Health Risks, Health Service, and Healthcare Supports for Vulnerable Populations

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Health Policy".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 877

Special Issue Editor

School of Politics and Public Administration, Southwest University of Political Science & Law, Chongqing 401120, China
Interests: health care; health equity; health management for vulnerable groups; digital health; elderly care services
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The health status of vulnerable populations continues to remain a key topic of concern worldwide. Compared to healthy populations, significant disparities in economic income, social status, social class, and other aspects exist for vulnerable groups. Therefore, focus on the healthcare supports/services for these vulnerable populations, especially on the role of healthcare in disease prevention and health improvement, is essential. Antenatal care (ANC) and skilled birth services are vital for ensuring safe motherhood and controlling maternal and child mortality, which are of great significance for improving the safe delivery rate of pregnant women and reducing infant birth mortality rates.

As there are significant differences in prenatal and postpartum health check-up in developing countries and regions, the quality of prenatal and postpartum health care is different due to varying levels of economic development. In addressing this, most studies focus on cross-sectional data, examine current situations and problems from these cross-sectional data, and propose countermeasures and suggestions for vulnerable groups. At present, no systematic research has been conducted on prenatal care and delivery safety both domestically and internationally; thus, further research is needed. In addition to pregnant and postpartum women, the health of the elderly, children, and disabled people must also remain foci of attention.

Therefore, we are pleased to invite you to contribute research or review articles on maternal health, elder health, child health, and health protection (healthcare) for vulnerable groups such as people with disabilities, as well as any new information deemed relevant. In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Evaluation methods for maternal health management;
  • Cross-sectional studies on the influencing factors of maternal willingness to deliver;
  • Health equity and health management for the elderly;
  • Social support and intergenerational impact on the health of the elderly;
  • Cross-sectional surveys on the influencing factors of children's health status;
  • Analyses of health service provision and management strategies for vulnerable groups.

Dr. Zhifei He
Guest Editor

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Keywords

  • health care
  • health services
  • health equity
  • health management for vulnerable groups
  • maternal and child health
  • digital health
  • elder care services
  • elder security
  • intergenerational support for the elderly

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Published Papers (1 paper)

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Research

13 pages, 204 KiB  
Article
Sociodemographic Determinants of Reproductive Healthcare Service Use Among Pregnant Women in Pakistan
by Zhifei He, Ghose Bishwajit and Fubo Wu
Healthcare 2025, 13(4), 440; https://doi.org/10.3390/healthcare13040440 - 19 Feb 2025
Viewed by 611
Abstract
Introduction: Using the essential reproductive care services such as antenatal care (ANC) and skilled birth services are vital for ensuring safe motherhood and controlling maternal and child mortality. There is no recent evidence on the state of using reproductive care services in Pakistan [...] Read more.
Introduction: Using the essential reproductive care services such as antenatal care (ANC) and skilled birth services are vital for ensuring safe motherhood and controlling maternal and child mortality. There is no recent evidence on the state of using reproductive care services in Pakistan women. The purpose of the cross-sectional study is to explore the timing and frequency of ANC, the hospital and other institutional delivery, the cesarean section (C-section) services and to identify the sociodemographic factors that are associated with the use of these services. Methodology: Using the latest Pakistan Demographic and Health Survey (2017-18 PDHS) for this analysis, the data were collected by face-to-face interviews by trained interviewers, which included 8287 women aged 15–49 years. The data on reproductive services were defined by standard guidelines by the World Health Organization (WHO). Data analyses involved univariate tests and multivariate regression techniques. Results: The percentage of women who attended ANC visits in the first trimester was 62.59%, and those who attended the minimum recommended number of four visits was 49.46%. The percentages of using hospital and C-section services were, respectively, 76.20% and 19.63%. In the regression analysis, place of residence, education, household wealth status, access to using electronic media and learning about family planning from electronic media and before marriage were found to significantly predict the use of ANC and facility delivery services. However, educational and household wealth status stood out as the strongest predictors of all. About half of the women were not having adequate ANC visits and about one-third not making timely ANC contact. More than three-quarters reported choosing to deliver at hospital/other facility, and about one-fifth preferred C-section. Conclusions: The results indicated that, among the predictor of using these services, education and household wealth status were found to have the strongest association, highlighting the role of women’s socioeconomic well-being in availing the basic reproductive healthcare services. Hence, this study suggests that the government and medical institutions should further pay attention to the ANC visits and reduce infant birth mortality rates. Simultaneously, increasing women’s educational opportunities, enhancing women’s socioeconomic well-being and social status, can help improve their health awareness and promote healthy behaviors. Full article
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