Background: Continuum of care throughout pregnancy, birth, and after delivery has become a key program
strategy for improving the health of mothers and newborns. Successful program implementation to improve the
continuum of care relies on a better understanding of where the gaps are in seeking care along the pathway and
what factors contribute to the gaps.
Methods: Using data from the 2010 Cambodia Demographic and Health Survey, we examine the levels of service
use along the continuum of care. Three sequential regression models are fitted to identify factor(s) that affect
women from getting skilled birth attendance (SBA) after receiving antenatal care (ANC), and from getting postnatal
care (PNC) after having both ANC and SBA.
Results: Three of every five Cambodian women received all three types of maternal care—antenatal care, skilled
birth attendance at birth and postnatal care -for their most recent birth, however with substantial regional variation
ranging from 14% to 96%. The results highlight that mother’s age, educational attainment, urban residence,
household wealth, lower birth order are associated with women’s use of antenatal care and their continuation to
using skilled birth attendant. Health insurance coverage also increases use of antenatal care but not skilled birth
attendant. Having four antenatal care visits and receiving better quality of antenatal care affected women’s
subsequent use of skilled birth attendant. The odds of having skilled birth attendant increases by 30 to 50% for women
who received blood pressure measurement, urine sample taken, and blood sample taken as part of antenatal services.
Household wealth status, urine sample taken, and delivery at a health facility were the only three factors significantly
associated with the continuation from having skilled birth attendant to receiving postnatal care.
Conclusions: Cambodia has made remarkable progress in extending the reach of maternal health care in most areas
of the country. Future program efforts should focus on the Northeast part of the country where the lowest level of
service use was found. Poor women suffered from lower access to continued care and extending the health insurance
coverage might be one way to help them out. Quality of antenatal care is connected to women’s use of skilled birth
attendant and postnatal care and should be given more focus.