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In a bid to improve access and utilization of maternal and child health care services in the region, actors in public, private and civil society arenas at all levels have engaged in familiar circles towards service provisioning. Nevertheless, evidence from several SSA countries shows less utilization of some maternal and child health care services. The demand remains low for some services such as attendance of four antenatal visits as recommended by World Health Organization, delivery skilled birth attendants, postnatal care especially for newborns, child immunization, and use of modern contraceptives. The concern remains whether the less demand is influenced by supply-side or demand-side factors. The personal, socio-cultural, economic, health systems related factors may condition a person’s demand choices regardless of the need for a particular health service. Improved access may not necessarily translate into utilization because of these interrelated determinants of demand. Therefore, policy-makers might need to turn to Sen’s capability approach viewpoint to gaze at how expanding people’s choices-especially poor women might help to improve the demand for maternal and child health services in SSA. Policy interventions may include pro-poor healthcare service provisioning through public financing, improving women’s education, improving women’s access to information, etc. However, a multi-sectoral approach is necessary for addressing all demand determinants at all levels and the interventions should be context-specific. © 2019 Mwije S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Solomon Mwije* Maternal and Child Health Demand Capability approach Sub-Saharan Africa 2019-03-27T17:04:34+05:30 2019-03-27T17:04:36+05:30 2019-03-27T17:04:36+05:30 4 Adobe InDesign CS6 (Windows) uuid:f87ffb36-d73d-4d12-a92c-5b11715a7e1c xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 xmp.id:4425D3018150E911AC4BA04BC5EB2268 proof:pdf xmp.iid:4325D3018150E911AC4BA04BC5EB2268 xmp.did:25700E8721B3E7119FB78DFA0FAB8027 xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 default converted from application/x-indesign to application/pdf Adobe InDesign CS6 (Windows) / 2019-03-27T17:04:34+05:30 Mwije S (2019) The Demand for Maternal and Child Health Care Services in Sub-Saharan Africa: A Review of Latest Available Data forSelected Countries. J Gynecol Women’s Health Res 1(1): dx.doi.org/10.16966/gwhr.109 Solomon Mwije, Department of Development Studies, Faculty of Social Sciences, Uganda Christian University, Uganda,Tel: +1 202 823 6906; E-mail: mwijesolomon@gmail.com http://dx.doi.org/10.16966/gwhr.109 Adobe PDF Library 10.0.1 False endstream endobj 444 0 obj <> endobj xref 0 2006 0000000000 65535 f 0000248217 00000 n 0000248759 00000 n 0000257208 00000 n 0000257700 00000 n 0000257983 00000 n 0000258286 00000 n 0000278312 00000 n 0000278577 00000 n 0000278872 00000 n 0000278930 00000 n 0000279374 00000 n 0000288184 00000 n 0000288243 00000 n 0000288765 00000 n 0000298326 00000 n 0000298385 00000 n 0000298829 00000 n 0000307241 00000 n 0000307300 00000 n 0000307798 00000 n 0000308497 00000 n 0000318546 00000 n 0000318605 00000 n 0000319076 00000 n 0000319686 00000 n 0000327708 00000 n 0000348903 00000 n 0000349161 00000 n 0000349487 00000 n 0000349546 00000 n 0000350121 00000 n 0000350573 00000 n 0000350990 00000 n 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65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f trailer <<13F33F005EBA83449490B03470569244>]>> startxref 116 %%EOF 443 0 obj <>stream application/pdf The Demand for Maternal and Child Health Care Services in Sub-SaharanAfrica: A Review of Latest Available Data for Selected