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The impact of community midwives on maternal healthcare utilization

dc.contributor.authorMusaddiq, Tareena
dc.date.accessioned2023-02-01T18:57:05Z
dc.date.available2024-04-01 13:57:04en
dc.date.available2023-02-01T18:57:05Z
dc.date.issued2023-03
dc.identifier.citationMusaddiq, Tareena (2023). "The impact of community midwives on maternal healthcare utilization." Health Economics 32(3): 697-714.
dc.identifier.issn1057-9230
dc.identifier.issn1099-1050
dc.identifier.urihttps://hdl.handle.net/2027.42/175737
dc.description.abstractGlobally 800 women die every day from preventable causes related to pregnancy and childbirth. One of the major reasons for high maternal mortality ratios in many developing countries is the low proportion of births attended by Skilled Birth Attendants (SBA). To address the high number of maternal deaths, in 2008 the Government of Pakistan introduced the Community Midwives Program. Under the program, women from across the country were trained and deployed as Community Midwives. In this study, I use six rounds of Pakistan Social and Living Measurement Survey to estimate the impact of this program on maternal healthcare utilization. I find that women residing in districts with higher Community Midwives per capita were 9 percentage points more likely to be attended by a SBA at the time of delivery and were 8 percentage points more likely to give birth at a medical facility as opposed to birthing at home. I find no evidence of impact on take up of prenatal and post-natal check-ups. The use of Community Midwives may be a cost effective tool to reduce maternal deaths, especially for developing countries with low health budgets.
dc.publisherWiley Periodicals, Inc.
dc.publisherAdvancing Partners & Communities
dc.subject.otherdeveloping countries
dc.subject.othermaternal health
dc.subject.othermidwives
dc.subject.othercommunity health workers
dc.subject.otherskilled birth attendants
dc.titleThe impact of community midwives on maternal healthcare utilization
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelEconomics
dc.subject.hlbsecondlevelMedicine (General)
dc.subject.hlbsecondlevelStatistics and Numeric Data
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.subject.hlbtoplevelScience
dc.subject.hlbtoplevelSocial Sciences
dc.subject.hlbtoplevelBusiness and Economics
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/175737/1/hec4640_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/175737/2/hec4640.pdf
dc.identifier.doi10.1002/hec.4640
dc.identifier.sourceHealth Economics
dc.identifier.citedreferenceSave the Children. ( 2015 ). The urban disadvantage: The state of the world’s mothers 2015.
dc.identifier.citedreferenceGirum, T., & Wasie, A. ( 2017 ). Correlates of maternal mortality in developing countries: An ecological study in 82 countries. Maternal Health, Neonatology and Perinatology, 3 ( 1 ), 1 – 6. https://doi.org/10.1186/s40748-017-0059-8
dc.identifier.citedreferenceGovernment of Pakistan. ( 2006 ). National maternal newborn and child health program. Government of Pakistan.
dc.identifier.citedreferenceGraham, W. J., Bell, J. S., & Bullough, C. H. ( 2001 ). ‘ Can skilled attendance at delivery reduce maternal mortality in developing countries? ’ In V. De Brouwere & W. Van Lerberghe (Eds.) Safe motherhood strategies: A review of the evidence: ITGPress, pp. 97 - 130.
dc.identifier.citedreferenceHogan, M. C., Foreman, K. J., Naghavi, M., Ahn, S. Y., Wang, M., Makela, S. M., Lopez, A. D., Lozano, R., & Murray, C. J. ( 2010 ). Maternal mortality for 181 countries, 1980–2008: A systematic analysis of progress towards Millennium development goal 5. The Lancet, 375 ( 9726 ), 1609 – 1623. https://doi.org/10.1016/s0140-6736(10)60518-1
dc.identifier.citedreferenceKaur, M. ( 2016 ). Community health workers— Birth of a new profession. Journal of the American Society on Aging, 40 ( 1 ), 56 – 63.
dc.identifier.citedreferenceKhan, A., & Khan, A. ( 2012 ). The community midwives program in Pakistan. Research and Development Solutions. Policy Briefs Series No. 20.
