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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

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On the socio-economic determinants of antenatal care utilization in Azerbaijan: evidence and policy implications for reforms

  • Nazim N. Habibov (a1)
  • DOI:
  • Published online: 02 July 2010

Azerbaijan is a country with one of the highest child mortality rates in the regions of Eastern Europe and the former Soviet Union. Drawing on the nationally representative Demographic and Health Survey, this study examines the utilization of antenatal care in Azerbaijan to identify the socio-economic determinants of the usage, and its frequency, timing and quality. Consequently, binomial logit, two ordered logit and negative binomial regression models are specified to estimate the effect of various socio-economic characteristics on the likelihood of utilization. Place of living is an important determinant of antenatal healthcare utilization in Azerbaijan. It is important in determining the likelihood of utilization, its timing and quality of care received, whereas it is not significant in the model predicting the frequency of antenatal utilization. Women’s education is also significant in three models out of four. Education is important in explaining the frequency and timing of utilization as well as the quality of services received, but it is not significant in predicting the likelihood of utilization. Wealth gradient is another important determinant of antenatal care utilization in Azerbaijan inasmuch as it is significant in explaining the likelihood of prenatal care utilization and its frequency. In addition, two variables, birth order and desirability of the last child or current pregnancy, are significant only in explaining the likelihood of utilization. Therefore, we confirm the findings of previous studies, which reported that the utilization of prenatal health care is a multistage process in which decisions are sequential. Although the same set of factors may affect decision-making at all stages, the effect of these factors is different at different stages. Implications for reforms in the healthcare sector to improve antenatal care utilization in Azerbaijan are provided and discussed.

Corresponding author
*Correspondence to: Professor Nazim Habibov, School of Social Work, University of Windsor, 401 Sunset Avenue, Windsor, Ontario, N9B 3P4, Canada. Email:
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D. Angel-Urdinola S. Jain (2006), ‘Do Subsidized Health Programs in Armenia Increase Utilization among the Poor’? World Bank Policy Research Working Paper no. 4017. Washington, DC: World Bank.

Y. Celik D. R. Hotchkiss (2000), ‘The socio-economic determinants of maternal health care utilisation in Turkey’, Social Science and Medicine, 50(12): 17971806.

B. Erci (2003), ‘Barriers to utilization of antenatal care services in Turkey’, Journal of Nursing Scholarship, 35(3): 269273.

L. Fan N. Habibov (2008), ‘Targeting social assistance benefits in Azerbaijan: what we can learn from a household survey?’, International Journal of Social Welfare, 17(4): 346354.

L. Fan N. Habibov (2009), ‘Determinants of maternity health care utilization in Tajikistan: learning from a national living standards survey’, Health & Place, 15(4): 952960.

J. Falkingham (2003), ‘Inequality and changes in woman’s use of maternal health-care services in Tajikistan’, Studies in Family Planning, 34: 3243.

J. Falkingham (2004), ‘Poverty, out-of-pocket payments and access to health care: evidence from Tajikistan’, Social Science and Medicine, 58: 247258.

D. Filmer L. Pritchett (2001), ‘Estimating wealth effects without expenditure data – or tears: an application to educational enrollments in states of India’, Demography, 38(1): 115132.

W. Fuller (2009), Sampling Statistics, Hoboken, NJ: Willey Publication.

N. Habibov (2009), ‘Determinants of out-of-pocket expenditures on prescribed medications in Tajikistan: implications for healthcare sector reform’, Journal of Health Organization and Management, 23(2): 170182.

N. Habibov L. Fan (2008), ‘Modelling antenatal health care utilization in Tajikistan using a two-stage approach: implications for policy and research’, Health Policy and Planning, 23(6): 443451.

S. Handa B. Davis (2006), ‘The experience of conditional cash transfers in Latin America and the Caribbean’, Development Policy Review, 24(5): 513536.

T. Houweling , C. Ronsmans , O. Camplbell A. Kunst (2007), ‘Huge poor-rich inequalities in maternity care: an international comparative study of maternity and child care in developing countries’, Bulletin of the World Health Organizations, 85: 745754.

G. Gotsadze , S. Bennett , K. Ranson D. Gzirishvili (2005), ‘Health care-seeking behaviour and out-of-pocket payments in Tbilisi, Georgia’, Health Policy and Planning, 20: 222242.

P. Levy S. Lemeshow (2008), Sampling of Populations: Methods and Applications, 4th edn, New York: Wiley.

M. A. Magadi , N. J. Madise R. N. Rodrigues (2000), ‘Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities’, Social Science and Medicine, 51(4): 551561.

R. Miles-Doan K. L. Brewster (1998), ‘The impact of type of employment on women’s use of prenatal-care services and family planning in urban Cebu, the Philippines’, Studies in Family Planning, 29(1): 6978.

M. Montgomery , M. Gragnolati , K. Burke E. Paredes (2000), ‘Measuring living standards with proxy variables’, Demography, 37(2): 155174.

B. Nielsen , M. Hedegaard , J. Liljestrand , S. H. Thilsted A. Joseph (2001), ‘Characteristics of antenatal care attenders in a rural population in Tamil Nadu, South India: a community-based cross-sectional study’, Health and Social Care in the Community, 9(6): 327333.

I. Paredes , L. Hidalgo , P. Chedraui , J. Palma J. Eugenio (2005), ‘Factors associated with inadequate antenatal care in Ecuadorian women’, International Journal of Gynecology and Obstetrics, 88(2): 168172.

M. Rani , S. Bonu S. Harvey (2008), ‘Differential in the quality of antenatal care in India’, International Journal for Quality in Health Care, 20(1): 6271.

L. Say R. Raine (2007), ‘A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of the context’, Bulletin of the World Health Organizations, 85: 812819.

A. Sepehri , S. Sarma , W. Simpson S. Moshiri (2008), ‘How important are individual, household and commune characteristics in explaining utilization of maternal health services in Vietnam?’, Social Science and Medicine, 67: 10091017.

B. Simkhada , E. van Teijingen , M. Porter P. Simkhada (2008), ‘Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature’, Journal of Advanced Nursing, 61(3): 244260.

T. S. Sunil , S. Rajaram L. Zottarelli (2006), ‘Do individual and program factors matter in the utilization of maternal care services in rural India? A theoretical approach’, Social Science and Medicine, 62: 19431957.

S. Barber P. Gertler (2008), ‘Empowering women to obtain high quality care: evidence from an evaluation of Mexico’s conditional cash transfer programme’, Health Policy and Planning, 24(1): 1825.

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