Countries It is evident that maternal and under-five child deaths have gradually reduced in Sub-Saharan Africa (SSA) in the last three decades. In a bid to improve access and utilization of maternal and child health care services in the region, actors in public, private and civil society arenas at all levels have engaged in familiar circles towards service provisioning. Nevertheless, evidence from several SSA countries shows less utilization of some maternal and child health care services. The demand remains low for some services such as attendance of four antenatal visits as recommended by World Health Organization, delivery skilled birth attendants, postnatal care especially for newborns, child immunization, and use of modern contraceptives. The concern remains whether the less demand is influenced by supply-side or demand-side factors. The personal, socio-cultural, economic, health systems related factors may condition a person’s demand choices regardless of the need for a particular health service. Improved access may not necessarily translate into utilization because of these interrelated determinants of demand. Therefore, policy-makers might need to turn to Sen’s capability approach viewpoint to gaze at how expanding people’s choices-especially poor women might help to improve the demand for maternal and child health services in SSA. Policy interventions may include pro-poor healthcare service provisioning through public financing, improving women’s education, improving women’s access to information, etc. However, a multi-sectoral approach is necessary for addressing all demand determinants at all levels and the interventions should be context-specific. © 2019 Mwije S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Solomon Mwije* Maternal and Child Health Demand Capability approach Sub-Saharan Africa 2019-03-27T17:04:34+05:30 2020-08-07T23:28:58+05:30 2020-08-07T23:28:58+05:30 4 Adobe InDesign CS6 (Windows) uuid:6dae98e4-35b7-430b-bc68-ddc57ae2d5a1 xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 xmp.id:4425D3018150E911AC4BA04BC5EB2268 proof:pdf xmp.iid:4325D3018150E911AC4BA04BC5EB2268 xmp.did:25700E8721B3E7119FB78DFA0FAB8027 xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 default converted from application/x-indesign to application/pdf Adobe InDesign CS6 (Windows) / 2019-03-27T17:04:34+05:30 Mwije S (2019) The Demand for Maternal and Child Health Care Services in Sub-Saharan Africa: A Review of Latest Available Data forSelected Countries. 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In a bid to improve access and utilization of maternal and child health care services in the region, actors in public, private and civil society arenas at all levels have engaged in familiar circles towards service provisioning. Nevertheless, evidence from several SSA countries shows less utilization of some maternal and child health care services. The demand remains low for some services such as attendance of four antenatal visits as recommended by World Health Organization, delivery skilled birth attendants, postnatal care especially for newborns, child immunization, and use of modern contraceptives. The concern remains whether the less demand is influenced by supply-side or demand-side factors. The personal, socio-cultural, economic, health systems related factors may condition a person’s demand choices regardless of the need for a particular health service. Improved access may not necessarily translate into utilization because of these interrelated determinants of demand. Therefore, policy-makers might need to turn to Sen’s capability approach viewpoint to gaze at how expanding people’s choices-especially poor women might help to improve the demand for maternal