{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:09:29Z","timestamp":1790856569614,"version":"4.1.0"},"reference-count":53,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"content-version":"unspecified","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To identify factors associated with the continuum of maternal, newborn and child health care in The Gambia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A secondary statistical analysis using Demographic and Health Survey conducted in 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>The Gambia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>1308 married women (or with a partner) whose most recent children were aged 12\u201323 months at the time of the survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome measures<\/jats:title><jats:p>The main outcome was continuum of care for maternal, newborn and child health. The modified composite coverage index was calculated to express the completion level of continuum of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The following factors were associated with the continuum of maternal, newborn and child health care: women\u2019s autonomy in decision-making of her own healthcare (\u03b2=0.063, p=0.015), having higher educated husbands (\u03b2=0.138, p&lt;0.001), listening to the radio at least once a week (\u03b2=0.078, p=0.006), having a child with birth order less than 5 (\u03b2=0.069, p=0.037), initiating the first antenatal care within 16 weeks of pregnancy (\u03b2=0.170, p&lt;0.001), having been informed of signs of pregnancy complications (\u03b2=0.057, p=0.029), living in rural areas (\u03b2=\u22120.107, p=0.006) and having higher burden due to distance to health facility (\u03b2=\u22120.100, p&lt;0.001), with an explanatory power of 15.5% (R<jats:sup>2<\/jats:sup>=0.155).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Efforts on future policies and programmes should focus on the concept of continuum of care considering the associated factors. In particular, more attention should be given to providing country-wide family planning and education to women, men and community members in The Gambia.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2019-036516","type":"journal-article","created":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T06:19:10Z","timestamp":1678861150000},"page":"e036516","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":31,"title":["Factors associated with the continuum of care for maternal, newborn and child health in The Gambia: a cross-sectional study using Demographic and Health Survey 2013"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1179-7532","authenticated-orcid":false,"given":"Jiyoung","family":"Oh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5965-2949","authenticated-orcid":false,"given":"Juyoung","family":"Moon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0260-2649","authenticated-orcid":false,"given":"Jae Wook","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0260-2649","authenticated-orcid":false,"given":"Kyunghee","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,11,26]]},"reference":[{"key":"2023040221333150000_10.11.e036516.1","unstructured":"World Health Oragnization . 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