Universal health coverage of five essential health services in mothers before and after the Haiti 2010 earthquake: a retrospective cohort study using difference-in-difference

BMC Health Services Research

Research

Naoki Hirose¹  Md Moshiur Rahman¹  Yoko Shimpuku¹  Sanmei Chen¹  Koichiro Shiba²  Crystal L. Patil³ 

[1] Global Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minamiku, 734-8553, Hiroshima, Japan;School of Public Health, Boston University, Boston, MA, USA;University of Illinois Chicago, Chicago, IL, USA;

关键词: Universal Health Coverage;    Earthquake;    Haiti;    Reproductive health;    Difference-in-difference;   

DOI  :  10.1186/s12913-022-08896-1

 received in 2022-02-22, accepted in 2022-11-28,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundIn January 2010, Haiti was hit by a 7.0-magnitude earthquake. The impact of the earthquake on Universal Health Coverage in mothers remains unclear. This study explores the association between the 2010 Haiti earthquake and access to the five quality essential health services among women who gave birth in the two years before and after the earthquake.MethodsFrom the Sixth Demographic and Health Survey in Haiti, we extracted data for women aged 15–49 who had reported a live birth in the two years before and after the 2010 Haiti earthquake. We used difference-in-difference analyses for antenatal care, delivery care, and vaccination, and multivariate logistic regression analyses for family planning and malaria prevention, to assess the impact of the acute damage (household-level damage, such as housing damage and/or loss of a family member, or region-level damage, such as living in a region where 50% or more of the houses were damaged) of the earthquake on these mothers’ access to quality essential health services.ResultsMothers who had not suffered acute earthquake damage were more likely to live in rural areas and had less education and household wealth. The difference-in-difference and multivariate logistic regression analyses did not show strong evidence of any significant association between acute earthquake damage and access to quality health services. However, after the earthquake, access to quality health services deteriorated for both mothers with and without acute earthquake damage (-5.6% and -6.2% for antenatal care, -6.5% and 0% for delivery care, and -9.5% and -13.1% for vaccination, respectively).ConclusionsThe earthquake adversely affected mothers’ access to quality essential health services regardless of their exposure to acute earthquake damage. Mothers in rural areas who avoided such damage might also have experienced long-term negative effects from the earthquake, which was likely exacerbated by other structural factors such as lower education and economic status.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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