and child health services in SSA. Policy interventions may include pro-poor healthcare service provisioning through public financing, improving women’s education, improving women’s access to information, etc. However, a multi-sectoral approach is necessary for addressing all demand determinants at all levels and the interventions should be context-specific. © 2019 Mwije S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Solomon Mwije* Maternal and Child Health Demand Capability approach Sub-Saharan Africa 2019-03-27T17:04:34+05:30 2020-08-07T23:29:54+05:30 2020-08-07T23:29:54+05:30 4 Adobe InDesign CS6 (Windows) uuid:473f5455-22c5-4f7e-9d25-7ee8960ecdd7 xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 xmp.id:4425D3018150E911AC4BA04BC5EB2268 proof:pdf xmp.iid:4325D3018150E911AC4BA04BC5EB2268 xmp.did:25700E8721B3E7119FB78DFA0FAB8027 xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 default converted from application/x-indesign to application/pdf Adobe InDesign CS6 (Windows) / 2019-03-27T17:04:34+05:30 Mwije S (2019) The Demand for Maternal and Child Health Care Services in Sub-Saharan Africa: A Review of Latest Available Data forSelected Countries. J Gynecol Women’s Health Res 1(1): dx.doi.org/10.16966/gwhr.109 Solomon Mwije, Department of Development Studies, Faculty of Social Sciences, Uganda Christian University, Uganda,Tel: +1 202 823 6906; E-mail: mwijesolomon@gmail.com http://dx.doi.org/10.16966/gwhr.109 Adobe PDF Library 10.0.1 False endstream endobj 444 0 obj <> endobj 2009 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/Shading<>/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 2099 0 obj <> endobj 2100 0 obj <>stream HWko_1`Eσ!À׏fݬ$(dᵬuSܹCrdY{}z{jŇK! 1:k7R/"Ϭ)+ʬʵPd4¸J<5_ztr1 2m-)B k2mJ8kEћh2+cm3*ɬ0Zf啮|t?[71GL54BVFHƯa5:iT gmfy-&{\ OuLaPW?p.UMMսUYYM^I>b߉pZqM7g/l3Lه #<=3rkf~UKʴ; -Hk~Kh:%6O 3BQ8gt5J&B!iҬ,QRΰ@ӻQryfMǯшl3eCQstK2< S//Z޻{V'< #[~,)'~e2`7F: )3ʚDa;(%PJ ׽BBn[̢WÒS ' y)Å>C&e1jFYa+sU=_/GJq)VXde6J ފ+QQ괇5naZ{_~{F w +%U2UKd.v.~oև4SivrrzF/VU  ɱD)'u7v<ɔTx%2d&fR\ Ql^pկSO.~d"DJ] kˍ&;24P. ?i+еuN獸lV"YIufUBF-QP:w1_,RjcIѱy..fO)Y$'&Dy[X 'vl{7ķ&KP-ԑYOO} SDA%lF M鹶7g(G 6 ,PY8|S*梼9ѥ?'SW]d1uECxACw,6z-^!÷{9ECh=t\4GczΪ[ cG=i>J/XSkH\6Lܤ&0$QXZAPRrsB~21tS";RXKm6!oA8۴U }mU-cW h,S!n` f-?_4d:NXae 7dTg$,cIإ8m yh ]z $hEa w(}Eox2 O0s1;)Jŷ-'|&WneC` qߙiW~sB0E(h`Mqu:3& s;>*~`o..<#S82)~+R^MY=<7뻆S抜wH,(.ۄm9u(F_ʨa[TWB=*MUiNER\t ]i#E$6qGV㝼ZV/6c>V(`E=HEXz|!ּC,o SHiGx46gD6Hy>nI;db-H:g˅9|m\]6 Nh3wQ&kҶ]z]uIқ2m5KC酶&MI4.І )G-]Do __%@#M&DۇN6['¿xǟMޟ">sj׮'W!㹧_Rه3_gJ7_F돱|fQ{(V뇺`df6 ^`(4#9qTdEle4i)|EV1O`&؜픰X[? 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XHgI( rj'ZQ(8BEX$):uc@*JrQxY5-HO3#Vwܤ[;ExfI"u􈐛`еeqR}lݪ N*+" Gqtbf~sJvTp$8z.\GSȲ=`W~ѷS(?/-0"_ WV.J?kH-Vŗ_^\_5#ekq{4FawcGckO6[q5>|q3MScJZ-R}y,_XܴWkP$=2ދv%K^eő k4T͞b^oFUM8%bSEswF@ytKKajg˹ TlBu}b+'ytW:lvhexUs'kꄵR՝I $zb랖 dÔUPU:L<\Q X4D)Vite,(rm0֢v!=st0S83kvqșIK%L(W5>.3*zS'dC) LREռZO%֓&{B% eA&4/YcaRSU%&4yfJg.A]s"M%yՆf0խ5(չQhHgܲB/ KzlL%RXx2h "Y&X2cBX%a.㪓~t4KŌBZ=`SkVAHNϣlΛ q `ڞf j¯T Q#Q j"`YM^ eFSe?;)C/?q洡.I4>  D#{tۢU,sB9o;| WilN3OShz2ٽT&^kgVuuɻxN>Q2~qHΝ(l$A,23"x0rɊzQ&֮)HYj9fb5I< 1跆- Z_yfl=Mdg%ŽIk^+nTVALO@⧌I: Ixeo5+4#Wjnmb.cy4&E岬Dd}*rdo:u#.$CD!] ^u mdJr56iB[ć) Ӷ:MH2b s>W=|#j]@$[(|u۷c\gUكPNS m6A/9>d 1u7 ŁUd̽Df=+q]ui"8%|YS 3trm"@K._{>_bOYҘ_0Fê" ZD̜UEo2i4XgZ:25%1Bzݥjc럿ː endstream endobj 443 0 obj <>stream application/pdf The Demand for Maternal and Child Health Care Services in Sub-SaharanAfrica: A Review of Latest Available Data for Selected Countries It is evident that maternal and under-five child deaths have gradually reduced in Sub-Saharan Africa (SSA) in the last three decades. In a bid to improve access and utilization of maternal and child health care services in the region, actors in public, private and civil society arenas at all