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Major Supply-Side Variables

 These findings indicate that major supply-side variables could cause an increase in utilization unlike earlier studies where demand-side factors (e.g. age or birth order) were more prominent. The supply-side determinants that are most crucial are the availability of skilled workers, functional readiness and quality of healthcare facilities. The awareness of women on the demand side has risen significantly. Women are more affected by services’ quality and availability than cultural barriers. This could be a progressive shift, as women are more likely to look for care if they believe that high-quality services are readily available in their health centers. Also, the findings showed an extensive dependence on private sector to receive RMNCH–N treatment, except for postnatal care.

 Education and wealth status were viewed as two relatively important demand-side variables that can predict outcomes. These findings reveal the regressive influence of the wealth level on utilization which suggests that the existing exemption from user fees may not be sufficient to improve RMNCH-N service uptake. It might be beneficial to look at financial incentives to take care of the demand-side costs as well as the direct costs associated with the care. It is equally important to consider the need to increase the quality of facilities in the public sector to provide RMNCH-N care because of the lower influence of public facilities (vis against the private sector for profit). This will assist in maintaining the current trend of care-seeking. But, genuine care-seeking by mothers and pregnant women may not be able to lead to significant improvements in RMNCH–N status or reductions in mortality.

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