Financial Preparedness for Birth Among Rural Zambian Women: Do Antenatal Care Contacts Make a Difference?
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BRIEF REPORTS
Financial Preparedness for Birth Among Rural Zambian Women: Do Antenatal Care Contacts Make a Difference? HaEun Lee1 · Philip T. Veliz1 · Earl T. Ray2 · Nchimunya M. Chiboola3 · Tenford K. Phiri3 · Gertrude Musonda3 · Jody R. Lori1 Accepted: 5 November 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Introduction Financial constraints are one of the biggest barriers for women of low-income countries to receive necessary reproductive health services. Educating women about the importance of saving money has been incorporated as a component of antenatal care (ANC) contacts, but little is known whether ANC contacts influence women’s saving. Methods A secondary analysis was conducted on data from a cross-sectional household survey study of 1109 women who recently gave birth in two rural districts of Zambia. Results Receiving ANC contacts early and often and discussing saving money during ANC were associated with saving money for the mother’s birth, but not with saving enough money for the most recent birth. Discussion Continued effort is needed to encourage women to attend ANC contacts earlier and more frequently. Additionally, the importance of saving money for birth should be discussed during ANC contacts. Future studies need to explore why women’s action in saving does not necessarily lead to saving enough for childbirth. Keywords Africa · Antenatal care · Financial barrier · Reproductive health · Saving for birth
Significance Statement * HaEun Lee [email protected] Philip T. Veliz [email protected] Earl T. Ray [email protected] Nchimunya M. Chiboola [email protected] Tenford K. Phiri [email protected] Gertrude Musonda [email protected] Jody R. Lori [email protected] 1
School of Nursing, University of Michigan, 400 North Ingalls St, Ann Arbor, MI 48109, USA
2
Mercy, College of Health Professionals, University of Detroit, 4001 W. McNichols Road, Detroit, MI 48221, USA
3
Africare Zambia, Flat A, Plot 2407/10 MBX, Off Twin Palm Road Ibex Hill, Box 33921, Lusaka, Zambia
What is already known? One of the biggest barriers for women from low-income countries to access necessary reproductive health services is money. Antenatal care contacts are great opportunities to encourage women to start saving money for childbirth. However, limited studies examine how ANC contacts can influence women’s saving behavior. What this study adds? Early and frequent ANC contacts and money saving discussion during ANC contacts positively influence women’s saving behavior, but there may be barriers to women saving enough money in preparation for child birth.
Introduction Zambia, like most other sub-Saharan African countries, suffers from high maternal deaths with a maternal mortality ratio (MMR) of 224 deaths per 100,000 live births (World Health Organization [WHO] 2015). Significant barriers for women living in rural areas in accessing care still exist despite the abolition of user fees and high informal costs
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