levels have engaged in familiar circles towards service provisioning. Nevertheless, evidence from several SSA countries shows less utilization of some maternal and child health care services. The demand remains low for some services such as attendance of four antenatal visits as recommended by World Health Organization, delivery skilled birth attendants, postnatal care especially for newborns, child immunization, and use of modern contraceptives. The concern remains whether the less demand is influenced by supply-side or demand-side factors. The personal, socio-cultural, economic, health systems related factors may condition a person’s demand choices regardless of the need for a particular health service. Improved access may not necessarily translate into utilization because of these interrelated determinants of demand. Therefore, policy-makers might need to turn to Sen’s capability approach viewpoint to gaze at how expanding people’s choices-especially poor women might help to improve the demand for maternal and child health services in SSA. Policy interventions may include pro-poor healthcare service provisioning through public financing, improving women’s education, improving women’s access to information, etc. However, a multi-sectoral approach is necessary for addressing all demand determinants at all levels and the interventions should be context-specific. © 2019 Mwije S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Solomon Mwije* Maternal and Child Health Demand Capability approach Sub-Saharan Africa 2019-03-27T17:04:34+05:30 2020-08-07T23:30:14+05:30 2020-08-07T23:30:14+05:30 4 Adobe InDesign CS6 (Windows) uuid:0e6a8aba-9253-4cd7-ad7f-75afb139bee1 xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 xmp.id:4425D3018150E911AC4BA04BC5EB2268 proof:pdf xmp.iid:4325D3018150E911AC4BA04BC5EB2268 xmp.did:25700E8721B3E7119FB78DFA0FAB8027 xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 default converted from application/x-indesign to application/pdf Adobe InDesign CS6 (Windows) / 2019-03-27T17:04:34+05:30 Mwije S (2019) The Demand for Maternal and Child Health Care Services in Sub-Saharan Africa: A Review of Latest Available Data forSelected Countries. J Gynecol Women’s Health Res 1(1): dx.doi.org/10.16966/gwhr.109 Solomon Mwije, Department of Development Studies, Faculty of Social Sciences, Uganda Christian University, Uganda,Tel: +1 202 823 6906; E-mail: mwijesolomon@gmail.com http://dx.doi.org/10.16966/gwhr.109 Adobe PDF Library 10.0.1 False endstream endobj 444 0 obj <> endobj 2009 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/Shading<>/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 2108 0 obj <> endobj 2109 0 obj [2111 0 R] endobj 2110 0 obj <>stream H\j0 ~ Cq^C`t䰭48(!o_ L`-}n^ m1A1NafIKpަ˷MTZv AU蛈Sv/.tWvvc)Au {ntݧ ̟ke068ȆTU!UC&U+$Oߨ?}\]23%OAF5Avo endstream endobj 2111 0 obj <> endobj 2112 0 obj <> endobj 2113 0 obj <> endobj 2114 0 obj <>stream Hj`@`? endstream endobj 2115 0 obj <>stream HW{lS{IS^sJB ,K <;Y ̀B`e5h{Ciбѕ1V?"&-V-s~q}PnZosHlvPunӕm 7cӖ6 (jxZ=_ y$WPx y@͊-OĢ]V>C׷F{ g⽏WG>p.hr(pX_VS3ͧvϨp@-jT?^Pd\p˸FӶK_z+#:3VH.O=;-:c JB2c zUDnB*FVBztmOؙ<@f"ʾ)8Js0踜8;*cs892'$T^?~D)DԘK?Og{gnt% qp*u5 "-_Ƙ!_ yWhyk̲$gDowCO3~K躼 _qKq#a(}Nu> _޵qcum-kVZMB@/|a%,^T5b;zU,smVڙTXCDXcc,JDt:Q mfdK?YvO1KťנB1dzZh1H>daKy-> <CeΕ ;P$HRWV _@bI|M)sj)sBRrv5-F(x’C@Xf3驊+i:#]+ZZ(|. {>()y x9`ͭc(u1= (y6L4ؼO D1ű2>'r i~PڏN0N\͕BӟӌGG*ɞ;eSK'u"xFI uk7?H?k(5fQW^^M"tуmtɺ>Y/^ P24X1b5",_(itu#.ZݺpfF<,\|4G(hnSsbvC7T"Bo!%h}n(nh&!yB @drDŽX."r2ǹgjHh'$8)5`6TE-C1ҼRI.ktY1DeXsK!]%퓐_b"s@ l(w*r`uSN'-)l@Ѥm%% lݍ5Dt3Hbͨq\[}=b4+ԧr%WuC.{ݸ*j RN&1~ɪ"R+w/~HBXZ9NA,+ǩYL/9&%Ĵ݆.ўD2/S+TjUVRT[!gz^_': N CPqĞ0ڧhAp+RDH=ɴwa-tu<~w-W?y`!|ަXm. 4<@ G,GrQoҿpȖQ͘V*,a IBw@<(7&&H" )#U,S-R7|iKwgҼ|7)y╴zᰙDY (#߄Rf:j9@ ӫ"LKvd'5wzİ%9g# 1]̼yәlg§/0pr*וWV8NI'z9cOA!