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01-12-2017

Association Between Maternal and Child Health Handbook and Quality of Antenatal Care Services in Palestine

Authors: Harumi Kitabayashi, Chifa Chiang, Abubakr Ahmed Abdullah Al-Shoaibi, Yoshihisa Hirakawa, Atsuko Aoyama

Published in: Maternal and Child Health Journal | Issue 12/2017

Abstract

Objectives The Maternal and Child Health (MCH) handbook is an integrated home-based record allowing clients to keep records on the continuum of care for mothers and children. This study aimed to assess associations between MCH handbook ownership and receipt of selected content of antenatal care services in Palestine. Methods Distribution of the MCH handbook in Palestine was launched in 2008. We used an anonymous data set of the Palestinian Family Survey 2010 and analyzed the data of 2026 women who had live births within the past 12 months. Descriptive statistical analysis was conducted to assess differences between MCH handbook holders and non-holders. Multivariable logistic regression models were used to estimate adjusted odds ratios of the effects of MCH handbook use according to proxy indicators of antenatal care quality. Results Accounting for about 60% (n = 1202) of study participants, handbook holders were more likely to be primipara, live in the Gaza Strip, live in refugee camps, and live within a 30-min distance to antenatal care facilities; however, household wealth levels for handbook holders were lower compared with non-holders. Handbook users had significantly higher odds of receiving all three kinds of medical tests and receiving information on five or more health education topics as part of antenatal care. The higher odds remained after adjusting for possible confounding variables, such as household wealth, region, residential area, birth order of the child, frequency of antenatal care, and time required to reach antenatal care facilities. Conclusions for Practice Use of the handbook as a portable checklist possibly promoted providers’ higher adherence to the national guideline.

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Title: Association Between Maternal and Child Health Handbook and Quality of Antenatal Care Services in Palestine
Authors: Harumi Kitabayashi
Chifa Chiang
Abubakr Ahmed Abdullah Al-Shoaibi
Yoshihisa Hirakawa
Atsuko Aoyama
Publication date: 01-12-2017
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 12/2017
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-017-2332-x

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