Patterns and factors affecting antenatal care utilization in Damietta Governorate, Egypt: a retrospective cross-sectional study

2018 ◽  
Vol 36 (4) ◽  
pp. 479-485
Author(s):  
Nesrine S Farrag ◽  
Farida Abdelwahab ◽  
Ghada R Ismail
Keyword(s):  
Health Education ◽  
Antenatal Care ◽  
Family Income ◽  
Family Health ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Antenatal Care Utilization

Abstract Background Timely antenatal care (ANC) has been proven to save lives and maximizes health and potential. The study aimed to assess ANC utilization rates in Damietta district, Egypt and to identify the components of ANC provided and factors affecting utilization rates. Methods A cross-sectional study was conducted in four Family Health Centers (FHC) in Damietta district. The study included any mother, who gave birth within the last 6 months, after giving written consent to participate. Women were interviewed about their experience with ANC during the last pregnancy using a pre-designed questionnaire. Results The study found that ~85% of the mothers have ever attended ANC during the last pregnancy, two-thirds were regular attendants. Urban residence, being not working, having high education and high family income were positively associated with utilization of ANC (P < 0.001). Only 30% of the mothers received ANC in FHCs, while the majority received ANC at private clinics. Rates of receiving ANC components were variable with significantly higher rates in private clinics than governmental FHCs (P < 0.001 for most components). Health education was the least ANC component to be received by mothers at governmental and private sites. Conclusion More work is needed to improve the utilization of ANC in FHCs. Providers of ANC should be trained and supervised to provide full package of ANC especially health education message, being the most neglected component of ANC.

scholarly journals Antenatal care among women in Chitwan district of Nepal: A cross-sectional study

2021 ◽  
Vol 9 (01) ◽  
pp. 74-86
Author(s):  
Sharmila Pokharel ◽  
Ram Krishna Maharjan
Keyword(s):  
Antenatal Care ◽  
Educational Level ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Utilization ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Care Community

Antenatal care is one of the most effective measures to reduce maternal mortality in Lower Middle-income Countries. The study aims to assess the utilization of antenatal care and related factors by breastfeeding mothers in Chitwan district of Nepal. A cross-sectional study was carried out in Bharatpur municipality in April 2020, among all women of the reproductive age group (15-49) who have had a birth child in the last 12 months before the survey date. A census sampling technique was used to select respondents. The vaccination period was two weeks. All the mothers who came to the vaccine center to vaccinate their children were the respondents of this study. The data were collected by using an interview schedule. The collected data were managed using SPSS Version 20. The study found that 84.31 percent of respondents attended more than four antenatal care utilization. The educational level of the respondents and the occupation of their partners were linked to the use of antenatal care. The number of pregnancies, the number of live births, the place of delivery, and the educational level and occupations of the birth attendees were also significantly linked to the use of antenatal care. Community mobilization and intensive use of community health workers are essential factors to improve the use of antenatal care.

scholarly journals Antenatal service utilization among women in South India: a community based cross sectional study

2020 ◽  
Vol 9 (3) ◽  
pp. 1110
Author(s):  
Chethana K. ◽  
Manjula Anil ◽  
Maria Nelliyanil
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Snowball Sampling ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Validated Questionnaire

Background: Antenatal period is important for identifying pregnancy related threats and antenatal care (ANC) is one of the most effective health interventions during this period. It provides a unique opportunity for screening and diagnosis, health promotion and disease prevention. This study assessed the antenatal service utilization pattern and its determinants among women.Methods: A community based cross sectional study was conducted in the field practice area of a teaching hospital in Mangalore. Study included 142 women who had delivered in the last one year in the study area, selected using snowball sampling method. A pretested semi-structured validated questionnaire was used to collect the data. Predictors of full ANC were identified using univariate analysis and explanatory variables were entered into multivariate regression model to obtain the adjusted odds ratios to find the association between full ANC coverage and its determinants.Results: Among the participants, 99.3% registered their pregnancy and 78.9% had early registration. Majority, 91.5% had minimum antenatal visits, 83.1% consumed iron and folic acid supplements for more than three months and tetanus toxoid (TT) coverage was 98.6%. Full ANC coverage was found to be 81% and unadjusted analysis showed higher odds of full ANC coverage among housewives, primiparous, women in joint family and among literates. However, multi variable analysis revealed literacy as the major determinant of full ANC.Conclusions: In the present study, majority of the women had adequate antenatal care utilization. Full antenatal coverage was found to be statistically significant among literate women.

Adherence to Iron, Folic Acid and Calcium Supplement and Factors Affecting it among the Antenatal Care Attending Women in a Tertiary Care Hospital: A Cross Sectional Study

2020 ◽  
Vol 18 (2) ◽  
pp. 83-90
Author(s):  
S. Shakya Shrestha ◽  
R. Adhikari ◽  
S. Tamrakar ◽  
R. Shrestha ◽  
A. Shrestha
Keyword(s):  
Folic Acid ◽  
Antenatal Care ◽  
Cross Sectional Study ◽  
Poor Adherence ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Major Barrier ◽  
Factors Affecting ◽  
Iron Folic Acid

