Factors Associated with Utilization of Antenatal Care Services among Women in Noakhali District, Bangladesh
DOI:
https://doi.org/10.6000/1929-4247.2024.13.04.6Keywords:
Antenatal care, factors, women, Noakhali, BangladeshAbstract
A cross-sectional study sought to uncover the determinants affecting antenatal care (ANC) utilization among pregnant women in Noakhali District, Bangladesh. Data from 400 women were gathered utilizing a standardized questionnaire, and the analysis was performed using SPSS software (version 23.0), incorporating descriptive statistics, Chi-square tests, and multinomial logistic regression. The research revealed that merely 47.8% of individuals attended a minimum of four antenatal care visits, as advised by healthcare recommendations.
The frequency of ANC visits was substantially correlated with socioeconomic status, educational attainment, work status, and obstacles to receiving ANC services. Mothers with 1-3 antenatal care visits encountered 26.58 times more barriers to attending visits than those who completed four or more visits (OR: 26.58, 95% CI: 11.28-62.62). Moreover, income levels were 0.53 times greater among mothers with fewer antenatal care appointments in comparison to those with four visits (OR: 0.53, 95% CI: 0.32-0.86).
The report emphasizes the need to address the constraints preventing women from getting enough ANC. This necessitates enhancements in transportation, the quality of healthcare facilities, and the training and accessibility of healthcare staff. Enhancing awareness of the significance of ANC through focused campaigns is essential at the local, national, and worldwide levels. Addressing these challenges is crucial for enhancing ANC utilization and promising improved maternal and newborn health outcomes in the region.
References
Patel BB, et al. A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a Tertiary Care Hospital of Pune, Maharashtra. Medical Journal of Dr. DY Patil University 2016; 9(3): 354. https://doi.org/10.4103/0975-2870.182507
Akowuah JA, Agyei-Baffour P, Awunyo-Vitor D. Determinants of antenatal healthcare utilisation by pregnant women in third trimester in peri-urban Ghana. Journal of Tropical Medicine 2018; 2018. https://doi.org/10.1155/2018/1673517
Alsammani MA, et al. Intrapartum fetal and maternal complications in low-risk pregnancy: experience of a tertiary hospital in low-income countries. Open Access Macedonian Journal of Medical Sciences 2019; 7(12): 1979. https://doi.org/10.3889/oamjms.2019.463
Begum KS, Sachchithanantham K, De Somsubhra S. Maternal obesity and pregnancy outcome. Clinical and Experimental Obstetrics & Gynecology 2011; 38(1): 14-20.
Gidey G, Hailu B, Nigus K, Hailu T, Woldegebriel G, Gerensea H. Timing of first focused antenatal care booking and associated factors among pregnant mothers who attend antenatal care in Central Zone, Tigray, Ethiopia. BMC research notes, 2017; 10: 1-6. https://doi.org/10.1186/s13104-017-2938-5
Yasir AA. Assessment of Antenatal Care Services among Pregnant Women in Al-Hilla City 2017.
Kabir R, Khan H. Utilization of Antenatal care among pregnant women of Urban Slums of Dhaka City, Bangladesh. IOSR Journal of Nursing and Health Science 2013; 2(2). https://doi.org/10.9790/1959-0221519
Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PFA. WHO analysis of causes of maternal death: a systematic review. The Lancet 2006; 367(9516): 1066-1074. https://doi.org/10.1016/S0140-6736(06)68397-9
Thompson A. Poor and pregnant in Africa: safe motherhood and human rights. Midwifery 1999; 15(3): 146-153. https://doi.org/10.1016/S0266-6138(99)90059-1
Lincetto O, Mothebesoane-Anoh S, Gomez P, Munjanja S. Antenatal care. Opportunities for Africa's newborns: Practical data, policy and programmatic support for newborn care in Africa, 2006; pp. 55-62.
Paudel YR, Jha T, Mehata S. Timing of first antenatal care (ANC) and inequalities in early initiation of ANC in Nepal. Frontiers in Public Health 2017; 5: 242. https://doi.org/10.3389/fpubh.2017.00242
Fikru C, Getnet M, Shaweno T. Proximate determinants of under-five mortality in Ethiopia: using 2016 nationwide survey data. Pediatric Health Medicine and Therapeutics 2019; pp. 169-176. https://doi.org/10.2147/PHMT.S231608
Organization WH. Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFPA, and the World Bank 2007.
