Inequality and Changes in Women's Use of Maternal Health-care Services in Tajikistan
Using recently available survey data for Tajikistan, this study explores changes in the pattern of maternal health care during the last decade and the extent to which inequalities in access to that care have emerged. In particular, the links between poverty and women's educational status and th...
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| Veröffentlicht in: | Studies in Family Planning 2003-03, Vol.34 (1), p.32-43 |
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| creator | Falkingham, Jane |
| description | Using recently available survey data for Tajikistan, this study explores changes in the pattern of maternal health care during the last decade and the extent to which inequalities in access to that care have emerged. In particular, the links between poverty and women's educational status and the use of maternal health-care services are investigated. The survey findings demonstrate a significant decline in the use of maternal health-care services in Tajikistan since the country gained independence from the Soviet Union in 1991. They show changes in the location of delivery and the person providing assistance, with a clear shift away from giving birth in a medical facility toward giving birth at home. More than two-fifths of all women who gave birth in the year prior to the survey delivered their baby at home. Women from the poorest quintile are three times more likely than women from the richest quintile to undergo a home delivery without a trained assistant. |
| doi_str_mv | 10.1111/j.1728-4465.2003.00032.x |
| format | Article |
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In particular, the links between poverty and women's educational status and the use of maternal health-care services are investigated. The survey findings demonstrate a significant decline in the use of maternal health-care services in Tajikistan since the country gained independence from the Soviet Union in 1991. They show changes in the location of delivery and the person providing assistance, with a clear shift away from giving birth in a medical facility toward giving birth at home. More than two-fifths of all women who gave birth in the year prior to the survey delivered their baby at home. Women from the poorest quintile are three times more likely than women from the richest quintile to undergo a home delivery without a trained assistant.</description><identifier>ISSN: 0039-3665</identifier><identifier>EISSN: 1728-4465</identifier><identifier>DOI: 10.1111/j.1728-4465.2003.00032.x</identifier><identifier>PMID: 12772444</identifier><identifier>CODEN: SFPLA3</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject><![CDATA[Access ; Adolescent ; Adult ; Developing countries ; Economic aspects ; Economic regions ; Female ; Females ; Health aspects ; Health care ; Health care delivery ; Health Care Utilization ; Health conditions ; Health Services Accessibility - statistics & numerical data ; Health Services Accessibility - trends ; Health services utilization ; Higher education ; Home birth ; Home Childbirth - statistics & numerical data ; Homes ; Hospitals, Maternity - statistics & numerical data ; Humans ; Income inequalities ; Maternal and infant welfare ; Maternal health care ; Maternal health services ; Maternal Health Services - trends ; Maternal Health Services - utilization ; Medical care ; Medical sector ; Medical service ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; Pregnancy ; Prenatal Care - statistics & numerical data ; Rural Population - statistics & numerical data ; School surveys ; Social aspects ; Social Inequality ; Socioeconomic Factors ; Statistics ; Tajikistan ; Tajikistan - epidemiology ; Urban Population - statistics & numerical data ; User statistics ; Women ; Womens education ; Womens health ; Womens Health Care ; Womens health services ; World Bank]]></subject><ispartof>Studies in Family Planning, 2003-03, Vol.34 (1), p.32-43</ispartof><rights>Copyright 2003 The Population Council, Inc.</rights><rights>COPYRIGHT 2003 John Wiley & Sons, Inc.</rights><rights>COPYRIGHT 2003 John Wiley & Sons, Inc.</rights><rights>Copyright Population Council Mar 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c7502-e884844b7b8ad08d5e331ea27ad1d2e4005dc25f47f1e154f784e695048516bf3</citedby><cites>FETCH-LOGICAL-c7502-e884844b7b8ad08d5e331ea27ad1d2e4005dc25f47f1e154f784e695048516bf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3181150$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3181150$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,799,1411,23909,23910,25118,27842,27901,27902,30976,30977,33751,33752,45550,45551,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12772444$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Falkingham, Jane</creatorcontrib><title>Inequality and Changes in Women's Use of Maternal Health-care Services in Tajikistan</title><title>Studies in Family Planning</title><addtitle>Stud Fam Plann</addtitle><description>Using recently available survey data for Tajikistan, this study explores changes in the pattern of maternal health care during the last decade and the extent to which inequalities in access to that care have emerged. In particular, the links between poverty and women's educational status and the use of maternal health-care services are investigated. The survey findings demonstrate a significant decline in the use of maternal health-care services in Tajikistan since the country gained independence from the Soviet Union in 1991. They show changes in the location of delivery and the person providing assistance, with a clear shift away from giving birth in a medical facility toward giving birth at home. More than two-fifths of all women who gave birth in the year prior to the survey delivered their baby at home. Women from the poorest quintile are three times more likely than women from the richest quintile to undergo a home delivery without a trained assistant.