rbf household survey_utilization
TRANSCRIPT
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Preliminary Results from the Baseline Household Survey
Jacob Mazalale
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Outline
• Background• Methods• Preliminary Results• Next Steps• Discussion
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Background
As was presented before
Objective Assess status quo on utilisation and expenditure for maternal and newborn care at the community/household level
We present results from the household baseline survey
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Methods
• Sampling Strategy– Unit of analysis• a woman who has completed a pregnancy in
the previous twelve months
– A two-staged sampling strategy• Randomly selected 2 enumeration areas (EAs)
in catchment area of each H/F – 2*33 = 66 EAs
• Randomly select 26 women from each enumeration area. – 28*66 = 1,716 women
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Methods
• Close-ended questionnaire
• Collected data on• Demographics• Socio-economic status• Distance to facility• Utilisation of MCH services• Out of pocket expenditure
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Methods
• Data from both intervention and control facilities.
• Data collected by trained enumerators • 2 enumerators assigned to each EA. • Using EA maps– EA was split into six parts which were
shared between the enumerators.
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Results• Descriptives (n=1,813)
Variable Total (n, %) Balaka (%) Dedza (%) Mchinji (%) Ntcheu (%)
Sample Size (n,%) 1,813 453 (25) 453 (25) 455 (25) 452 (25)
Age mean(sd) 25.6 (6) 25 (6) 26 (7) 26 (6) 26 (6)
ReligionChristians 1,574 (87) 332 (73) 385 (85) 420 (92) 437 (97)
Non Christians 239 (13) 121 (27) 68 (15) 35 (8) 15 (3)
Marital StatusMarried 1,579 (87) 384 (85) 396 (87) 405 (89) 394 (87)
Unmarried 234 (13) 69 (15) 57 (13) 50 (11) 58 (13)
Education
No Formal 805 (44) 137 (30) 240 (53) 215 (47) 213 (47)
Primary 770 (42) 244 (54) 169 (37) 170 (37) 187 (41)
Secondary & above
238 (13) 72 (16) 44 (10) 70 (16) 52 (12)
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Results
• Descriptives (n=1,813)
Variable Total Balaka Dedza Mchinji Ntcheu
Household members mean (sd) 4.9 (2) 5.0 (2) 4.9 (2) 5.1 (2) 4.7 (2)
Household Setting (n, %)
Rural 1,626 (90) 397 (88) 402 (89) 405 (89) 422 (93)
Urban 187 (10) 56 (12) 51 (11) 50 (11) 30 (7)
Biological Children
mean (sd) 2.7 (2) 2.8 (2) 2.6 (2) 2.8 (2) 2.5 (2)
Distance to Official/Closest H/F (in kms)
mean (sd) 5.7 (3) 5.1 (3) 5.2 (4) 6.2 (3) 6.4 (3)
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Results• Utilisation of MNHC Services (n=1, 813)
VariableTotal (n, %) Balaka (%) Dedza (%) Mchinji (%) Ntcheu (%)
ANC Utilisation- went to ANC at least once
Yes 1,798 (99) 99.8 98.5 99.1 99.3
No 15 (1) 0.2 1.6 0.9 0.7
ANC Utilisation- went to ANC at least 4 times
Yes 799 (44) 47 43 44 42
No 1,014 (56) 53 57 56 58
ANC Utilisation- made first ANC Visit in 1st trimester
Yes 270 (15) 17 16 11 15
No 1,543 (85) 83 84 89 85
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Results
Non Facility Based Delivery
Total (n, %) Balaka (%) Dedza (%) Mchinji (%) Ntcheu (%)
No 1,654 (91) 397 (88) 416 (92) 428 (94) 413 (91)
Yes 159 (9) 56 (12) 37 (8) 27 (6) 39 (9)
Who are the women that are not utilizing delivery care
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Results
Total (n, %) Balaka (%) Dedza (%) Mchinji (%) Ntcheu (%)
PNC Utilisation – attended PNC at least once within 48 hrs of
delivery
Yes 1,518 (84) 93 77 80 86
No 295 (16) 7 23 20 14
Had Family Planning Counseling During PNC
Yes 1,417 (78) 84 71 75 81
No 396 (22) 16 29 25 19
Currently Using Modern Family Planning Methods
Yes 1,032 (57) 54 53 53 64
No 781 (43) 46 47 47 36.
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Results• Bivariate Analysis for Non Institutional DeliveryVariable Facility Based
DeliveryNon Facility Based Delivery
P- value for Chi2 or t- statistics
Age in years 25.4 (0.15) 28.13 (0.57) <0.001
Household size 4.88 (0.04) 5.42 (0.14) 0.0002
# of children 2.6 (0.05) 3.7 (0.17) <0.001
Distance to facility 5.68 (0.08) 6.26 (0.25) 0.0324
Social Economic Status 1st Quintile 2nd Quintile
3rd Quintile4th Quintile5th Quintile
321 (88.43)322 (88.71)337 (93.09)334 (92.01)340 (93.92)
42 (11.57)41 (11.29)
25 (6.91)29 (7.99)22 (6.08)
0.021
Literacy Illiterate Literate
597 (36.)1057 (64)
76 (48) 83 (52)
0.004
District BLK DZ MC NU
397 (24) 416 (25)428 (26)413 (25)
56 (35)37 (23)27 (14)39 (25)
0.007
Ever had Stillbirth No Yes
1558 (94) 96 (6)
146 (92) 13 (8)
0.229
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Next Steps
• Regression model on determinants of non facility based deliveries
• Modeling determinants of out of pocket
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• Thank you!!!