֠ݮݤWXXuTZ1˔K 7NT%/3")TZg?=rjpҪawnq}|xiU|~R)W4n/YE-^P.Zc[ZzLU+1vru挢Rͪr:w9 Y_ DRChU0`H|Qf&qLmi4cHL:)icdxϽw;A79ߞ{v9=?rBKV'LqU-ewaMOHg\猌 Y 齣5}-\.ȏڙ4+:&5;`#"TE9yeMrHs"uD@Ԓ7ftR&)<~)/)P>kW|qS\URkKiYYì)SB{<*W˓&X;8#"gfLf9WiGj#` 3$aぎc33fUۂl앛+OvozC6RFB]·\QQcCk=G=pD&,k}G% wFcU#.I{_=цށݶ @AR=mdsprHtѢկJ*tn:"t+ᷨ[QjP uяGLP',b.,aAi/7xORNc̝l`!U#M/Z]@]v)&%2b}-"AP&e^-bm.H5w([F/LT"uAǩl;)]1Ō0wb@ Z._|̟4n.*6DdP+ޟU _]#M x)EI5Y?a~4a;l]>MJPBkIψzr(-U ԁR0/][1 PX6@:]Ȉ6#yqvyְDA;&}WϚ`V aqсN8:;[VlEj [R?|'vr`q&*ZQ4j"#>Ƽ4_L3QJ~Rl9473WSirgǿh\c3h[l;h=+-#^ \;k)S#8X1]I OFliNp珂F3)`712a% M>k)`m`dܡ|MYϯ҃nzfRM0?n%8L>;g5xS[d"S*&J-d}ƌ2ܭnu7h[X[У* =vw)yW>x-It!hT{5 دq,go>'S K׻ApXz#uFE 5"i_/12ziT25aijQ: k62$z:S{H,3y>igL|wҾx U,,?X,ސߺA\8c>uxq/gb]PG۴;ÅТZ*UfG{+2|C8F &FZ!Y3[g/XkgRoy`U+w|Dj { h֋xlĸ^_IQ.nf%K::Ɖj7y还}Յ{E >/Jp WOUM35Nz"u#UбK@?MCCL Jh;rAqw[4CC稿Vu.E]}h@3E#ͷ`mW$Ȏ;&Em<_G ЂJqio^B"9E+ai"/y)oЄs>ޯE?I{'-O޹Z6ibi9p!^8u`x6Y R~IUh m} 3jg6?j'agg T|*+w*Eg`% ?vߏ@i+qEuÀ EM!R0@$"XR %c$ JQ[3,DF-eT!N~Gđݽu/gvid|N@磽W4YlIΖ?Hl7, a:B Sa!lJZK ɞww#C~>TOkHq *ڧp&(Ok15 61}eმU{>hq};pjIcLNن _c)C}q=+rA${ ʽA.x_6jo'7|p3f35Eιo` ITB-<һ-(ځIqqS_0r&tsnE3v qhquJV.;[V[`%OՑנF?yo 93㉽c%2GNHg-~ޖ\rSy+ėfKK5FkvMSœONK}P&Ӝvv[+7V:S8mf=ȀryQucsy2KY1Z4yUCO("՛!jh>AzgQ7椿!7SUL)I(j]Kd<=^dӶE,IQ [ C~ 8@R?Cr[dG11uO=E3$7z.h1&6קX1ۻ+;73Zo3 2N!yymcX6>t`;2}77mlpJW?%^""1kkڞ^eGXy|W UqF:Rqкd Ks:uҌ1?C5{\mC׾h[0~u yYkKW@`7͓>NYoW} X|@3tp]8@v׽ئO?(, CLəZ{\hlv<8J9CQsfk{('Fz.0o G$_hxvOȷ]7?pgMB>5RC:OqCOy[:?ϛ*e](Ei4VK˝~ڠWk ۍ>}Vs_Ozo.G#;a,bgBB~wg-5fcC=ZB{>HOw9{>D̾ <Ӡ )viOy? 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In a bid to improve access and utilization of maternal and child health care services in the region, actors in public, private and civil society arenas at all levels have engaged in familiar circles towards service provisioning. Nevertheless, evidence from several SSA countries shows less utilization of some maternal and child health care services. The demand remains low for some services such as attendance of four antenatal visits as recommended by World Health Organization, delivery skilled birth attendants, postnatal care especially for newborns, child immunization, and use of modern contraceptives. The concern remains whether the less demand is influenced by supply-side or demand-side factors. The personal, socio-cultural, economic, health systems related factors may condition a person’s demand choices regardless of the need for a particular health service. Improved access may not necessarily translate into utilization because of these interrelated determinants of demand. Therefore, policy-makers might need to turn to Sen’s capability approach viewpoint to gaze at how expanding people’s choices-especially poor women might help to improve the demand for maternal and child health services in SSA. Policy interventions may include pro-poor healthcare service provisioning through public financing, improving women’s education, improving women’s access to information, etc. However, a multi-sectoral approach is necessary for addressing all demand determinants at all levels and the interventions should be context-specific. © 2019 Mwije S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Solomon Mwije* Maternal and Child Health Demand Capability approach Sub-Saharan Africa 2019-03-27T17:04:34+05:30 2020-08-07T23:30:46+05:30 2020-08-07T23:30:46+05:30 4 Adobe InDesign CS6 (Windows) uuid:42fa6498-91fd-42d2-ae09-a31f4006c49b xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 xmp.id:4425D3018150E911AC4BA04BC5EB2268 proof:pdf xmp.iid:4325D3018150E911AC4BA04BC5EB2268 xmp.did:25700E8721B3E7119FB78DFA0FAB8027 xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 default converted from application/x-indesign to application/pdf Adobe InDesign CS6 (Windows) / 