Content of antenatal care services in secondary health care facilities in Nigeria: implication for quality of maternal health care

Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data saturation. Data were analysed using Tech’s method of analysis. Results: Results revealed the following theme and sub-themes: Attitudes of pregnant women related to individual perceptions, perceived barriers to utilizing antenatal care services,’ attitudes of healthcare providers, long waiting times in healthcare facilities, lack privacy and confidentiality in healthcare facilities and attitudes of pregnant women related to attendance of antenatal services. Conclusion: Attitudes of pregnant women about antenatal care are shaped by their knowledge and previous encounters with the health care services that they had previously received. It is therefore important to provide women-friendly services. It is recommended that health education regarding the importance of antenatal care services must be given to all women daily in the waiting areas of each primary health care facilities, thus, the healthcare providers should promote the active participation of pregnant women during the health education sessions and provide opportunities to ask questions.

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Coverage and Quality of Antenatal Care Provided at Primary Health Care Facilities in the ‘Punjab’ Province of ‘Pakistan’

PLoS ONE ◽

10.1371/journal.pone.0113390 ◽

2014 ◽

Vol 9 (11) ◽

pp. e113390 ◽

Cited By ~ 29

Author(s):

Muhammad Ashraf Majrooh ◽

Seema Hasnain ◽

Javaid Akram ◽

Arif Siddiqui ◽

Zahid Ali Memon

Keyword(s):

Health Care ◽

Primary Health Care ◽

Antenatal Care ◽

Health Care Facilities ◽

Primary Health ◽

Punjab Province ◽

Care Facilities ◽

Primary Health Care Facilities

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Utilization pattern and associated factors of maternal health care services in Haryana, India: a study based on district level household survey data

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20180910 ◽

2018 ◽

Vol 7 (3) ◽

pp. 1154 ◽

Cited By ~ 2

Author(s):

Shinjini Ray ◽

Pravat Bhandari ◽

Jang Bahadur Prasad

Keyword(s):

Health Care ◽

Maternal Health ◽

Antenatal Care ◽

Health Care Services ◽

Institutional Delivery ◽

Maternal Mortality Ratio ◽

Maternal Health Care ◽

District Level ◽

Care Services ◽

Maternal Health Care Services

Background: Maternal health was one of the most important millennium development goals (MDGs), India didn’t achieve by the year 2015. Since, India is a multicultural, social and multiregional country, where some of the regions have good social and demographic achievement while some are poor. Haryana is one of them, which has 146 maternal mortality ratio. The level of receiving antenatal care (ANC) in Haryana is quite low as compared to other states of India. Objective of present study was to Understand the extent of use of maternal health care services in Haryana as well as examining the role of antenatal care and other socio-economic factors on the utilization of maternal health services.Methods: Bivariate analysis, chi-square test, and binary logistic regression have been used based on district level household and facility survey-4 data.Results: The utilization of ANC (any and full), institutional delivery and post-delivery treatment seeking varies among women by literacy, age at first marriage, age at women and place of residence. Literate women are two times more likely to access ANC [odds ratio (OR)=1.97 (any ANC), 1.95 (full ANC), p<0.01] and 1.52 times more likely to prefer institutional delivery [OR=1.52, p<0.01].Conclusions: Empowering women through the encouragement of mother’s education should be one of the most fundamental strategies to promote maternal health care services and reduce inequalities.

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Assessing the quality of maternal health care in Indigenous primary care services

The Medical Journal of Australia ◽

10.5694/j.1326-5377.2010.tb03646.x ◽

2010 ◽

Vol 192 (10) ◽

pp. 597-598 ◽

Cited By ~ 6

Author(s):

Alice R Rumbold ◽

Ross S Bailie ◽

Damin Si ◽

Michelle C Dowden ◽

Catherine M Kennedy ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Maternal Health ◽

Maternal Health Care ◽

Care Services ◽

Primary Care Services

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Assessing the role of women’s autonomy and acceptability of intimate-partner violence in maternal health-care utilization in 63 low- and middle-income countries

International Journal of Epidemiology ◽

10.1093/ije/dyy299 ◽

2019 ◽

Vol 48 (5) ◽

pp. 1580-1592 ◽

Cited By ~ 3

Author(s):

Pooja Sripad ◽

Charlotte E Warren ◽

Michelle J Hindin ◽

Mahesh Karra

Keyword(s):