dc.identifier.citedreferenceKim, K., Choi, J. S., Choi, E., Nieman, C. L., Jao, J. H., Lin, F. R., Gitlin, L. N., & Han, H. R. ( 2016 ). Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: A systematic review. American Journal of Public Health, 106 ( 4 ), 3 – 28. https://doi.org/10.2105/ajph.2015.302987a
dc.identifier.citedreferenceKowitt, S. D., Emmerling, D., Fisher, B., & Tanasugarn, C. ( 2015 ). Community health workers as agents of health promotion: Analyzing Thailand’s village health volunteer program. Journal of Community Health, 40 ( 4 ), 780 – 788. https://doi.org/10.1007/s10900-015-9999-y
dc.identifier.citedreferenceLipp, A. ( 2011 ). Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases: A review synopsis. Public Health Nursing, 28 ( 3 ), 243 – 245. https://doi.org/10.1111/j.1525-1446.2011.00950.x
dc.identifier.citedreferenceMassnegale, K. E., Morrison, S. D., & Sudha, S. ( 2016 ). Community health advocate-identified enablers of HIV testing for Latina immigrant women. AIDS Education and Prevention, 28 ( 4 ), 325 – 340C. https://doi.org/10.1521/aeap.2016.28.4.325
dc.identifier.citedreferenceMumtaz, Z., O’Brien, B., Bhatti, A., & Jhangri, G. S. ( 2012 ). Are community midwives addressing the inequities in access to skilled birth attendance in Punjab, Pakistan? Gender, class and social exclusion. BMC Health Services Research, 12 ( 1 ), 326. https://doi.org/10.1186/1472-6963-12-326
dc.identifier.citedreferenceNabudere, H., Asiimwe, D., & Amandua, J. ( 2013 ). Improving access to skilled attendance at delivery: A policy brief for Uganda. International Journal of Technology Assessment in Health Care, 29 ( 2 ), 207 – 211. https://doi.org/10.1017/s0266462313000081
dc.identifier.citedreferenceNgongo, C., Christie, K., Holden, J., Ford, C., & Pett, C. ( 2013 ). Striving for excellence: Nurturing midwives’ skills in Freetown, Sierra Leone. Midwifery, 29 ( 10 ), 1230 – 1234. https://doi.org/10.1016/j.midw.2013.01.013
dc.identifier.citedreferenceNoorani, Q. A., Azam, I., Shaikh, B. T., Ranasinghe, T., Abbas, S., Wali, S., Rippey, P., & Javed, W. ( 2013 ). Role of community based savings groups (CBSGs) enhancing the utilization of community midwives in Chitral district of Pakistan. BMC Pregnancy and Childbirth, 13 ( 1 ), 185. https://doi.org/10.1186/1471-2393-13-185
dc.identifier.citedreferenceOmer, K., Mhatrre, S., Ansari, N., Laucirica, J., & Andersson, N. ( 2008 ). Evidence-based training of frontline health workers for door-to-door health promotion: A pilot randomized controlled cluster trial with lady health workers in Sindh province, Pakistan. Patient Education and Counseling, 72 ( 2 ), 178 – 185. https://doi.org/10.1016/j.pec.2008.02.018
dc.identifier.citedreferencePDHS. ( 2007 ). Pakistan demographic health survey 2006-2007 report. National Institute of Population Studies (Vol. 25 ). IRD/Macro International.
dc.identifier.citedreferenceRahman, A., Malik, A., Sikander, S., Roberts, C., & Creed, F. ( 2008 ). Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: A cluster-randomized controlled trial. Lancet, 372 ( 9642 ), 902 – 909. https://doi.org/10.1016/s0140-6736(08)61400-2
dc.identifier.citedreferenceRonsmans, C., Endang, A., Gunawan, S., Zazri, A., McDermott, J., Koblinsky, M., & Marshall, T. ( 2001 ). Evaluation of a comprehensive home-based midwifery programme in South Kalimantan, Indonesia. Tropical Medicine and International Health, 6 ( 10 ), 799 – 810. https://doi.org/10.1046/j.1365-3156.2001.00780.x
dc.identifier.citedreferenceSarfraz, M., & Hamid, S. ( 2014 ). Challenges in delivery of skilled maternal care–experiences of community midwives in Pakistan. BMC Pregnancy and Childbirth, 14 ( 1 ), 59. https://doi.org/10.1186/1471-2393-14-59
dc.identifier.citedreferenceShrestha, R. ( 2010 ). The village midwife program and infant mortality in Indonesia. Bulletin of Indonesian Economic Studies, 46 ( 2 ), 193 – 211. https://doi.org/10.1080/00074918.2010.486109
dc.identifier.citedreferenceSiriwardhana, D. D., Pathmeswaran, A., & Wickremasinghe, A. R. ( 2019 ). Socioeconomic inequality and determinants of postnatal home visits made by public health midwives: An analysis of the Sri Lanka Demographic and Health Survey. PLoS One, 14 ( 4 ), e0215816. https://doi.org/10.1371/journal.pone.0215816
dc.identifier.citedreferenceStephens, T. B., Kurian, C., Guo, R., & Zhao, H. ( 2009 ). Impact of a household environmental intervention delivered by lay health workers on asthma symptom control in urban, disadvantaged children with asthma. American Journal of Public Health, 99 ( S3 ), 657 – 665. https://doi.org/10.2105/ajph.2009.165423
dc.identifier.citedreferenceTechnical Resource Facility. ( 2013 ). Pakistan national maternal and child health programme mid term evaluation.
