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Your search keyword '"MCCONNELL, MARGARET"' showing total 23 results
Start Over Author "MCCONNELL, MARGARET" Publisher elsevier bv
23 results on '"MCCONNELL, MARGARET"'

8. A Chicken Production Intervention and Additional Nutrition Behavior Change Component Increased Child Growth in Ethiopia: A Cluster-Randomized Trial

Author

Passarelli, Simone, primary, Ambikapathi, Ramya, additional, Gunaratna, Nilupa S, additional, Madzorera, Isabel, additional, Canavan, Chelsey R, additional, Noor, Abdallah R, additional, Worku, Amare, additional, Berhane, Yemane, additional, Abdelmenan, Semira, additional, Sibanda, Simbarashe, additional, Munthali, Bertha, additional, Madzivhandila, Tshilidzi, additional, Sibanda, Lindiwe M, additional, Geremew, Kumlachew, additional, Dessie, Tadelle, additional, Abegaz, Solomon, additional, Assefa, Getnet, additional, Sudfeld, Christopher, additional, McConnell, Margaret, additional, Davison, Kirsten, additional, and Fawzi, Wafaie, additional

Published
2020
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10. Do active patients seek higher quality prenatal care?: A panel data analysis from Nairobi, Kenya

Author

Cohen, Jessica, Golub, Ginger, Kruk, Margaret E., and McConnell, Margaret

Subjects
Epidemiology, Quality of care, Public Health, Environmental and Occupational Health, Antenatal care, Patient Acceptance of Health Care, Kenya, Article, Interviews as Topic, Socioeconomic Factors, Pregnancy, Humans, Female, Active patient, Pregnant Women, Prenatal care, Poverty, Quality of Health Care
Abstract

Despite poverty and limited access to health care, evidence is growing that patients in low-income countries are taking a more active role in their selection of health care providers. Urban areas such as Nairobi, Kenya offer a rich context for studying these “active” patients because of the large number of heterogeneous providers available. We use a unique panel dataset from 2015 in which 402 pregnant women from peri-urban (the “slums” of) Nairobi, Kenya were interviewed three times over the course of their pregnancy and delivery, allowing us to follow women's care decisions and their perceptions of the quality of care they received. We define active antenatal care (ANC) patients as those women who switch ANC providers and explore the prevalence, characteristics and care-seeking behavior of these patients. We analyze whether active ANC patients appear to be seeking out higher quality facilities and whether they are more satisfied with their care. Women in our sample visit over 150 different public and private ANC facilities. Active patients are more educated and more likely to have high risk pregnancies, but have otherwise similar characteristics to non-active patients. We find that active patients are increasingly likely to pay for private care (despite public care being free) and to receive a higher quality of care over the course of their pregnancy. We find that active patients appear more satisfied with their care over the course of pregnancy, as they are increasingly likely to choose to deliver at the facility providing their ANC., Highlights • Active prenatal care patients are prevalent in urban poor Nairobi, Kenya. • Active patients are demographically similar to passive, but somewhat more educated. • Active patients are increasingly likely to pay for private care over time. • Over time, active patients are increasingly likely to view the care they receive as high quality. • Over time, active patients are increasingly satisfied with the care they receive.

Published
2016
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