2019-03-27T17:04:34+05:30 Mwije S (2019) The Demand for Maternal and Child Health Care Services in Sub-Saharan Africa: A Review of Latest Available Data forSelected Countries. J Gynecol Women’s Health Res 1(1): dx.doi.org/10.16966/gwhr.109 Solomon Mwije, Department of Development Studies, Faculty of Social Sciences, Uganda Christian University, Uganda,Tel: +1 202 823 6906; E-mail: mwijesolomon@gmail.com http://dx.doi.org/10.16966/gwhr.109 Adobe PDF Library 10.0.1 False endstream endobj 444 0 obj <> endobj 2009 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/Shading<>/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 2108 0 obj <> endobj 2111 0 obj <> endobj 2113 0 obj <> endobj 2118 0 obj <> endobj 2119 0 obj [2121 0 R] endobj 2120 0 obj <>stream H\Mj0:,EcM Pu{YZ;B cIskt08KGm1eR$$9ԚA9vg+ڌ=nq'42*P8C/½ G١Ua=osuycZFZ0#2l*F럒4]rβ\mt#YK> endobj 2122 0 obj <> endobj 2123 0 obj <> endobj 2124 0 obj <>stream Hj`'P@rBa endstream endobj 2125 0 obj <>stream HW{lS{J'MQ`0X2J^lׁ'!fB`5cuQ1X eMb4TnҤR7Ҫ&wε|_=wc 'aږMb.ܡWol:wsGlˁY3X0%_Mla_;{'@ꭏcx*tB-=^oP{8FcB4/y˕;{=_pnh(pX_VPşvOp@ͷjTm^NSE6AjT:SB Ygѩ"1L4N8cxE;^iW3ڃ+ԙI)e&sOkԵ3DόK aGt|ߢmdzx >'`hqbNIIh/m\+8d-T5"ٺtR Lج߮j%23#I;3uҌbAD7Gi<1#`'W^l''UDBM~ߥ7{tUK$))Om_~H8#dN|?w')^cB,WpVv#Wa)Kw'B?? uVL;[tdf*9_V&z~? ] 7I?>0wT؈U6>a}[XԸ5kX]_6 <lgVXಥ J} .gnnά4j:Gf1"b(׉j4ӧZȲke [*nezSJ[A|DklK".\a^;(^ҙdܲR$s$:IYoR_HA^%kp76HAۂ.c[D8'K/'huk1rJhDb,yKY(Kkh@VAɳMebs!)YeHzE.RMu{#P^jTh.g5f=ʼUh]R<}t^?XgBfZ eN.*'X&E嬗Ӏ]`K!]2n(OƋC"/=E,d "nrP%< 5N]gnx<E]bn]+G^4iYc1sϡGnҍTMPtR7f4JBHS|:҄kx=RdrcR,7955Z$@w&%8%5`&ڝTE-2C.|RI.:Y 4bnֲ -͐ά)/7Yi ֖xmxn>ВY& tzh6}%jjcLw뵉X*ߞHp{;Ũ\}=bB4( 5e$r)Pn{8*j0ZI#1ɪ"R3 /~HBxJYNA<;˩YL. 9&wSi ={#݉hD\IS WYURQmyZm?5z|Hoovp`Ey?"[ ^dcsK?_VQJ]P%dكUZ9VeT'mQU:gV~fUgj n:CwC,˖,[,ٖlYm@acLsJ4Lch)&m@q  eʏt2ӄi0mGIͤiB0߽=:\fWќf5uA4,f[w3sЊH:VMVRBE*ÂQh:EZOOz娹Qn6ZIBKoP~ q "o~^ޯwi'|8"]cp };K_gCA]E}b@%anenѤ-/ AA \Xދ*pQI k{:Ϻmbvdͼ[^o&Q[MƋj0j(̲:D7./"wMvJ_o7B:|랝y0QiܡdsP-]֕|{Vqh,덕Ucx xco.=C%4E7锼8|!-KomiWW5܎kl%Ah5~* >Yx r&Xȴ2-L348)E6X&%ptrC|I*KMIzt퀫,U"م*;NdWIes6lI2ՍP"7Mrɱ(` Éj2G /3j_uҜqݶ`d@VB'&R%";}~|{+Uwe誀L2@_"{ΩHGf=i> `Ӄ&;p>CV6Zq 9@-Zq0(&1 AaN}'G]`<0@g$^TΌa' PmeGGDx2̀(uO rrv}L \/QDF?Cay}I`^]e}w7 Rh@C3)B dXrNi44m-PөB[;JE@PZdGH`d|ygw=g-dydzv(%z=#sK>W6E۹&%ε`18Z ׁF7DdlЧ'5RԾgq ׶`d_~8Y ܃opI nxia7J10 'jWAISU^UffYT&Y!ng)1 2bOpw̆2Uߖ'@BIvVho=*1Q_\w_{0;!^]INh-t}תnsNV9 ,qMcm":WGsjlcs[2)g{0wE60w3JG[;wqw $Eddu޾*p>}NG{IܜoF}`)a(E;"]*&K*<*#lLzй&s0#29.-6uTg^!dֳ{^5D\sQk*i%r4n4UݤzF˰ت9Ot&\i1dW,'_;U St ƻIndX[O1kCfvcps» 5n+KvBV15D+{!c4- /mBxQl14נ5Ie|=EFdoD&-T4kkk[%v-mԉ^#Zꇞ(iV*_ʬ8YcŲeډz|y/SN ֣\U'Wkju /ZW2Tkؚ0WZbO҉1\2hu1޷e KeAsYd溫d[} v>^;ߍX];NHgUDG[E_oLw|{+gScދ 9ºεטsnBYMhCjazGZx|TiOm2a&Lm)^9~pq@^yB},jLD; SHHd8Ge *ת"IqnJG5JzTrSftP)Le0P~i2-F[e%[za'NZyˤ?hs A&%fJRS-L +{OUR f3YGD +pRK'rbaR觰w˒:~EB?'Qql.TC7}9 Wx#$>4ݖM"-8GBSܤ A>Θ%_(r\7'v&u~wb{>l09&>27|< x&3[3&߁}Dcw٤};M6Wa~'&8#<}wrX7sМm{ڛdkPn֊CV7I΋d+5:7Дw'?z6 /?o(\d?#cM0K_:)'8,Mj.ϸkwqYQj>6=4$'GEtX4g2ɝl!5ź?w%A39v<Ӟ<2J<&\R]mϨ{L j+d7#T>uH;A[jw# ~WV~vkEQY_'O]aE_|V_6MiEc9Em2ovlH>ViӰYqSuu2q)Hv;qNN]^L^L oc6D;Ev^=w1ml<:%ts9(M.؀.]95ga3zNs?[-E*.ƯkEWKQ9>:M1:so*]6Ut|S ,׼>XH驥3GD>ܣq go2J-d:!#IKH>, ! h\}+}pRWa! g]/1hE{W3_-{eOOվ̱, x\֝NA_n1ǹ(M34G sQހ |~hۇu7dS!SLc L4KYV+G\_%xS`ƏFߗMn3&<ƼB|ZuR8"QRMS} Չ)GEocemEDg|Zf>y`;Ds?حX6+~ms/ϒGYY=`^7rI#v-. &3%Ƴ)j0&>$Y؀vfy\Ş z0 ]%Ґ5 ;H.\ż3/BoxOe25xP뜷=,b <;Q!ܵV6zJtĖD,V*'zc9+KŭM  lPV/j)ً.}.Q]/~TCe!w<Nо7k^a/x]<+`z62륥9J ;}] c>orm_͛(kvPInRkB`~*К7̢q'ʖ>_oؕv<|@;kdžgqo;d#2Ζ9ȩ3"ŽUvj۬1l1)J4C&W>y(^rg;_GY{7aSkݻL#.rGKl)D^gV]N2/yw3LI՛ғdoD⿗^%gw? a=1e1jCżg*8N0BB,AZ.tǶ=B|mDJ|Q}3?ʛ;1LD+w,1u*0XM| s;C 8˥el 3]dX̗-RũA<J<8C3= A]9HYyڙlƱ?,G:Mdm:3ul)o\Hǭfoۚ&n<(o6DYun+6~w4R{YJ}5{PҏRq{_*Ƒu,n![)֮zL=vx@~UkcBnEQ!k;e;.C`#''@4g;U_nvse] [*F1p1θ42N>Χɏ= :A-$Ҍ0ȓ=%G`- QƬW=, Qz~A;p}%Qew~O=kSv>V+] G[2e؏5`>Ӊ3_'V?eb>cv$s蹉aZ"-sO<&7.`ĜuB{7[w$P,t&J5G V8H x,w!U~v3B yS跑*jM!]z +Vz U#kcb+R{ R^g &` KhUl v*(u-231Te&a\ԥ3=Qt/'~(/š `q0JwN!