scholarly journals Factors associated with utilization of antenatal care services among rural women, Telangana, India

2018 ◽  
Vol 5 (7) ◽  
pp. 2807
Author(s):  
Biranchi Narayan Das ◽  
Seshasai Kanakamedala ◽  
Mahesh kumar Mummadi
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Rural Women ◽  
Cross Sectional ◽  
Child Birth ◽  
Factors Associated ◽  
Care Services ◽  
Telangana State ◽  
The Government ◽  
Antenatal Visits

Background: Antenatal care is the essential health care extended to pregnant women. Complete antenatal health care includes four antenatal visits, 2 TT injections, and consumption of 100 Iron and Folic acid tablets. In Telangana state the proportion of mothers received full ante natal care in rural area is only 37.3%. Hence, the present study conducted with an objective to assess the factors associated with utilization of antenatal care services among rural women in Telangana state.Methods: The study is a community based cross sectional study. It was conducted in villages of Moinabad Mandal of Telangana state. Sample size was calculated to 373.Out of 26 villages 20 villages were chosen randomly and from each village 20 houses were selected by stratified random method. Married women delivered at least one child during last five years were included. Pretested questionnaire was administered. The data were tabulated in MS Excel and analyzed by SPSS.Results: Among 373 participants, 89.3% mothers registered during 1st trimester, 92.8% confirmed their pregnancy in the Government sector, 81.3% mothers had four or more antenatal visits, nearly 87.7% mothers received two doses of TT and 77.2% had taken more than 100 Iron tablets. The factors identified to be having statistically significant (p< 0.05) association with better utilization of antenatal care were age at child birth >25 years, education10th class and above, Working mothers, first child birth, Socioeconomic class I- IV and early registration. On application of simple logistic regression predictors were found to be age, education, occupation, birth order, SES and early registration.Conclusions: Awareness should be made by the ASHA workers, ANMs and Anganwadi workers through better education and motivation of the target groups such as young mothers, homemakers, low socio-economic status groups and late registered mothers for better utilization.

scholarly journals Factors associated with use of antenatal care services in a rural area of Bangladesh

2013 ◽  
Vol 2 (2) ◽  
pp. 61-66 ◽  
Author(s):  
Md Shahjahan ◽  
Hasina Akhter Chowdhury ◽  
Jesmin Akter ◽  
Afsana Afroz ◽  
M Mizanur Rahman ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Rural Women ◽  
Cross Sectional Study ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Care Services ◽  
Postnatal Mothers ◽  
Living Children ◽  
Rural Mothers ◽  
Available Information

Antenatal care (ANC) includes care during pregnancy, should begin from the early stages of pregnancy. ANC al-lows management of pregnancy, detection and treatment of complications, and promotion of better maternal and child health. This study assessed the factors relating to maternal healthcare practices in rural Bangladesh and exam-ined the association between use of antenatal care services and socio-demographic variables of rural women. A community based cross-sectional study was conducted in Madhupur upazila of Tangail district. Postnatal mothers who visited the Expanded Programme on Immunization (EPI) centers constituted as sampling frame and selected. The sample size was determined based available information on the Bangladesh Demographic and Health Survey (BDHS) 2007. In total 360 randomly selected postnatal mothers were interviewed using structured questionnaire for collecting information on demographic characteristics, knowledge on ANC and practices. The mean (±SD) age of the respondents was 24(±4.4) years. Most (95.6%) of them were housewives. Twenty-two percent of the respon-dents were from the poorest socioeconomic class. Mothers who had one living child had the highest percentage of adequate ANC use compared to those who had two or more living children. Access to mass media (newspapers and TV) had a positive significant (p<0.001) effect on the use of ANC services. The results of logistic regression analy-sis showed that, after adjusting other factors, respondents who had secondary-level education were 4.5 times more likely to use ANC adequately compared to those who had no education. The findings suggested that education of the mothers is an important determinant of ANC visits during pregnancy. Therefore, information, education and communication on ANC must be intensified in order to reach the rural mothers. DOI: http://dx.doi.org/10.3329/seajph.v2i2.15956 South East Asia J Public Health | Jul-Dec 2012 | Vol 2 Issue 2 | 61-66

scholarly journals An epidemiological study regarding availability and utilization of public health care services in slum in Amritsar city

