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Community-based savings groups, women's agency, and maternal health service utilisation: Evidence from Mozambique.
- Source :
- Global Public Health; Aug2020, Vol. 15 Issue 8, p1119-1129, 11p
- Publication Year :
- 2020
-
Abstract
- This study, using data collected as part of an ongoing programme evaluation, investigates whether participation in Saving Groups (SGs)—a community-owned microfinance intervention focused on poor households – is associated with maternal health service utilisation, and whether this association is mediated by women's agency – as measured by self-efficacy and decision-making autonomy. We compared maternal health service utilisation among SG members (n=105) and non-members (n=100) in rural Mozambique. We estimated prevalence ratios for SG membership and women's agency using Poisson regression while controlling for confounding factors. We also estimated mediation effects for women's agency. The results showed that SG membership is associated with four or more antenatal care (ANC) visits, skilled birth attendant (SBA) use, and postnatal care within 48 h of delivery. Self-efficacy mediated the relationship between SG membership and ANC vists and SBAuse, but not postnatal care; whereas women's decision-making autonomy mediated the relationship with SBA use and postnatal care, but not ANC visits. This study suggests that the impact of SG membership on use of maternal health services goes beyond improvements in household income and may operate through women's agency by giving women the ability to realize their preference for quality health care. [ABSTRACT FROM AUTHOR]
- Subjects :
- AUTONOMY (Psychology)
CHI-squared test
MATERNAL health services
POSTNATAL care
PRENATAL care
RURAL population
STATISTICAL sampling
HEALTH self-care
SELF-efficacy
SUPPORT groups
T-test (Statistics)
WOMEN'S health
SOCIOECONOMIC factors
CROSS-sectional method
DATA analysis software
DESCRIPTIVE statistics
CLUSTER sampling
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 15
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 144726189
- Full Text :
- https://doi.org/10.1080/17441692.2020.1751232