title: Individual characteristics and use of maternal and child health services by adolescent mothers in Niger.
abstract: Despite high rates of early childbearing, maternal mortality, and under-five mortality, little is known about factors that affect access of teenage mothers to maternal and child health (MCH) services in Niger. This paper explores potential factors associated with the utilization of MCH care services by adolescent mothers. Using the third wave of the Niger demographic and health survey (NDHS) 2006, we estimate three multivariate logistic regression models to assess individual characteristics associated with the utilization of antenatal care (ANC) and safe delivery care services among adolescent women, as well as full immunization received by children born to adolescent mothers. The analytical sample includes 934 adolescent mothers out of 1,835 respondents aged 15-19, and within this group, 493 mother-child dyads for children aged 12-59 months. Possessing any level of education was found associated with the increased use of all three selected MCH services, while urban residence and higher income were associated with the increased use of two of three MCH services studied. Higher birth order plus a birth interval more than 2 years for the most recent birth appeared associated with the lower probability of antenatal care visits and safe delivery care. This study finds that women who attended at least four ANC visits were more likely to experience safe delivery care, and the children whose mothers had safe delivery care were more likely to receive full immunization. Therefore, an effective program should be designed to promote a continuum of MCH care with special attention to adolescent women who are uneducated, poor and residing in rural areas.
authors.affiliation: Tata Institute of Social Sciences, V N Purav Marg, Deonar, Mumbai, 400 088, India, rajesh.iips28@gmail.com.
authors.forename: Rajesh Kumar
authors.initials: RK
authors.lastname: Rai
authors.forename: Prashant Kumar
authors.initials: PK
authors.lastname: Singh
authors.forename: Lucky
authors.initials: L
authors.lastname: Singh
authors.forename: Chandan
authors.initials: C
authors.lastname: Kumar
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D016001:Confidence Intervals; D005260:Female; D006306:Health Surveys; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D016015:Logistic Models; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D009548:Niger; D016017:Odds Ratio; D011247:Pregnancy; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence; D011295:Prenatal Care; D055815:Young Adult