Yoseph M, Abebe SM, Mekonnen FA, Sisay M, Gonete KA. Institutional delivery services utilization and its determinant factors among women who gave birth in the past 24 months in Southwest Ethiopia. BMC Health Services Research 2020; 20(1): 1-10. https://doi.org/10.1186/s12913-020-05121-9
Kasaven L, et al. Implications for the future of Obstetrics and Gynaecology following the COVID-19 pandemic: A Commentary 2020. https://doi.org/10.22541/au.160199728.85986668/v1
Kasaven L, Saso S, Barcroft J, Yazbek J, Joash K, Stalder C, et al. Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population-based study. BMC Pregnancy and Childbirth 2017; 17: 1-10. https://doi.org/10.1186/s12884-017-1328-2
Owusu SS. Factors associated with antenatal care service utilization among women with children under five years in Sunyani Municipality, Ghana. medRxiv 2021; p. 2021.02. 27.21252585. https://doi.org/10.1101/2021.02.27.21252585
Devkota B, Maskey J, Pandey AR, Karki D, Godwin P, Gartoulla P, et al. Determinants of home delivery in Nepal–A disaggregated analysis of marginalised and non-marginalised women from the 2016 Nepal Demographic and Health Survey. Plos One 2020; 15(1): e0228440. https://doi.org/10.1371/journal.pone.0228440
Akter S, Rich JL, Davies K, Inder KJ. Prevalence and factors associated with antenatal care service access among Indigenous women in the Chittagong Hill Tracts, Bangladesh: A cross-sectional study. PloS One 2020; 15(12): e0244640. https://doi.org/10.1371/journal.pone.0244640
Pieters H, Guariso A, Vandeplas A. Conceptual framework for the analysis of the determinants of food and nutrition security 2013.
Sarmah H, Hazarika BBJBGUMA, Importance of the size of Sample and its determination in the context of data related to the schools of greater. Guwahati 2012; 12(2012): 55-76.
Assefa E, Tadesse M. Factors related to the use of antenatal care services in Ethiopia: application of the zero-inflated negative binomial model. Women & Health 2017; 57(7): 804-821. https://doi.org/10.1080/03630242.2016.1222325
Yang L, Yamamoto-Hanada K, Ishitsuka K, Ayabe T, Mezawa H, Konishi M, et al. Medical and surgical complications in pregnancy and obstetric labour complications in the Japan Environment and Children’s Study (JECS) cohort: a birth cohort study. Journal of Obstetrics and Gynaecology 2020. 40(7): 918-924. https://doi.org/10.1080/01443615.2019.1673709
Tawiah EJAPS. Maternal health care in five sub-Saharan African countries 2011; 25(1). https://doi.org/10.11564/25-1-264
Sharma SK, Sawangdee Y, Sirirassamee B. Access to health: women’s status and utilization of maternal health services in Nepal. Journal of Biosocial Science 2007 39(5): 671-692. https://doi.org/10.1017/S0021932007001952
Abbas AM, Rabeea M, Hafiz HAA, Ahmed NH. Effects of irregular antenatal care attendance in primiparas on the perinatal outcomes: a cross-sectional study. Proceedings in Obstetrics and Gynecology 2017; 7(2). https://doi.org/10.17077/2154-4751.1341
Dairo MD, Owoyokun KE. Factors affecting the utilization of antenatal care services in Ibadan, Nigeria 2010; 12(1). https://doi.org/10.4314/bjpm.v12i1.63387
Alam SS, Rahman T, Ghosh S, Akhter T, Rume DJ, Faruk MO, et al. The Prevalence and Associated Factors of Caesarean Section at Noakhali Sadar, Bangladesh 2021; 13(1): 1-12. https://doi.org/10.9734/jocamr/2021/v13i230219
Likis FE. Prenatal education: enduring and essential. Wiley Online Library 2009; pp. 429-429. https://doi.org/10.1016/j.jmwh.2009.09.010
Badolo H, Bado AR, Hien H, De Allegri M, Susuman AS. Determinants of Antenatal Care Utilization Among Childbearing Women in Burkina Faso. Frontiers in Global Women's Health 2022; 3: 57. https://doi.org/10.3389/fgwh.2022.848401
Abukari AS, Mohammad S, Yakubu I, et al. Association between antenatal care visits and adverse pregnancy outcomes: a retrospective cross-sectional study among Ghanaian Women 2021. https://doi.org/10.21203/rs.3.rs-332203/v1
Published
How to Cite
Issue
Section
License
Policy for Journals/Articles with Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
Policy for Journals / Manuscript with Paid Access
Authors who publish with this journal agree to the following terms:
- Publisher retain copyright .
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work .
