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Gateway Behaviors: Improving the Effectiveness and Efficiency of Health Communication Programs
Unformatted Document Text:  Gateway Health Behaviors 20 concerned about their privacy, with 46% reporting that health facility staff didn’t respect their need for privacy. Behavioral Outcomes The bivariate analyses looked at the percentage of women who reported specific behaviors for each SO (Table 4). Looking at the total numbers for women regardless of age, antenatal care (99%), prelactal feeding within 3 days (82%) and receiving a tetanus toxoid injection (77%) had the highest practice rates. Delivery in a health care facility (35%), measles vaccine (38%) and Vitamin A (37%) had the lowest practice rates. With the exception of antenatal care, the percentage of women who reported engaging in specific behaviors varied significantly by age. Overall, women in the 20-24 and 25-29 age groups show the highest practice rates for recommended behaviors, with rates diminishing with age. Table 4. Percentage of Women with Children 0-12 Months Who Practiced Specific SO Behaviors SOs Woman’s age SO1: Family Planning 15-19 20-24 25-29 30-34 35-39 40-44 Total 1a. Modern method of family planning 8.6% 24.5% 43.3% 54.7% 54.2% 44.7% 42.1% SO2: Maternal Mortality 2a. Receive antenatal care when pregnant 99.8 99.9 99.7 99.8 99.8 100.0 99.8 2b. Receive TT injection when pregnant 75.4 80.3 78.9 72.4 64.6 55.0 77.0 2c. Delivery in healthcare facility 29.5 36.8 37.4 33.7 29.0 17.6 35.0 2d. Iron tablets used 56.7 64.0 62.5 56.1 48.3 39.8 60.4 SO3: Infant/Child Health & Nutrition 3a. Prelacteal feeding in 1 st 3 days 84.7 81.8 80.8 81.2 82.0 78.5 81.7 3b. Measles vaccine (9-12 months) 23.7 37.5 42.8 39.0 33.2 29.0 37.6 3c. Vitamin A (6-12 months) 14.8 23.3 26.7 25.4 21.7 15.2 23.5 3d. Offered more liquid when child had diarrhea 27.3 36.4 39.0 39.9 36.5 33.7 36.9 1a. Pearson Chi-Square = 4,461, p <.01; 2a. Pearson Chi-Square =4.0, p = 0.56; 2b. Pearson Chi-Square = 373, p <.01; 2c. Pearson Chi-Square = 155, p <.01; 2d. Pearson Chi-Square = 280, p <.01; 3a. Pearson Chi-Square = 25, p <.01; 3b. Pearson Chi-Square = 358, p <.01; 3c. Pearson Chi-Square = 191, p <.01; 3d. Pearson Chi-Square = 159, p <.01 Model 1: Analysis To examine the Model 1 relationship directly linking two SOs, we ran continuous regression analyses controlling for relevant demographic variables (Table 5). The results show that the strongest relationship exists for maternal mortality to family planning with an R 2 of 71%. Unfortunately, the relationships between infant/child health and nutrition (ICHN) to family planning and maternal mortality to ICHN were negligible, with each model’s R 2 less than 3%. Table 5. Regression Analysis for Model 1: Strength of Relationship Between three SOs (A) R 2 F Value df Sig. SO2 (MM):SO1 (FP) .712 26749.781 10 .000 SO3 (ICHN):SO1 (FP) .029 8782.234 9 .000 SO2 (MM): SO3 (ICHN) .025 2808.712 9 .000 (A): Independent variables included education, age, health facility experience, number of household members, and last visit to a health facility. We hypothesize that the maternal mortality to family planning relationship was strong, due to the nature of the behaviors within each SO. We suggest that women who seek services during their pregnancy and child birth, may be more likely to seek family planning services for several

Authors: Acharya, Karabi., Maxwell, Kimberly., Middlestadt, Susan. and Storey, John.
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Gateway Health Behaviors
20
concerned about their privacy, with 46% reporting that health facility staff didn’t respect their
need for privacy.

Behavioral Outcomes
The bivariate analyses looked at the percentage of women who reported specific behaviors
for each SO (Table 4). Looking at the total numbers for women regardless of age, antenatal care
(99%), prelactal feeding within 3 days (82%) and receiving a tetanus toxoid injection (77%) had
the highest practice rates. Delivery in a health care facility (35%), measles vaccine (38%) and
Vitamin A (37%) had the lowest practice rates. With the exception of antenatal care, the
percentage of women who reported engaging in specific behaviors varied significantly by age.
Overall, women in the 20-24 and 25-29 age groups show the highest practice rates for
recommended behaviors, with rates diminishing with age.
Table 4. Percentage of Women with Children 0-12 Months Who Practiced Specific SO Behaviors
SOs
Woman’s age
SO1: Family Planning
15-19
20-24
25-29
30-34
35-39
40-44
Total
1a. Modern method of family planning
8.6%
24.5%
43.3%
54.7%
54.2%
44.7%
42.1%
SO2: Maternal Mortality
2a.
Receive
antenatal
care
when
pregnant
99.8 99.9 99.7 99.8 99.8 100.0 99.8
2b. Receive TT injection when pregnant
75.4
80.3
78.9
72.4
64.6
55.0
77.0
2c.
Delivery
in
healthcare
facility
29.5 36.8 37.4 33.7 29.0 17.6 35.0
2d.
Iron
tablets
used
56.7 64.0 62.5 56.1 48.3 39.8 60.4
SO3: Infant/Child Health & Nutrition
3a. Prelacteal feeding in 1
st
3
days
84.7 81.8 80.8 81.2 82.0 78.5 81.7
3b.
Measles
vaccine
(9-12
months)
23.7 37.5 42.8 39.0 33.2 29.0 37.6
3c.
Vitamin
A
(6-12
months)
14.8 23.3 26.7 25.4 21.7 15.2 23.5
3d. Offered more liquid when child had diarrhea
27.3
36.4
39.0
39.9
36.5
33.7
36.9
1a. Pearson Chi-Square = 4,461, p <.01; 2a. Pearson Chi-Square =4.0, p = 0.56;
2b. Pearson Chi-Square = 373, p <.01;
2c. Pearson Chi-Square = 155, p <.01;
2d. Pearson Chi-Square = 280, p <.01;
3a. Pearson Chi-Square = 25, p <.01;
3b. Pearson Chi-Square = 358, p <.01;
3c. Pearson Chi-Square = 191, p <.01;
3d. Pearson Chi-Square = 159, p <.01
Model 1: Analysis
To examine the Model 1 relationship directly linking two SOs, we ran continuous regression
analyses controlling for relevant demographic variables (Table 5). The results show that the
strongest relationship exists for maternal mortality to family planning with an R
2
of 71%.
Unfortunately, the relationships between infant/child health and nutrition (ICHN) to family
planning and maternal mortality to ICHN were negligible, with each model’s R
2
less than 3%.
Table 5. Regression Analysis for Model 1: Strength of Relationship Between three SOs
(A)
R
2
F Value df
Sig.
SO2 (MM):SO1 (FP)
.712 26749.781 10 .000
SO3 (ICHN):SO1 (FP)
.029 8782.234 9 .000
SO2 (MM): SO3 (ICHN)
.025 2808.712 9 .000
(A): Independent variables included education, age, health facility experience, number of household members, and
last visit to a health facility.
We hypothesize that the maternal mortality to family planning relationship was strong, due to
the nature of the behaviors within each SO. We suggest that women who seek services during
their pregnancy and child birth, may be more likely to seek family planning services for several


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