To gain a better understanding, the mechanisms by which some of these separate factors may affect prenatal care utilisation need to be explored further, for instance, the possible reasons behind multiparous women's inadequate prenatal care utilisation, such as less appreciation of prenatal care or the lack of childcare for the other children [ 13].
Information utilisation and needs differ across gender and age groups, which should be considered in order to reach all target populations.
Many low and middle income countries are beginning to use formula methods for funding however these attempts are often hampered by a lack of information on utilisation, relative needs and whether the budgets allocated bear any relationship to cost.
Yet production is running at barely 60m a year, so the factories are only three-quarters full in an industry where utilisation rates need to top 80% to ensure decent profits.
Its utilisation is needed for the construction of buildings where reductions in self-weight and size of structural members are important.
Hence, a more comprehensive research investigating all potential factors associated such as liability, claims process, health service seeking and utilisation is needed to truly understand the role of health and socioeconomic factors.
Each of the various stages of validation, qualification, and utilisation would need to be revisited for that specific context, and the Hill criteria also revisited.
One strength of our study is that it took into account potential sources of bias, such as autocorrelation, which often arise in the analysis of routine longitudinal data [ 25], and used the methodology set out in a recent Cochrane systematic review which concluded that more rigorous research on the effects of user fees on health-care utilisation was needed [ 6].
The lack of insurance can result in non-utilisation of needed services due to financial constraints.
Although potential explanation about specific psychological characteristics of dispositional insensitivity to threat (if the relation really exists) was found to be associated with delayed help seeking for symptoms of rectal cancer, 36 further in-depth investigations on the effect of mental disorders to physical healthcare utilisations are needed.
