title: Associations of government health expenditures, the supply of health care professionals, and country literacy with prenatal care use in ten West African countries.
abstract: Social and health care context may influence prenatal care use. We studied associations of government health expenditures, supply of health care professionals, and country literacy rates with prenatal care use in ten West African countries, controlling for individual factors. We used data from Demographic and Health Surveys (n = 58,512) and random effect logistic regression models to estimate the likelihood of having any prenatal care and adequate prenatal care. Each percentage increase in the literacy rate was associated with 4% higher odds of having adequate prenatal care (p = .029). Higher literacy rates among women may help to promote adequate prenatal care.
authors: a Center for Outcomes Research and Evaluation, Carolinas HealthCare System , Charlotte , North Carolina , USA.
authors: Yhenneko J
authors: YJ
authors: Taylor
authors: b Department of Public Health Sciences , University of North Carolina at Charlotte , Charlotte , North Carolina , USA.
authors: Sarah B
authors: SB
authors: Laditka
authors: b Department of Public Health Sciences , University of North Carolina at Charlotte , Charlotte , North Carolina , USA.
authors: James N
authors: JN
authors: Laditka
authors: b Department of Public Health Sciences , University of North Carolina at Charlotte , Charlotte , North Carolina , USA.
authors: Larissa R
authors: LR
authors: Brunner Huber
authors: b Department of Public Health Sciences , University of North Carolina at Charlotte , Charlotte , North Carolina , USA.
authors: Elizabeth F
authors: EF
authors: Racine
mesh_terms: D000328:Adult; D000354:Africa, Western; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration; D003906:Developing Countries; D005260:Female; D005380:Financing, Government; D005102:Health Expenditures; D057220:Health Literacy; D006282:Health Personnel; D006306:Health Surveys; D006280:Health Workforce; D006801:Humans; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D055815:Young Adult