Health Care ◽

Maternal Health ◽

Antenatal Care ◽

Partner Violence ◽

Maternal Health Care ◽

Care Utilization ◽

Women’S Autonomy ◽

Women's Autonomy ◽

Maternal Health Care Utilization ◽

Care Services

Abstract Background Our study investigates the associations between women’s autonomy and attitudes toward the acceptability of intimate-partner violence against women (IPVAW) and maternal health-care utilization outcomes. Methods We combine data from 113 Demographic and Health Surveys conducted between 2003 and 2016, which give us a pooled sample of 765 169 mothers and 777 352 births from 63 countries. We generate composite scores of women’s autonomy (six-point scale with reference: no contribution) and acceptability of IPVAW (five-point scale with reference: no acceptance) and assess the associations between these measures and women’s use of antenatal care services and facility delivery in pooled and unique country samples. Results A change in a woman’s autonomy score from ‘no contribution to any decision-making domain’ (a composite autonomy score of 0) to ‘contribution to all decision-making domains’ (a score of 6) is associated with a 31.2% increase in her odds of delivering in a facility and a 42.4% increase in her odds of receiving at least eight antenatal care visits over the course of her pregnancy. In contrast, a change in a woman’s attitude towards acceptability of IPVAW from ‘IPVAW is not acceptable under any scenario’ (a score of 0) to ‘IPVAW is acceptable in all scenarios’ (a score of 5) is associated with an 8.9% decrease in her odds of delivering in a facility and a 20.3% decrease in her odds of receiving eight antenatal care visits. Conclusions Our findings suggest that strong and significant associations exist between autonomy, acceptability of IPVAW and utilization of maternal health-care services.

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PIH50 EFFECT OF INTRODUCTION OF MATERNAL HEALTH VOUCHERS ON QUALITY OF MATERNAL HEALTH CARE SERVICES IN RURAL BANGLADESH: A QUASI-EXPERIMENTAL SURVEY

Value in Health ◽

10.1016/j.jval.2019.04.850 ◽

2019 ◽

Vol 22 ◽

pp. S190

Author(s):

K. Korotki ◽

M.M. Khan

Keyword(s):

Health Care ◽

Maternal Health ◽

Health Care Services ◽

Maternal Health Care ◽

Rural Bangladesh ◽

Care Services ◽

Quasi Experimental ◽

Maternal Health Care Services ◽

Experimental Survey

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Determinants of utilization of maternal health care services among mothers in Harare, Zimbabwe

10.21203/rs.2.15879/v2 ◽

2019 ◽

Author(s):

Eunice Nyarambi ◽

Paddington Tinashe Mundagowa ◽

Prosper Chonzi ◽

Elizabeth Chadambuka

Keyword(s):

Health Care ◽

Maternal Health ◽

Antenatal Care ◽

Health Care Services ◽

Care Delivery ◽

Maternal Health Care ◽

Health Facilities ◽

Related Factors ◽

Care Services ◽

Maternal Health Care Services

Abstract Background: Provision of quality maternal health care services is an essential component in ensuring a healthy mother-baby dyad both pre- and post-delivery. In Africa, antenatal care, postnatal care, and skilled birth attendances are very low when compared to high-income countries. The continent has a high burden of maternal and infant morbidity as well as mortality rates. According to the Harare Annual Report of 2016, the number of women seeking maternal health care services was gradually declining from 2014 and pregnant women reported various challenges in accessing health care services. Methods: A 1 to 1 case-control study was conducted in Harare West South Western District using pretested interviewer-administered questionnaires. The study was carried out at all three clinics in the district and a total of 73 cases and 73 controls were selected using a systematic random sampling method. Quantitative data were analyzed using Epi Info statistical package and qualitative data was analyzed thematically. Results: The median ages for cases and controls were 29 and 24 years, respectively and the age-group 19 to 24 years constituted the majority of participants (41%). Predictors of utilization of services were young age ( < 24 years), birth order of < 2, maternal and paternal occupation, and religion. Enabling factors included: asking for permission to seek care, absence of transport challenges, a shorter distance to the health facility, affordability of health services, and a higher household income. Besides the shortage of skilled staff at the clinics, mothers endured long waiting hours to be served. The majority of the cases (78.1 %) and controls (72.6%) preferred to be attended by male nurses. Mothers were required to pay a $25 fee for booking and city medical staff rarely visited the clinics. Conclusion: The utilization of maternal health care services in Harare is dependent on the individual, household, and system-related factors. There was a need to articulate policies and design maternal health care programs that target socially and economically marginalized women. Creating women-friendly health facilities with extended hours for the antenatal care, delivery care and post-natal care services for mothers can help to decongest the health facilities.

