{"title":"坦桑尼亚的儿童健康结果离不开孕产妇保健吗？工具变量法","authors":"Augustino Tile, Fred Alfred Rwechumgura","doi":"10.1007/s40609-024-00352-8","DOIUrl":null,"url":null,"abstract":"<p>Enhanced mother's health leads to an improved child's health, if timely and proper healthcare is not delivered, the health of mothers and born children is at risk. Tanzania is making great efforts to address maternal and child health to meet the fourth (4) and fifth (5) Millennium Development Goals. Up to date few studies on maternal health have been conducted in Tanzania but they paid less attention to the effects of maternal health care utilization on child health outcomes. As a result, it is not well known how Tanzanian mother's healthcare consumption affects the health of their newborn children. This study aimed to examine factors influencing maternal healthcare care utilization and its impact on child health outcomes in Tanzania. Using Tanzania Demographic Health Survey data of 2022, the study employed a double hurdle model and two-stage least square model to analyze the determinants and extents of maternal healthcare utilization and the effects of maternal healthcare utilization on child health outcomes. The analysis revealed that socioeconomic factors, such as residence, household size, employment, and education, play pivotal roles in shaping both the decision to seek care and the extent of service utilization. Additionally, in the analysis of the effects of maternal health care utilization on influencing child health outcomes in Tanzania, maternal health emerges as a dominant force, with better maternal health strongly linked to higher birth weights, positive association between the number of children and birth weight, as well as the influence of place of residence, suggests that socio-economic circumstances play a crucial role in maternal and child health outcome. These findings emphasize the need for employing comprehensive approaches to improve maternal health care and child health in Tanzania, addressing not only healthcare access and utilization but also broader socio-economic determinants.</p>","PeriodicalId":51927,"journal":{"name":"Global Social Welfare","volume":"15 1","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Is Maternal Health Care Utilization Necessary for Child Health Outcomes in Tanzania? An Instrumental Variable Approach\",\"authors\":\"Augustino Tile, Fred Alfred Rwechumgura\",\"doi\":\"10.1007/s40609-024-00352-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Enhanced mother's health leads to an improved child's health, if timely and proper healthcare is not delivered, the health of mothers and born children is at risk. Tanzania is making great efforts to address maternal and child health to meet the fourth (4) and fifth (5) Millennium Development Goals. Up to date few studies on maternal health have been conducted in Tanzania but they paid less attention to the effects of maternal health care utilization on child health outcomes. As a result, it is not well known how Tanzanian mother's healthcare consumption affects the health of their newborn children. This study aimed to examine factors influencing maternal healthcare care utilization and its impact on child health outcomes in Tanzania. Using Tanzania Demographic Health Survey data of 2022, the study employed a double hurdle model and two-stage least square model to analyze the determinants and extents of maternal healthcare utilization and the effects of maternal healthcare utilization on child health outcomes. The analysis revealed that socioeconomic factors, such as residence, household size, employment, and education, play pivotal roles in shaping both the decision to seek care and the extent of service utilization. Additionally, in the analysis of the effects of maternal health care utilization on influencing child health outcomes in Tanzania, maternal health emerges as a dominant force, with better maternal health strongly linked to higher birth weights, positive association between the number of children and birth weight, as well as the influence of place of residence, suggests that socio-economic circumstances play a crucial role in maternal and child health outcome. These findings emphasize the need for employing comprehensive approaches to improve maternal health care and child health in Tanzania, addressing not only healthcare access and utilization but also broader socio-economic determinants.</p>\",\"PeriodicalId\":51927,\"journal\":{\"name\":\"Global Social Welfare\",\"volume\":\"15 1\",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-09-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Global Social Welfare\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s40609-024-00352-8\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SOCIAL WORK\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global Social Welfare","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40609-024-00352-8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SOCIAL WORK","Score":null,"Total":0}
Is Maternal Health Care Utilization Necessary for Child Health Outcomes in Tanzania? An Instrumental Variable Approach
Enhanced mother's health leads to an improved child's health, if timely and proper healthcare is not delivered, the health of mothers and born children is at risk. Tanzania is making great efforts to address maternal and child health to meet the fourth (4) and fifth (5) Millennium Development Goals. Up to date few studies on maternal health have been conducted in Tanzania but they paid less attention to the effects of maternal health care utilization on child health outcomes. As a result, it is not well known how Tanzanian mother's healthcare consumption affects the health of their newborn children. This study aimed to examine factors influencing maternal healthcare care utilization and its impact on child health outcomes in Tanzania. Using Tanzania Demographic Health Survey data of 2022, the study employed a double hurdle model and two-stage least square model to analyze the determinants and extents of maternal healthcare utilization and the effects of maternal healthcare utilization on child health outcomes. The analysis revealed that socioeconomic factors, such as residence, household size, employment, and education, play pivotal roles in shaping both the decision to seek care and the extent of service utilization. Additionally, in the analysis of the effects of maternal health care utilization on influencing child health outcomes in Tanzania, maternal health emerges as a dominant force, with better maternal health strongly linked to higher birth weights, positive association between the number of children and birth weight, as well as the influence of place of residence, suggests that socio-economic circumstances play a crucial role in maternal and child health outcome. These findings emphasize the need for employing comprehensive approaches to improve maternal health care and child health in Tanzania, addressing not only healthcare access and utilization but also broader socio-economic determinants.
期刊介绍：
This journal brings together research that informs the fields of global social work, social development, and social welfare policy and practice. It serves as an outlet for manuscripts and brief reports of interdisciplinary applied research which advance knowledge about global threats to the well-being of individuals, groups, families and communities. This research spans the full range of problems including global poverty, food and housing insecurity, economic development, environmental safety, social determinants of health, maternal and child health, mental health, addiction, disease and illness, gender and income inequality, human rights and social justice, access to health care and social resources, strengthening care and service delivery, trauma, crises, and responses to natural disasters, war, violence, population movements and trafficking, war and refugees, immigration/migration, human trafficking, orphans and vulnerable children. Research that recognizes the significant link between individuals, families and communities and their external environments, as well as the interrelatedness of race, cultural, context and poverty, will be particularly welcome.
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