dc.identifier.citedreferenceWeaver, E. H., Frankenberg, E., Fried, B. J., Thomas, D., Wheeler, S. B., & Paul, J. E. ( 2013 ). Effect of village midwife program on contraceptive prevalence and method choice in Indonesia. Studies in Family Planning, 44 ( 4 ), 389 – 409. https://doi.org/10.1111/j.1728-4465.2013.00366.x
dc.identifier.citedreferenceWorld Health Organization. ( 2019 ). Trends in maternal mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA. World Bank Group and the United Nations Population Division.
dc.identifier.citedreferenceZafar, S., Sikander, S., Ahmad, I., Ahmad, M., Parveen, N., Saleem, S., Nawaz, T., Suleman, Z., Suleman, N., Naeem, A., & Bashir, A. ( 2015 ). Is home delivery really preferred? A mixed-methods national study in Pakistan. Health Research Policy and Systems, 13 ( 1 ), 31 – 36. https://doi.org/10.1186/s12961-015-0039-2
dc.identifier.citedreferenceZhu, N., Allen, E., Kearns, A., Caglia, J., & Atun, R. ( 2014 ). Lady health workers in Pakistan: Improving access to health care for rural women and families. Harvard School of Public Health.
dc.identifier.citedreferenceAhmed, J., Rehman, S. U., & Shahab, M. ( 2017 ). Community midwives’ acceptability in their communities: A qualitative study from two provinces of Pakistan. Midwifery, 47, 53 – 59. https://doi.org/10.1016/j.midw.2017.02.005
dc.identifier.citedreferenceAyiasi, R. M., Atuyambe, L. M., Kiguli, J., Orach, J. C., Kolsteren, P., & Criel, B. ( 2015 ). Use of mobile phone consultations during home visits by community health workers for maternal and newborn care: Community experiences from Masindi and Kiryandongo districts, Uganda. BMC Public Health, 15, 1 – 13.
dc.identifier.citedreferenceBollen, K. A., Guilkey, D. K., & Mroz, T. A. ( 1995 ). Binary outcomes and endogenous explanatory variables: Tests and solutions with an application to the demand for contraceptive use in Tunisia. Demography, 32 ( 1 ), 111 – 131. https://doi.org/10.2307/2061900
dc.identifier.citedreferenceBolton, P., Bass, J., Neugebauer, R., Verdeli, H., Clougherty, K. F., Wickramaratne, P., Speelman, L., Ndogoni, L., & Weissman, M. ( 2003 ). Group interpersonal psychotherapy for depression in rural UgandaA randomized controlled trial. Journal of American Medical Association, 289 ( 23 ), 3117 – 3124. https://doi.org/10.1001/jama.289.23.3117
dc.identifier.citedreferenceCorluka, A., Walker, D. G., Lewin, S., Glenton, C., & Scheel, I. B. ( 2009 ). Are vaccination programmes delivered by lay health workers cost-effective? A systematic review. Human Resources for Health, 7 ( 1 ), 81. https://doi.org/10.1186/1478-4491-7-81
dc.identifier.citedreferenceDevlin, K., Egan, K. F., & Pandit-Rajani, T. ( 2016 ). Community health systems country profile: Pakistan (Punjab). Advancing Partners & Communities.
dc.identifier.citedreferenceFaisel, A. ( 2012 ). Are CMWs accessible in Punjab? Maternal and Newborn Health Program Research and Advocacy Fund (RAF).
dc.identifier.citedreferenceFauveau, V., Stewart, K., Khan, S. A., & Chakraborty, J. ( 1991 ). Effect on mortality of community-based maternity-care programme in rural Bangladesh. The Lancet, 338 ( 8776 ), 1183 – 1186. https://doi.org/10.1016/0140-6736(91)92041-y
dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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