{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T14:58:25Z","timestamp":1792681105780,"version":"4.5.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T00:00:00Z","timestamp":1669161600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T00:00:00Z","timestamp":1669161600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Given the intricate relationship between mothers and their children with the continuum of care, it is quintessential for their healthcare and interventions to be enhanced through a continuum of care approach. We examined the factors associated with the continuum of care for maternal, newborn, and child health in sub-Saharan Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data for the study were pooled from the Demographic and Health Surveys of 17 countries in sub-Saharan Africa. We extracted the data from the women\u2019s files in all 17 countries. We included 15,359 married and cohabiting women with the most recent children aged 12\u201323 months at the time of the survey in the study. Multivariable multilevel logistic regression analysis was performed to examine the factors associated with continuum of care. Results were presented as adjusted odds ratios (aORs) with their 95% confidence interval.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Women whose partners had secondary or higher level of education [aOR\u2009=\u20091.52; 95%CI\u2009=\u20091.07, 2.16], those with health insurance [aOR\u2009=\u20091.64; 95%CI\u2009=\u20091.18, 2.30], those who decide alone on their healthcare [aOR\u2009=\u20091.38; 95%CI\u2009=\u20091.01, 1.89], those with joint healthcare decision [aOR\u2009=\u20091.33; 95%CI\u2009=\u20091.02, 1.74], those exposed to radio [aOR\u2009=\u20091.38; 95%CI\u2009=\u20091.06, 1.79], those who started antenatal care early [aOR\u2009=\u20091.88; 95%CI\u2009=\u20091.50, 2.36] and those in southern Africa [aOR\u2009=\u20097.02; 95%CI\u2009=\u20093.23, 15.27] had higher odds of completing the continuum of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We found that only 3.4% of women across the 17 sub-Saharan African countries included in this study completed all of the 11 maternal, newborn, and child health care interventions along the continuum of care. The factors that are associated with the maternal, newborn, and child health continuum of care include women\u2019s autonomy in decision-making, partners\u2019 level of education, health insurance coverage, early initiation of antenatal care, exposure to radio, and residing in Southern Africa. Problem with the distance to the facility lowered women\u2019s odds of completing the continuum of care. Governments and departments of health services across sub-Saharan African countries must leverage the radio to disseminate critical messages about the need to complete the continuum of care. Much commitment must be made toward advancing the autonomy of women. Health insurance coverage would have to be extended to reach all women to facilitate the completion of the continuum of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-022-08693-w","type":"journal-article","created":{"date-parts":[[2022,11,23]],"date-time":"2022-11-23T05:18:15Z","timestamp":1669180695000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Continuum of care for maternal, newborn, and child health in 17 sub-Saharan African countries"],"prefix":"10.1186","volume":"22","author":[{"given":"Abdul-Aziz","family":"Seidu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bright Opoku","family":"Ahinkorah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard Gyan","family":"Aboagye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Okyere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene","family":"Budu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanni","family":"Yaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,11,23]]},"reference":[{"key":"8693_CR1","unstructured":"World Health Organization. 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DHS data collection procedures ensured that all participants remained anonymous and gave informed consent to participate in DHS surveys. These procedures have been approved by the International Coach Federation Institutional Review Board (IRB) which ensures that the survey complies with the U.S. Department of Health and Human Services regulations for the protection of human subjects (45 CFR 46), as well as a country-specific IRB which ensures that the survey complies with laws and norms of the nation. More details regarding DHS data and ethical standards are available at:\n                      \n                      .","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"No consent to publish was needed for this study as we did not use any details, images or videos related to individual participants. In addition, data used are available in the public domain and data used in this study were anonymized before its use. Methods were also performed in accordance with the relevant guidelines and regulations.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1394"}}