Choolwe Jacobs|Mosa Moshabela|Sitali Maswenyeho|N. Lambo|Charles Michelo
Predictors of Antenatal Care, Skilled Birth Attendance, and Postnatal Care Utilization among the Remote and Poorest Rural Communities of Zambia: A Multilevel Analysis
University of KwaZulu-Natal|University of Zambia|University of KwaZulu-Natal|World Health Organization - Zambia|United Nations Children's Fund Zambia|World Health Organization - Zambia|United Nations Children's Fund Zambia|University of Zambia
optimal utilization maternal healthcare services associated reduction mortality morbidity mothers neonates however deficiencies disparity use key maternal health services within developing countries still persist examined patterns predictors associated utilization specific indicators maternal health services among mothers living poorest remote district populations zambiaa crosssectional baseline household survey conducted may 2012 total 551 mothers children ages 0 5 months sampled 29 catchment areas four rural remote districts zambia using lot quality assurance sampling method using multilevel modeling accounted individual communitylevel factors associated utilization maternal healthcare services focus antenatal care anc skilled birth attendance sba postnatal care pncutilization rates focused anc sba pnc within 48 h 30 37 28 respectively mothers ability take hiv test receiving test results uptake intermittent preventive treatment malaria positive predictors focused anc receiving anc least skilled personnel significant predictor sba pnc within 48 h delivery women live centralized rural areas likely use sba living remote rural areasutilization maternal health services mothers living among remote poor marginalized populations zambia much lower national averages finding women receive anc skilled attendant among remote poorest populations likely sba pnc suggests importance contact skilled health worker even influencing use services therefore appears order women marginalized communities benefit sba pnc important least one anc provided skilled personnel rather nonskilled healthcare providers