Publication: Obstetric morbidity care in Thailand: do communities matter?
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2008-01
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eng
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Mahidol University
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Journal of Population and Social Studies. Vol.16, No.2 (2008), 95-120.
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Sharad Kumar Sharma, Panee Vong-Ek, ภาณี วงษ์เอก (2008). Obstetric morbidity care in Thailand: do communities matter?. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/2926.
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Obstetric morbidity care in Thailand: do communities matter?
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การดูแลสุขภาพหญิงตั้งครรภ์ที่มีภาวะแทรกซ้อนในประเทศไทย: ชุมชนมีส่วนร่วมหรือไม่
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Abstract
Previous research on maternal health care has focused on individual-level
factors, and the role of community-level factors in obtaining obstetric care has not
received sufficient attention. This study addresses this gap by examining how
community context is associated with obstetric morbidity care-seeking behavior among
Thai women in the Kanchanaburi Demographic Surveillance System. Multi-level
logistic regression models were fitted to examine the association. While percentage of
not working, percentage of people with health insurance, percentage of people with
education less than grade ten, and availability of school in the village were positive
predictors of care-seeking behavior for morbidity during pregnancy, distance of village
to the district center and availability of transportation facilities in the village were
positive predictors and average household income in the village was a negative
predictor of care-seeking behavior of morbidity during delivery or after delivery. Careseeking
behavior also varied across the villages. Preventive behavior and medical risk
factors partially mediated the community effect on care-seeking behavior. However,
community characteristics retained their important association with obstetric morbidity
care. Community context should therefore not be overlooked while implementing
maternal health interventions.