Spatial patterns of maternal health service utilization and - - PowerPoint PPT Presentation

Spatial patterns of maternal health service utilization and determinant factors in Ethiopia

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Maternal health service use in Ethiopia

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Maternal health service use …

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Significance of the study

• Distribution of health facilities versus population

Are the health facilities constructed based on equity & equality? Where are the existing health facilities located in relation to the population? Which communities and health facilities need special attention? Where should the government expend more money?

• Spatial analysis

‘What is where’ on the Earth’s surface? Informed decision making Monitoring & Evaluation Advocacy & awareness creation

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Aim – To identify the spatial patterns of maternal health service utilization and its determinant factors in Ethiopia

• Objectives

To assess the spatial patterns of modern contraceptive use and its determinant factors in Ethiopia To assess the spatial patterns of antenatal care use and its determinant factors in Ethiopia To assess the spatial patterns of institutional delivery and its determinant factors in Ethiopia To assess the spatial patterns of caesarean delivery use and its determinant factors in Ethiopia

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Method – Data sources

Ethiopia Demographic and Health Survey (EDHS, 2016)

Population survey data: multi-stage stratified sampling technique Population characteristics Health service use Geographic location 645 census enumeration areas (EAs) 15,683 reproductive age women

Ethiopia Service Provision Assessment Plus (ESPA+, 2014)

Health facility survey data: census & simple random sampling technique Service availability Service readiness (general & service specific) Geographic location 1165 health facilities

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Method – Data linking and statistical analysis

• Data linking:

Administrative boundary link Euclidean buffer link

• Statistical analysis:

Spatial statistics (ArcGIS)

• Spatial autocorrelation
• Hot spot analysis

Multilevel analysis (SAS 9.4)

• Hierarchical Generalized Linear Model - PROC GLIMMIX

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Thank you

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