Effectiveness of maternal and child health programmes : a critical re-assessment of the demand and use of antenatal care services and its implications for policy and planning of community-based strategies for mother and child survival programmes in Botswana
Date
1993
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University of London, London, GB
Abstract
The study examines the socio-economic environment of pregnancy and puerperium. Demand
and utilization of antenatal care services is used as an entry point in an attempt to get an indepth
view of how a mother relates to her total environment throughout the birth cycle. To
this extent the study examines the pregnant mother in the context of four determinants: User,
Household, Service and Community. The study makes three major departures from previous
studies: first, the focus is on the mother in the mother-child diad; second, the study critically
re-examines the conventional Primary Health Care strategy based on the premise that medical
resources are mainly located in urban areas and that accessibility and money are major
determinants to the use of medical services; third, the focus is on preventive rather than
curative care.
A number of factors are examined including: patterns of utilization of facility-based and
alternative antenatal care services; perceived benefits and barriers to utilization of antenatal
care services; determinants of utilization antenatal care services; decision making throughout
the birth cycle and the social support system...
Description
Thesis, University of London, 1993
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Keywords
MATERNAL HEALTH SERVICES, MATERNAL AND CHILD HEALTH, PRENATAL CARE, BOTSWANA, PUBLIC HEALTH, PUBLIC POLICY, COMMUNITY LEADERSHIP