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Assessment of utilization of maternal health care services in rural field practice areas of VIMS, Ballari

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20175777 ◽

2017 ◽

Vol 5 (1) ◽

pp. 170

Author(s):

Neeta P. N. ◽

Sameena A. R. B. ◽

Suresh C. M. ◽

Gangadhar Goud ◽

Bharat . ◽

...

Keyword(s):

Higher Education ◽

Health Care ◽

Maternal Health ◽

Antenatal Care ◽

Postnatal Care ◽

Health Care Services ◽

Maternal Health Care ◽

Care Services ◽

Field Practice ◽

Maternal Health Care Services

Background: Maternal mortality and morbidity remains high even though national programs exist for improving maternal and child health in India. This could be related to several factors, an important one being non-utilization or delay in seeking care of maternal health-care services, especially amongst the rural poor and urban slum population due to either lack of awareness or access to health-care services. Our study was aimed to know the utilization of maternal health care services during antenatal and post natal period and factors affecting them.Methods: A Community based cross sectional study was carried in the rural field practice areas of VIMS, Ballari (three primary health centres (PHC) Kudithini, Koluru, Kurugodu) among all married women in the age group of 15-45 years who were in the post natal period (less than 2 months) at time of interview. A total 152 women were included in the study by door to door survey, among all the 3 PHC’s. The women absent during the survey were excluded.Results: Only 101 (66.44%) of women utilized antenatal care and 18 (11.8%) utilized post natal care (at least three postnatal visits) from the health care facility. Mothers who were of Muslim religion, <20 years of age, higher education of participant as well as husband, higher occupation status, high SES, less parity had higher odds of utilizing antenatal care. Health education by the health worker regarding post natal services to women ranged from 62.5-90.8%. Mothers of Muslim religion, higher education, higher occupation status, normal vaginal delivery and home delivery had higher odds of utilizing postnatal servicesConclusions: The study shows unacceptably low utilization of postnatal care services. It shows the coverage of postnatal care services is inadequate. This is an important message to health service providers and policy makers to strengthening not only antenatal health services and institutional deliveries but also postnatal care services to reduce maternal and neonatal morbidity and mortality.

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Traditional practices influencing the use of maternal health care services in Indonesia

PLoS ONE ◽

10.1371/journal.pone.0257032 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0257032

Author(s):

Ni Ketut Aryastami ◽

Rofingatul Mubasyiroh

Keyword(s):

Health Care ◽

Maternal Health ◽

Health Services ◽

Antenatal Care ◽

Maternal Health Services ◽

Community Empowerment ◽

Maternal Health Care ◽

Health Care Facilities ◽

Traditional Practices ◽

Birth Attendance

Background Maternal Mortality Ratio (MMR) in Indonesia is still high, 305, compared to 240 deaths per 100,000 in South East Asian Region. The use of Traditional Birth Attendance (TBA) as a cascade for maternal health and delivery, suspected to be the pocket of the MMR problem. The study aimed to assess the influence of traditional practices on maternal health services in Indonesia. Methods We used two data sets of national surveys for this secondary data analysis. The samples included 14,798 mothers whose final delivery was between January 2005 and August 2010. The dependent variables were utilization of maternal healthcare, including receiving antenatal care (ANC≥4), attended by skilled birth attendance (SBA), and having a facility-based delivery (FBD). The independent variables were the use of traditional practices, type of family structure, and TBA density. We run a Multivariate logistic regression for the analysis by controlling all the covariates. Results Traditional practices and high TBA density have significantly inhibited the mother’s access to maternal health services. Mothers who completed antenatal care were 15.6% lost the cascade of facility-based delivery. The higher the TBA population, the lower cascade of the use of Maternal Health Services irrespective of the economic quintile. Mothers in villages with a high TBA density had significantly lower odds (AOR = 0.30; CI = 0.24–0.38; p<0.01) than mothers in towns with low TBA density. Moreover, mothers who lived in an extended family had positively significantly higher odds (AOR = 1.33, CI = 1.17–1.52; p<0.01) of using maternal health services. Discussion Not all mothers who have received proper antenatal delivered the baby in health care facilities or preferred a traditional birth attendance instead. Traditional practices influenced the ideal utilization of maternal health care. Maternal health care utilization can be improved by community empowerment through the maternal health policy to easier mothers get delivery in a health care facility.

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