TAILIEUCHUNG - Adolescents’ Use of Maternal and Child Health Services In Developing Countries

Every woman of childbearing age in the sample was asked about her maternity history. In particular, the questions addressed the outcome and the completion time of each pregnancy, the gender of live births, the number of months of pure breastfeeding for each child and the health condition of each live birth at the time of the survey. Unfortunately, women were not asked about the health condition of each child at birth. In the present paper, we restrict our analysis to the youngest child born to each woman of childbearing age. 5 There are three main reasons for doing this. First, we are interested in examining the effect of health. | ARTICLES Adolescents Use of Maternal and Child Health Services In Developing Countries By Heidi W. Reynolds Emelita L. Wong and Heidi Tucker Heidi W Reynolds is senior research associate Emelita L. Wong is associate director of biostatistics and Heidi Tucker is biostatistician Family Health International Youth- Net Research Triangle Park NC uSa. CONTEXT Because of high levels of early childbearing in developing countries pregnancy and childbirth are the leading causes of death among women aged 15-19. Use of skilled antenatal and delivery care improves maternal outcomes through the prevention management and treatment of obstetric complications and infant immunizations prevent many childhood diseases. METHODS Logistic regression analysis of Demographic and Health Survey data for 15 developing countries examined adolescents use of antenatal care delivery care and infant immunization services compared with use by older women. RESULTS In general the use of maternal and child health care did not vary by mother s age. In five of the 15 countries women aged 18 or younger were less likely than women aged 19-23 to use either antenatal care or delivery care or both odds ratios . Younger mothers in six countries were less likely than older mothers to have their infants immunized particularly for diphtheria pertussis and tetanus and for measles . The association of age and health care use was largely limited to Bangladesh India Indonesia Nicaragua Peru and Uganda. In Latin America controlling for parity allowed differences between adolescents and older women to emerge. Except in Uganda there were no differences in health care use by mother s age in the African countries. CONCLUSION Country-specific investigations are needed in Asia to better understand the reasons for differences in service use by age. In general further systematic evidence would help identify long-term interventions that will be most effective in increasing adolescents use of maternal and child

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