Eastern Mediterranean Health Journal
Volume 25, Issue 2, 2019, Pages 98-103

Antenatal care among Palestine refugees in Jordan: Factors associated with UNRWA attendance [Soins prénatals chez les réfugiés palestiniens en Jordanie: Facteurs associés à la fréquentation des dispensaires de l’unrwa] (Article) (Open Access)

Tittle V.* , Bennett D.L. , Hajat S. , Shishtawi A. , Zeidan W. , Abuzabaida F. , Ballout G. , Abu-Zayed I. , Hababeh M. , Khader A. , Seita A.
  • a Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan
  • b Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan
  • c London School of Hygiene and Tropical Medicine, London, United Kingdom
  • d Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan
  • e Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan
  • f Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan
  • g Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan
  • h Health Department, Field Office Jordan, UNRWA, Amman, Jordan
  • i Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan
  • j Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan
  • k Health Department, United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), Amman, Jordan

Abstract

Background: Maternal and neonatal mortality is a global issue acknowledged by the Sustainable Development Goals (SDGs). Adequate ante-natal care (ANC) is pivotal to reducing these mortality rates, while understanding why women don’t attend ANC is crucial to addressing the SDGs. Aims: Using routine primary health care data to determine the factors associated with inadequate attendance by Palestine refugees (PR) to ANC seeking facilities provided by the United Nations Relief and Works agency for Palestine Refugees in the Near East (UNRWA), Jordan. Methods: A backwards logistic regression model incorporating non-health system factors and health system factors, was performed using UNRWA data. Results: A younger age of women was associated with inadequate ANC visits (P = 0.0009) in the non-health systems model. For health system factors, pregnancy risk status, having a gynaecologist review and the health centre attended were factors found to be significantly associated with ANC attendance (P < 0.0001). Conclusions: Understanding the health system factors associated with ANC attendance can lead to changes and improvements in UNRWA’s operational policies. © World Health Organization (WHO) 2019.

Author Keywords

maternal health Refugees Jordan Antenatal care Palestine

Index Keywords

controlled study female maternal welfare refugee prenatal care health center pregnancy gynecologist Article Jordan Palestine human adult
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064233439&doi=10.26719%2femhj.18.017&partnerID=40&md5=9a891e885d0a773c775290ac96f7fb97
DOI: 10.26719/emhj.18.017
ISSN: 10203397
Original Language: English