2019 ◽  
Vol 6 (6) ◽  
pp. 2396
Author(s):  
Richa Verma ◽  
Tejbir Singh ◽  
Mohan Lal ◽  
Jasleen Kaur ◽  
Sanjeev Mahajan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Economic Status ◽  
Health Indicators ◽  
Public Health Care ◽  
Cross Sectional ◽  
Government Health ◽  
Care Services ◽  
The Government

Background: Low level of education of the slum dwellers along-with poor socio- economic status and pathetic environmental conditions lead to their poor health indicators. Since the National Urban Health Mission (NUHM) was launched in 2013, the health services are still in their initial stages. Assessment of the availability as well as the utilization of health care services of the urban slums is the need of the hour.Methods: The cross-sectional study was conducted in randomly selected slum in Amritsar city. All the houses were enumerated and visited by the interviewer herself. The eldest adult member of the family was selected as key respondent and written, informed consent was obtained. Predesigned questionnaire was used to collect the data which was then compiled and analyzed using statistical tests.Results: Out of the total respondents, one third respondents had knowledge about the government health center nearby (statistically significant) while out of these, only one third utilized the services at the center (statistically non-significant). Almost half of the respondents had knowledge about the medical camps and out of these, two-thirds utilized the services at medical camps.Conclusions: Overall utilization of services is poor. More respondents were aware of the medical camps than the static government health facility and utilization of medical camps was also more. So the static health services under NUHM need to be further strengthened.

scholarly journals Prevalence and factors associated with late antenatal care visit among pregnant women in Lushoto, Tanzania

2017 ◽  
Vol 19 (3) ◽  
Author(s):  
Flora Njiku ◽  
Herman Wella ◽  
Adellah Sariah ◽  
Joyce Protas
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
First Trimester ◽  
Antenatal Clinic ◽  
World Health ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services

Background: Adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The World Health Organization recommends pregnant women to attend antenatal care services as early as in the first trimester. However, many women due to various reasons fail to meet the recommendations. The objective of this study was to determine the prevalence and factors associated with late antenatal booking among pregnant women in Lushoto district of north-eastern Tanzania.Methods: This hospital based cross sectional study involved pregnant women and was conducted in August-September 2015. A standardized questionnaire was used to obtain participants demographic characteristics and obstetrics history. Data analysis was done using (SPSS) and relationship between outcome variables and exposure variable was done using Chi-square test. Multivariate logistic regression was used to measure the association.Results: A total of 240 participants were involved in the study.  Out of these, 169 (70.4%) participants booked late for antenatal care (ANC) services. Delayed booking was mainly associated with not being married (AOR=3.08; 95%CI 1.149-8.275; P value=0.025) and unemployment (AOR=4.28; 95% CI 2.11-8.679; p-value=0.000)Conclusion:  Late first antenatal clinic visit was high in Lushoto, and was highly associated with unmarried and unemployment status. Therefore, provision of continuous health education and community sensitization on the importance of timely seeking ANC services should be strengthened.

scholarly journals Utilization of Postnatal Care Services among the Rural Women in Bangladesh

2017 ◽  
Vol 8 (2) ◽  
pp. 208-212
Author(s):  
Shafia Khatun Nayan ◽  
Nasreen Begum ◽  
Mumtaz Rahman Abid ◽  
Sanjida Rahman ◽  
Ahsanul Kabir Rajib ◽  
...  
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Rural Women ◽  
Postnatal Care ◽  
Postpartum Care ◽  
Care Utilization ◽  
Care Providers ◽  
Care Services ◽  
Post Natal Care ◽  
Natal Care

