{"id":{"repo_id":"uwo","oai_identifier":"oai:uwo.scholaris.ca:20.500.14721/30159"},"canonical_url":"https://search.dev.ndltd.org/etd/uwo/oai:uwo.scholaris.ca:20.500.14721/30159","repository":{"repo_id":"uwo","name":"Western University","base_url":"https://uwo.scholaris.ca/server/oai/request"},"display":{"title":"Pregnancy in Peril: The impact of conflict on antenatal care and skilled birth attendant utilization in the Democratic Republic of the Congo and Burundi","abstract":"As of 2019, over two billion people globally reside in conflict-affected areas, and as a result, face negative health implications. Burundi and the Democratic Republic of the Congo are among those countries classified as fragile and conflict-affected situations, resulting in disproportionally high maternal mortality rates. Grounded in Andersen’s Model of Healthcare Utilization, this thesis employed multivariate binary logistic regressions to examine factors which influence antenatal care and skilled birth attendant usage in these two countries. Findings indicate that women living in high conflict regions were significantly less likely than those in low conflict regions to have their first antenatal care visit within the first trimester, have four antenatal care visits, and meet the World Health Organization’s recommendations for care during pregnancy. This thesis elucidates the significant impact of conflict on antenatal care and skilled birth attendant usage and urges context-specific policy recommendations within fragile and conflict-affected situations to reduce maternal mortality.","abstract_html":"As of 2019, over two billion people globally reside in conflict-affected areas, and as a result, face negative health implications. Burundi and the Democratic Republic of the Congo are among those countries classified as fragile and conflict-affected situations, resulting in disproportionally high maternal mortality rates. Grounded in Andersen’s Model of Healthcare Utilization, this thesis employed multivariate binary logistic regressions to examine factors which influence antenatal care and skilled birth attendant usage in these two countries. Findings indicate that women living in high conflict regions were significantly less likely than those in low conflict regions to have their first antenatal care visit within the first trimester, have four antenatal care visits, and meet the World Health Organization’s recommendations for care during pregnancy. This thesis elucidates the significant impact of conflict on antenatal care and skilled birth attendant usage and urges context-specific policy recommendations within fragile and conflict-affected situations to reduce maternal mortality.","abstract_has_math":false,"creators":["Ziegler, Bianca R"],"institution":"The University of Western Ontario","degree_name":"M Sc","degree_level":null,"degree_discipline":"Geography","degree_department":null,"school":null,"contributors":[],"advisors":["Luginaah, Isaac"],"committee_chairs":[],"committee_members":[],"year":2020,"date_issued":"2020-06-25","date_published":"2020-06-25","updated_at":"2026-07-27T21:56:14Z","subjects":["Antenatal Care","Skilled Birth Attendants","Maternal Health","sub-Saharan Africa","The Democratic Republic of the Congo","Burundi"],"languages":["en_ca"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/20.500.14721/30159","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Luginaah, Isaac"]},{"key":"dc:creator","label":"Author","values":["Ziegler, Bianca R"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-07-10T18:37:31Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-07-10T18:37:31Z"]},{"key":"dc:date.issued","label":"Date","values":["2020-06-25"]},{"key":"dc:publisher","label":"Institution","values":["The University of Western Ontario"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Geography"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M Sc"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Antenatal Care","Skilled Birth Attendants","Maternal Health","sub-Saharan Africa","The Democratic Republic of the Congo","Burundi"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_ca"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/20.500.14721/30159"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."]},{"key":"dc:description.abstract","label":"Abstract","values":["As of 2019, over two billion people globally reside in conflict-affected areas, and as a result, face negative health implications. Burundi and the Democratic Republic of the Congo are among those countries classified as fragile and conflict-affected situations, resulting in disproportionally high maternal mortality rates. Grounded in Andersen’s Model of Healthcare Utilization, this thesis employed multivariate binary logistic regressions to examine factors which influence antenatal care and skilled birth attendant usage in these two countries. Findings indicate that women living in high conflict regions were significantly less likely than those in low conflict regions to have their first antenatal care visit within the first trimester, have four antenatal care visits, and meet the World Health Organization’s recommendations for care during pregnancy. This thesis elucidates the significant impact of conflict on antenatal care and skilled birth attendant usage and urges context-specific policy recommendations within fragile and conflict-affected situations to reduce maternal mortality."]},{"key":"dc:title","label":"Title","values":["Pregnancy in Peril: The impact of conflict on antenatal care and skilled birth attendant utilization in the Democratic Republic of the Congo and Burundi"]}]}],"canonical_facts":{"dc:contributor.advisor":["Luginaah, Isaac"],"dc:creator":["Ziegler, Bianca R"],"dc:date.accessioned":["2025-07-10T18:37:31Z"],"dc:date.available":["2025-07-10T18:37:31Z"],"dc:date.issued":["2020-06-25"],"dc:description":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."],"dc:description.abstract":["As of 2019, over two billion people globally reside in conflict-affected areas, and as a result, face negative health implications. Burundi and the Democratic Republic of the Congo are among those countries classified as fragile and conflict-affected situations, resulting in disproportionally high maternal mortality rates. Grounded in Andersen’s Model of Healthcare Utilization, this thesis employed multivariate binary logistic regressions to examine factors which influence antenatal care and skilled birth attendant usage in these two countries. Findings indicate that women living in high conflict regions were significantly less likely than those in low conflict regions to have their first antenatal care visit within the first trimester, have four antenatal care visits, and meet the World Health Organization’s recommendations for care during pregnancy. This thesis elucidates the significant impact of conflict on antenatal care and skilled birth attendant usage and urges context-specific policy recommendations within fragile and conflict-affected situations to reduce maternal mortality."],"dc:identifier.uri":["https://hdl.handle.net/20.500.14721/30159"],"dc:language.iso":["en_ca"],"dc:publisher":["The University of Western Ontario"],"dc:subject":["Antenatal Care","Skilled Birth Attendants","Maternal Health","sub-Saharan Africa","The Democratic Republic of the Congo","Burundi"],"dc:title":["Pregnancy in Peril: The impact of conflict on antenatal care and skilled birth attendant utilization in the Democratic Republic of the Congo and Burundi"],"dc:type":["thesis"],"thesis:degree_discipline":["Geography"],"thesis:degree_name":["M Sc"]},"updated_at":"2026-07-27T21:56:14Z"}