(Yb. cҙ4}uuTJ?C9`Kq?] ޮG~Q_wѿMƜqy c,9HUX*|zX_V 1J0f텯8vgn4M|@IN61xe*gcJ8s:e`ns>9 ж437a {xT?@,J{8s?|:gu18 pf[@%w(}Y0-Ԅ}g4k"@ZϋV@^ QHb#܅?=ϴmr},?Z2.yB4+1z6ږYxwc`9k (Jgp^7&Ƣ&4"Qra}X4 :k>MgگRz ܍H;"uS;cyF_mihRX ˜vTm 2c Z;^mcJcJ?4q&>H# >i#1`1? 6?s9e8]U/vP5gj 6.kt駨ʚ l[G|﹌n9sg`Ne.Gʲ/PJ֏Q_ 勵{k;:y=csK9C C,z>9C!r7qD=qDߴgAwX,,He]V?|}ާk OgЩnf uc@}]$,. >9:W'8`Ot) .=s^x^XIMF`E  y "+`j1 ͰmDqr9mDy<5DuХQ/}޾g;(M`'xL@]$h\ȵZ#.hgvqŬ¢1&m0?F_:A2( p[kW8Vlxnް/x[sA?.%B9m3*f"JVYүU_-ݴtgKICRl!):()KNR<()VKJv)VJ"$ERhY&)VH\ R,A RIQ+W)X*)KH*)*X(R,Br)ʤ(~)J/<)JQ,)fK1KRI1CRLPRH1EWRL)&J )&H1^qRO:.8ݺ+ ֵ[;FFQWݰcwwwwww{8s=\((((((((((0QHFg1B!`FdX Ffe021222031^ Obx?Ow7Wg'G{;[k+K s3Sc#C}=]m-M u5Ue%Ey9Yi)I q1Qa!A~>^n.Nv6Vf&Fz:Zfa2V3V1V2V0܌e%ŌEy9ٌYi)ɌI q1ьQ0fأ8(=cأ8(=cأ8(=cأ8(=cأ8('8(?8(?8(?8(?8(?8(?8(?8(?cأ8(N;ӎⴣ8(N;ӎⴣ8(N;ڴYGa̬! 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In a bid to improve access and utilization of maternal and child health care services in the region, actors in public, private and civil society arenas at all levels have engaged in familiar circles towards service provisioning. Nevertheless, evidence from several SSA countries shows less utilization of some maternal and child health care services. The demand remains low for some services such as attendance of four antenatal visits as recommended by World Health Organization, delivery skilled birth attendants, postnatal care especially for newborns, child immunization, and use of modern contraceptives. The concern remains whether the less demand is influenced by supply-side or demand-side factors. The personal, socio-cultural, economic, health systems related factors may condition a person’s demand choices regardless of the need for a particular health service. Improved access may not necessarily translate into utilization because of these interrelated determinants of demand. Therefore, policy-makers might need to turn to Sen’s capability approach viewpoint to gaze at how expanding people’s choices-especially poor women might help to improve the demand for maternal and child health services in SSA. Policy interventions may include pro-poor healthcare service provisioning through public financing, improving women’s education, improving women’s access to information, etc. However, a multi-sectoral approach is necessary for addressing all demand determinants at all levels and the interventions should be context-specific. © 2019 Mwije S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Solomon Mwije* Maternal and Child Health Demand Capability approach Sub-Saharan Africa 2019-03-27T17:04:34+05:30 2020-10-13T09:58:44+05:30 2020-10-13T09:58:44+05:30 4 Adobe InDesign CS6 (Windows) uuid:79f3b948-afc6-4676-b1c8-45a343f995fa xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 xmp.id:4425D3018150E911AC4BA04BC5EB2268 proof:pdf xmp.iid:4325D3018150E911AC4BA04BC5EB2268 xmp.did:25700E8721B3E7119FB78DFA0FAB8027 xmp.did:FE00469DB0C7E411AEB789ACBE3823B3 default converted from application/x-indesign to application/pdf Adobe InDesign CS6 (Windows) / 2019-03-27T17:04:34+05:30 Mwije S (2019) The Demand for Maternal and Child Health Care Services in Sub-Saharan Africa: A Review of Latest Available Data forSelected Countries. J Gynecol Women’s Health Res 1(1): dx.doi.org/10.16966/gwhr.109 Solomon Mwije, Department of Development Studies, Faculty of Social Sciences, Uganda Christian University, Uganda,Tel: +1 202 823 6906; E-mail: mwijesolomon@gmail.com http://dx.doi.org/10.16966/gwhr.109 Adobe PDF Library 10.0.1 False endstream endobj 444 0 obj <> endobj 2009 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/Shading<>/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 595.276 841.89]/Type/Page>> endobj 2047 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/StructParents 4/Subtype/Form>>stream HMO1s=ęJQ K(" 8U¦VBT PUJfgBubAOz8tv2.