</description><subject>Access</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Developing countries</subject><subject>Economic aspects</subject><subject>Economic regions</subject><subject>Female</subject><subject>Females</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health care delivery</subject><subject>Health Care Utilization</subject><subject>Health conditions</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Health Services Accessibility - trends</subject><subject>Health services utilization</subject><subject>Higher education</subject><subject>Home birth</subject><subject>Home Childbirth - statistics & numerical data</subject><subject>Homes</subject><subject>Hospitals, Maternity - statistics & numerical data</subject><subject>Humans</subject><subject>Income inequalities</subject><subject>Maternal and infant welfare</subject><subject>Maternal health care</subject><subject>Maternal health services</subject><subject>Maternal Health Services - trends</subject><subject>Maternal Health Services - utilization</subject><subject>Medical care</subject><subject>Medical sector</subject><subject>Medical service</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Odds Ratio</subject><subject>Pregnancy</subject><subject>Prenatal Care - statistics & numerical data</subject><subject>Rural Population - statistics & numerical data</subject><subject>School surveys</subject><subject>Social aspects</subject><subject>Social Inequality</subject><subject>Socioeconomic Factors</subject><subject>Statistics</subject><subject>Tajikistan</subject><subject>Tajikistan - epidemiology</subject><subject>Urban Population - statistics & numerical data</subject><subject>User statistics</subject><subject>Women</subject><subject>Womens education</subject><subject>Womens health</subject><subject>Womens Health Care</subject><subject>Womens health services</subject><subject>World Bank</subject><issn>0039-3665</issn><issn>1728-4465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><sourceid>7TQ</sourceid><recordid>eNqN0l1v0zAUBuAIgVgZ_AOEIi6Ai6X4247EzajohygMqR3jznKTky5Zmmx2Au2_x6FVp6JJXSLFkv2cI8XnDYIQoz72z8eijyVREWOC9wlCtI_8h_TXT4Le_uBp0PObcUSF4CfBC-cKj2KB0PPgBBMpCWOsF8wnFdy1psybTWiqNBxcm2oJLsyr8KpeQfXehZcOwjoLv5kGbGXKcAymbK6jxFgIZ2B_58nWz02R3-SuMdXL4FlmSgevdutpcDn8Mh-Mo-nFaDI4n0aJ5IhEoBRTjC3kQpkUqZQDpRgMkSbFKQGGEE8TwjMmMwyYs0wqBiLmiCmOxSKjp8G7bd9bW9-14Bq9yl0CZWkqqFunJaUcc8GOQtG1VJQehTxWgshHdOQSKS6EOAqxH1XMiPTw7X-wqNvuwr2JuSBCiQ6dbdHSlKDzKqsba5IlVGBNWVeQ5X77PI5jxTjFnkcPcP-msMqTh_yHA-9JA-tmaVrntBpND-jZQzSpyxKWoP2cBxcHXG15YmvnLGT61uYrYzcaI91lWhe6i67uoqu7TOt_mdZrX_pmdzHtYgXpfeEuxB582oI__m82j26sZ5PhD0p8-etteeGa2u7LKVYYc3R_hz7asN4fG3uj_UAk11ffR1p-_UyHP2dj_Yv-BaDUF70</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>Falkingham, Jane</creator><general>Blackwell Publishing Ltd</general><general>Population Council</general><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7QJ</scope><scope>7ST</scope><scope>7U3</scope><scope>7U4</scope><scope>7U6</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>C1K</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>SOI</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>7X8</scope></search><sort><creationdate>200303</creationdate><title>Inequality and Changes in Women's Use of Maternal Health-care Services in Tajikistan</title><author>Falkingham, Jane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c7502-e884844b7b8ad08d5e331ea27ad1d2e4005dc25f47f1e154f784e695048516bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Access</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Developing countries</topic><topic>Economic aspects</topic><topic>Economic regions</topic><topic>Female</topic><topic>Females</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health care delivery</topic><topic>Health Care Utilization</topic><topic>Health conditions</topic><topic>Health Services Accessibility - 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| ispartof | Studies in Family Planning, 2003-03, Vol.34 (1), p.32-43 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; MEDLINE; Wiley Online Library Journals Frontfile Complete; PAIS Index; Sociological Abstracts |
| subjects | Access Adolescent Adult Developing countries Economic aspects Economic regions Female Females Health aspects Health care Health care delivery Health Care Utilization Health conditions Health Services Accessibility - statistics & numerical data Health Services Accessibility - trends Health services utilization Higher education Home birth Home Childbirth - statistics & numerical data Homes Hospitals, Maternity - statistics & numerical data Humans Income inequalities Maternal and infant welfare Maternal health care Maternal health services Maternal Health Services - trends Maternal Health Services - utilization Medical care Medical sector Medical service Middle Aged Multivariate Analysis Odds Ratio Pregnancy Prenatal Care - statistics & numerical data Rural Population - statistics & numerical data School surveys Social aspects Social Inequality Socioeconomic Factors Statistics Tajikistan Tajikistan - epidemiology Urban Population - statistics & numerical data User statistics Women Womens education Womens health Womens Health Care Womens health services World Bank |
| title | Inequality and Changes in Women's Use of Maternal Health-care Services in Tajikistan |
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