiality; Parents; Primary Health Care; Research Methodology; Research Report; Statistical Studies; Studies; Women
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Conducta Anticonceptiva
/
Accesibilidad a los Servicios de Salud
/
Centros de Salud Materno-Infantil
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Middle aged
País/Región como asunto:
Africa
Idioma:
En
Revista:
J Biosoc Sci
Año:
1999
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Reino Unido