Background : Low utilization of routine postnatal care (PNC) is an important determinant of high maternal and neonatal mortality in Bangladesh.Objective : To determine the utilization of post-natal care services among the rural women in a selected area in Bangladesh.Methodology : During October 2015 to March 2016 a descriptive, cross-sectional study was carried out among 200 married women of reproductive age who had a live baby below 5years of age. Sample was selected purposively from village Islampur in Dhamrai Upzilla under Dhaka district. After taking informed consent data were collected by face to face interview using structured questionnaire.Results : The study revealed that 73.50% of the respondents utilized PNC services among them 55.10% took PNC for less than 3 times and 28.57% took PNC for more than 3 times during postnatal period. Most of them 86% were house wife; age between 25-30 years. About 35% respondents were educated up to secondary level and 31.5% were from middle economic group. In this study 79.50% respondents received Antenatal care and advice for Post-Natal Care (PNC) Source of information for PNC was 32.5% from health workers. Fifty nine percent respondents took PNC on combined decision of husband and wife. A significant number of respondents 61.91% received postnatal care at Upazilla Health Complex. Most of the respondents 73.47% found health care provider available on duty and good behavior were found by 72.11% respondents. Among respondents 62.59% attended Health Centre by walking. Only 59.86% respondents got free PNC service. Regarding importance of PNC 67.5% believed for healthy mother and 12.5% for healthy baby.Conclusions : Post Natal Care service utilization was satisfactory (73.50%) in the study area which is higher than the national figure (36%). The findings of the study clearly showed that female education, monthly household income, antenatal care utilization, distance of health center turned out important factors in determining the postpartum care utilization among the mothers. Availability and interaction with health care providers also affected the postpartum care utilization in the study population.Northern International Medical College Journal Vol.8(2) January 2017: 208-212

The Use of Mobile Phones by Women Accessing Health Care Services in Bangladesh: A Cross-Sectional Study

2021 ◽  
Vol 17 ◽  
Author(s):  
Md Mosharaf Hossain ◽  
Ruhani Mat Min ◽  
Madihah Mohd
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Mobile Phone ◽  
Mobile Phones ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Level Of Education ◽  
Care Services ◽  
To Receive

Background: Maternal and neonatal mortality rates still pose a global challenge. Objectives: The present study aimed to identify the socio-demographic characteristics of mobile users trying to access antenatal care services, transportation to facilities, and postnatal care for mothers and newborns. Methods: This was a cross-sectional study that used data collected from the Bangladesh Demographic and Health Survey (BDHS) 2014. Data were gathered using a questionnaire. Participants comprised 4,494 mothers aged between 14 and 49. Models of logistic regression were used to determine associations. Results: The overall sample size was 4494, with only 22.23% of women using mobile phones. Among these, 29.9% used their mobile phones to obtain health services or advice and 70.1% did not. Women with mobile phones who had a higher level of education used them to receive more health care (secondary and higher: OR = 1.922, 95%CI = 1.225−3.014; primary: OR = 1.982, 95% CI = 1.738−2.654); they were of higher socio-economic status (rich: OR = 1.228, 95% CI = 1.009&−1.494; middle income: OR = 1.691, 95% CI = 1.256−2.333); they accessed more prenatal care (yes: OR = 1.993, 95% CI = 1.425−1.987) and antenatal care (yes: OR = 1.951, 95% CI = 1.765−1.998); they checked their health status after delivery (yes: OR = 1.966, 95% CI = 1.639−2.357). Conclusion: The results of the present study showed that young women who had a higher level of education and income and resided in urban areas were more likely to use a mobile phone to receive health care facilities in Bangladesh. Intervention studies are essential in recognising that mobile phone-based facilities improve maternal health care.

scholarly journals Factors Associated with Maternal Deaths in a Hard-To-Reach Marginalized Rural Community of Bangladesh: A Cross-Sectional Study

2020 ◽  
Vol 17 (4) ◽  
pp. 1184 ◽  
Author(s):  
Animesh Biswas ◽  
Abdul Halim ◽  
Abu Sayeed Md. Abdullah ◽  
Fazlur Rahman ◽  
Sathyanaraynan Doraiswamy
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Live Births ◽  
Factors Associated ◽  
Care Services ◽  
Tea Garden