Background Pregnancy or gestation is the time during which a single or more children grows and develops inside a woman. Antenatal care improves the pregnancy outcomes under which a group of medication i.e. iron, folic acid and calcium are supplemented. Despite the effectiveness of such supplements, poor clinical outcomes are often encountered because of poor-adherence to the regimen. Objective To determine the adherence pattern and factors affecting adherence in antenatal care patients under iron, folic acid, and calcium therapy. Method A cross-sectional study was conducted in Dhulikhel Hospital, Kathmandu University Hospital. Pregnant women attending antenatal care under iron, folic acid, and calcium therapy fulfilling the inclusion criteria were enrolled in this study. After obtaining the informed consent from the patients, structured questionnaire was used to interview the patients. Statistical analysis was performed by using SPSS 23.0. P-value < 0.05 was considered as statistically significant. Result Among 191 patients enrolled in this study majority (39.3%) of them belonged to age group 26-30 years. More than half (61.3%) of the patients were illiterate. Of the total 191, 64.40% were non-adherent to the medication. Forgetfulness was the main reason for missing the dose in majority (52.06%) of the non-adherent subjects while adverse effects (55.40%) was the most prominent cause for discontinuing the medication among non-adherent participants. Significant association was found between patients’ adherence and busy work schedule, visiting doctor for follow up. Conclusion More than half of the patients had not adhered to the medication under antenatal care. Forgetfulness was the most common factor for missing the dose in nonadherent patients. Illiteracy was associated with poor adherence. Patient-provider relationship, Socio-economic factors were determined as major barrier to medication adherence.

scholarly journals Factors Affecting Utilization of Antenatal Care Services Among Women Visiting for Institutional Delivery in Tertiary Hospital, Bhairahawa, Nepal: A Cross Sectional Study

2021 ◽  
Vol 9 (02) ◽  
pp. 24-29
Author(s):  
Rubina Shrestha ◽  
Chet Kant Bhusal ◽  
Pradip Chhetri ◽  
Saneep Shrestha ◽  
Jyoti Priyanka
Keyword(s):  
Antenatal Care ◽  
Institutional Delivery ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Related Complication ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Care Services

INTRODUCTION: Antenatal Care (ANC) services utilization during pregnancy plays an important role in prevention and management of pregnancy related complication thus improving the maternal and child health. Hence this study aimed to identify the factors influencing utilization of ANC service among women visiting for institutional delivery in tertiary hospital of Bhairahawa, Nepal. MATERIAL AND METHODS: Hospital based cross-sectional study was carried among 396 women admitted in the postnatal ward of Universal College of Medical Sciences and Teaching Hospital, Bhairahawa, Nepal form September 2019 to December 2019 following ethical clearance and verbal consent from participants. Variables with significant association (p<0.05) in bivariate analysis were entered into multivariate logistic regressions to find the factors affecting utilization of antenatal care services.  RESULTS: This study revealed that 18.43% of respondents did not receive any ANC services. Among those who were not receiving ANC service, 86.3% never felt the need for ANC services throughout the period of pregnancy. ANC service utilization was found to be associated with religion (AOR=3.15, 95% CI: 1.40-7.08) and husband education (AOR=5.09, 95% CI: 1.63-15.92). CONCLUSION: In spite of being an essential component for the care of pregnant women ANC services was not utilized by all of them as many of them did not felt the need of this service. Thus it is recommended to increase awareness regarding the available services and its importance by local stakeholders to prevent further morbidity and mortality.

scholarly journals Psycho-social factors affecting antenatal care services utilization at the Ministry of Health’s primary health care centers in Jeddah, Kingdom of Saudi Arabia, 2017-2018: an analytical cross-sectional study

2019 ◽  
Vol 6 (11) ◽  
pp. 4611
Author(s):  
Manal M. Al Daajani ◽  
Ibrahim M. Gosadi ◽  
Waleed A. Milaat ◽  
Ahmed A. Osman
Keyword(s):  
Antenatal Care ◽  
Unplanned Pregnancy ◽  
High Stress ◽  
Cross Sectional Study ◽  
Utilization Rate ◽  
Sectional Study ◽  
Birth Intervals ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Maternity Hospitals

Background: This study aimed to explore the psychosocial factors affecting the utilization of antenatal care (ANC) services.Methods: This was an analytical cross-sectional study carried-out in the 4 main MOH maternity hospitals in Jeddah. The study sample included 2 groups: 80 women with inadequate ANC attendance and 159 with adequate ANC attendance. We applied probability proportional to size sampling technique. The outcome of this study was ANC attendance (adequate or inadequate). Independent variables included: age, nationality, educational level, occupation, monthly income, the dependent variables included: the number of ANC visits.Results: The utilization findings of this study revealed that 88 women out of 239 women had not fully used the health services provided to them (underutilization) and the utilization rate was 66.5%.  Approximately one-half of the women with inadequate ANC had birth intervals of less than 2 years. Three-quarters of them reported that they did not plan their current pregnancies, and nearly two-thirds of them had high levels of stress. Logistic regression analysis indicated that inadequate ANC attendance was predicted by past negative experiences related to ANC attendance (p=0.001) (OR=0.183 CI=0.065-0.513).Conclusions: The most significant identified barriers to utilization of ANC services were high stress, previous negative ANC experience, unplanned pregnancy, and short birth intervals. Furthermore, women who had adequate ANC visits were more likely to have planned pregnancies and be aware of available ANC services.

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