{;6T.{0lz1^ 1"x+=%7!7Rt:Ni7Zբ&#CAjڰHv$]p8\UFkǾ͸]y9(xHd9QMN4 endstream endobj 2085 0 obj <>/ExtGState<>>>/Subtype/Form>>stream HlA };(R:lsF/$^!U]ע((V;~?s})Ͻ!9v??~h!w|O3˥{%3ў9;vQ+b6O-sD6:|?>pҎ{MɽX\1. ],UDBfx&e|b2}j|Ȩ@#|f8)O^PHB՜LBtF8<Ӫy:Ap@zgfx3r8X}(|=WL* sj=Zu/P&ڈ1;# Cs4[- ߜ[EX^\ܛnj(Zw mcO]DFmcrϭ0R-{l]GeSy.}AU y%iZ:/PfڛDkbFCG1!h` }pc~A,"+ ۏÖYN\ '5<1-.ܴI=rԊV)y=[Ζw#p "a[Zxy `i߫S[!k^z,Mbʗd&'LN*u4(7nOV[k3kv+e}A~`˄7`bL>nԃeܛSo7p|N&'uOʵ7e$(<{8oh_7@CcqñGG|9Uh-w5\+~y %N|.Zc\j@ řZ:y͎0^AX\D#/r` vՌcG/UvQOpc+c"ޓ>S߶`,?4]e&!tWatĺ* n[ +CT8Ş&xyY.5K$#cpZ;b@Oy<5s^ N3%Zu]+m|+b= LDXV'U^Y Sz">pUg6:Vnw7(fS SϷ}.X4yA[ xUb(L |03n8"Q3/Wv>x}P|Jp{}:'c䑏Z =OB9pn}@\ˈgj|c[9۩`}e\z5gl={t)p6ن:i@6  9̙ـ#km='{:.\%kw5KN1`䭴φ@lpQCE18 #?bI$!*) 辍pPkLH^h4I)ůJ+C%58.A ~rd 5 ^{,#ehuyn!x}% y}~0HXP;?(8FB Z/3>߹èd2'.Yz4Pn3Mx!Nµ̗vg%8ײa/*d*+qJ9i0ޯQ"AP '`\s}CEl]l)sa<"\iĠp+ }mS|`oKп|K"f͚ށ՜c2OOŢ}E43]LH VXx)}7(+j3dBWƻ6€QZ 4tlhEúwPϧ(\a{Fid rbƠó]XjL[M^ϟQM\ ݓk~ߵQIV6Tܨr3d#F} rp[ 5/ jv$EaIb"tVn@]P70ܣ]6aR0b"\!xH_[&6}lI5fhc@B,F‹M'Ou};Xz86%${=FEvsgX%Q>;wx"ݖڵԵ}DV:0Aʃ창/2xӟ "{kjd\4`O^PS};I{ ҈B\p :Z 3?58u'?|LÀ_=]ub|3Od8 n0$րi\v Hma"o\\lֹQRr=lZLj ^rxl omY{_^fG$v{#FhmF):)C $*x+?Юkwˮ.2>{6Dr?@b5VbMze{Z|Vٟ1`V͔: pË%Sv 4֗u..Rס_Љه1؟f`ݘ//=?xcaL@UƺR1&VE;I3xwrR$G<ͺ ꆌ<0l:g4ԆCSSeYR^KF3ݕ`1ڹYT'0 :֪A`;~g[!C7ؖu'"{cpe%?U7s^}DJyf #c'l>Ģ Ϊ(Ie_snƻ Mӎ&no.5q_$mi~O 9Tӵ w" U@SK38N6&€k4w-.9=O/0 -.B@zlä.%', &a-qU&q 60aE@(Ljrµũ y}d BhQ H{S{xPT)̎FWT-U0]C;$zη"|[=oOD3 smv|MvvgCE۵/)X]l!Drpqno;1l%~'l#ޟ䌸­wsemB1>0DCٜ*6XT @a';:XnY [}#:>D`Xam*TASh?s(w.t=H~%'=9F4Wda̞dyP3y nnWT 8lV(9[add+$.25A%;ޘv.]>p>kw}^+yuC.҉FmS֤=p<`7CxAE{]JENy\h`#ׅ/1]p>!!ApӛOxV{?hBO acZ\jC%E._wء[Ͳ &o6pacGyGzy&̠cB<ְ=\#ǽ+,;VG+_yϑ 7hh6A1,9'T!$H*vvId<(Z({V2XZ\ / 5&ŽeN]19w+-Nh: Y YncYa<8!, yS/_dʿ<%͌IUќ|QI@<3e.Z,{Y/"aqo[~%IK/aq@ult B%eWn$z-3i,=nӄ5p^T\S\ϸ| f%?NHmz-qܢݝoTZ'b&hz3(Ψ8S.;{UN1|3Kl~mzo}ϸEgoC4<&UnlV/d![5obN'X?<5pLu1b}Z+ӳ-5yڪsykU=D?y/?$Ul,]MH-g2j$ 1:KKC/yBkg1rsioeU܄ߵɀHTCM1Ib9Z5M"@=N7e_Fem㸁 E2qЊ*T|DI~I4h%Ǽ& 7dZOp#Zddu NcN(oQGX'ظ1|`+w֏Dh; grC8R,U?O |s[v`&X0ڃsɐ&Zx!ӯ甛0(7XѹWQkLA7\}[Bc8@sKo2^k#`JnsKW}%/IC/*4T3C1xDkmfo+A5XVǜj!K/B3ehi`*fU 7xTWn|~5.6St֙TZ0R>S"MLo~/~1{ҊWTڙ uRUH\NYJ{EfleQԺÄ}뭮 ;磖xЙ~0i-kC';y-3%M@&ҟкjp HJ}|8 e[*Rh[}.zLj2/>^Q;7ϩ1]&2n9,&2V㬦.8z} y86}1DuU+o#!0 "[s V(feMmQ~g8J!*F2Y/JM$i:h1\wvϻC>7Ƚb$W'6_ᬉ2< pL./{2k._W3mbMf's䒵,ҰBx/rGxԖӜFSdM62"[Av//sQ +$3_]K'Is͑CJ4@;Frst/b:+[8nS||LmRAeqd5Vj=Qrhio g  G.XKo׼l?ЬǪ;(cY.&sg( J"fs* 6֪f1' Ğ* |8:}CM1#,?P7raj7*nLg.qvqbXfXUJ;4)8U\b80n5K.!բuJP瘙SVVQi#Vt$F *]Է\m^41/uYÈ/45^Rrq?hte)nsM'C^=Y ^yi[`wmKb-Ahx2A6+1i!:Tb2Uib1+M$:sq țq;g[=h&$!9<<[ 9 zyRFnfBnR 6 ~j9rSv6% ŷet6n c3Ͱ0ɘ;hDGnwCD̷u#3r̕>E #DZ%b $/;UYwiQK-J䃲E4z~kbِEM{^L>6mRYBd4 Ji?>!=im,qӃ֒9]C]]@&h`]#tJf\tRr$]&dҙZn=lHm;ImdB8tvտE@^ !@=P@gu^ q;/uDج]wEt`gƼSЇkàud `d:6TH کH5#orƝ[ \l-4wr`<н-e뚶TiGW`qV-ǡ8}qa;cW[VͤsV4Ҩ,&B#X;Jtp< 4bbڭܛ9q3{X0pvYf|ņe{*-iBY0/b9 wnTVTk,m8=!z7f/_We)-Jvp\;^<S-h-"gIũi[YTHtoҸeolN FS))޿smLb14ns#~%7;^X Ҧ)a@r̍OyUn%"t_X]m:`]g_1s\Y3;)͛;ގ!dȂ3 D!=Oo;h& m`gYĠ8P4 eyBk9kwcEc3nqYH,Rnգ\J俿ucoG; @شz|ê`ZK<) ߨ<r \kyߋj/TNe޲C[U[+m:{GUws('ZOj{w=ZRّxWN[zk5c^gє5ȕ'Oigf#tl2k398;Ҵ{y3fp(z2'9vӹ6_4jKnQhҖGҤ(Fq<8dQ e*ly4MRսu҇ݝ;EHQu/)B.@K<\K:M6X=,X RN[iъڹѢ߿er%I{I <*O_%@k?70#_  McpsU",.O~(홯qiT;Ya"wUӕ2N]pD\{ADge:oh7}dS/h3Y'`3^w 90MnV ^/F`)*e'tL!LWxtz$VG#T)1bڱ_e8aeıVG8V-e|j&_o-E}DPbeBŧKu*P ˄+O!p;J&oy 0I 3X /px., RC-MDb-is 8M>" Nl= u5X1[[&DK&D+{q.m%U#{ovFqe)')$\"\Dۜ?FOٚKy0Q^3бC[h "SQ"9{>dV7 "U!2'*R夽f:^j=$R+$LW`=<1uEyL3V55׭xiw>$U17aneE)EzA~GTѳCj{AtO^EUd>JF}DN<0X3D h?W.·5Hl]{\gA1iXs} )/nSMZgBQL!,U޴-oRQRcFo̲gj$Ȑ#LEd@PJ'4Hpg4h1`IMJl*s^ȔpG8a"4l˜@?Y'߈Ĉ#GFI2 5#`$ʨvҙw*=,}Ţ#Ed`}`ܑŝ 0OYw΍ydhĦIZ~G 9nB49ΕL@R9iBO9VuA;F-I*>Z,kUe~˂-PFU F1xVppgww.Rh&>K/qW:F -`&lc n#zB.9=;ʔiteDc!kQ>=Ccb#/iVƘ! 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