Every year in Bangladesh, approximately 5200 mothers die (172 maternal deaths/100,000 live births) due to maternal complications. The death rate is much higher in hard-to-reach areas and underprivileged communities, such as Bangladesh’s tea gardens. The women living in the tea garden areas are deprived of quality health care services due to inadequate knowledge, education, and access to health care services. Poverty and early marriage, followed by early pregnancy, are also triggering factors of maternal deaths in this community. This study explored the factors associated with maternal deaths in the underprivileged tea garden community in the Moulvibazar district of Bangladesh. It was a cross-sectional study conducted between January and March 2018. All maternal deaths reported by government health care providers in two sub-districts of Moulvibazar during 2017 were selected for community verbal autopsy using a structured questionnaire. Descriptive analysis was performed on quantitative data, and content analysis was performed on qualitative data. A total of 34 maternal deaths were reported in the two sub-districts in 2017, among which 15 deaths (44%) occurred in the tea garden catchment areas, where about 34% people live in the two upazilas. The majority of the mothers who died in the tea gardens delivered their babies at home (80%), many of whom also died at home (40%). Only 27% of women who died in the tea gardens received four or more antenatal care visits. Post-partum hemorrhage was found to be the leading cause of death (47%), followed by anemia (33%) and eclampsia (20%). There is a persistent high maternal mortality observed in the marginalized tea gardens, as compared to the general community of the Moulvibazar district, Bangladesh. The sustainable development goal (SDG) that has been set for maternal mortality rate (MMR) is 70/100,000 live births in Bangladesh. The findings of our study show that focused intervention is needed to reduce the burden of maternal deaths, which will improve the overall maternal health situation and also reach the SDG on time.

scholarly journals Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China

2021 ◽  
Vol 58 ◽  
pp. 004695802110201
Author(s):  
Rongrong Zhao ◽  
Houxiu Zhou ◽  
Jingci Zhu
Keyword(s):  
Health Care ◽  
Old Age ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Related Services ◽  
Factors Associated ◽  
Care Services ◽  
Care Family ◽  
Health Related

The objective of this study is to investigate the factors associated with the willingness for old-aged care and the demands for health care among elders, which might provide a reference for the establishment of health care strategies. A cross-sectional study was conducted via questionnaires among 1553 randomly selected residents aged 65 or older from Chongqing, China during 2016. Data of demographics, and demands for old-age care and health care services were collected. Descriptive analysis was used to examine the characteristics of the respondents. A chi-squared test and multiple logistic regression were performed to explore the relevant factors associated with the preference of old-age care among older people in Chongqing. We found that 85.4% of the respondents were willing to select home-based care: family old age care (55.9%), and its combination form for old-age care: family old age care plus community old age care (29.5%) old age care. Multivariable logistic regression analysis showed that willingness to choose family old age care for old-age care was associated with lower monthly income, more children, worse commercial insurance, better health status, and shorter distance to their children. Most older adults had the demands for health-related services, including regular check-up, regular health seminars, establishment of health files. Hospital was the most acceptable provider for care services, and there was a preference for long-term care and emergency call among the elders. The majority of older Chinese prefer the family old age care and its combination form with community old age care for old-age care, and demand for a variety of health-related services. Home- and community-based care with sound and perfect medical and health mechanism should be the main pattern of old-age care system in China.

scholarly journals Sociodemographic Correlates of Choice of Health Care Services in Six Rural Communities in North Central Nigeria

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Onyemocho Audu ◽  
Ishaku Bako Ara ◽  
Abdujalil Abdullahi Umar ◽  
Victoria Nanben Omole ◽  
Solomon Avidime
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Health Care Services ◽  
Health Seeking ◽  
Cross Sectional ◽  
North Central ◽  
Care Services ◽  
Sociodemographic Correlates ◽  
The Government ◽  
Household Heads

Household expenditure on health has increasingly remained a major source of health care financing in Nigeria despite the introduction of several social health scheme policies provided by the government for meeting the health care costs of patients. Recognizing these limitations, this study assessed the type of health care services people commonly use in various illnesses and the sociodemographic correlates of the preferred health care services by household heads in six rural communities of North Central Nigeria. A cross-sectional community-based descriptive study design was used to study 154 household heads in the settlements using a multistage sampling method. Multiple logistic regressions were performed to investigate independent predictors that had significant chi-square atP<0.05. The leading causes of illness experienced by respondents were medical conditions (42.0%) and 41.7% of them sought treatment from patent medicine vendors. The dominant reasons for health-seeking preferences were financial access (53.7%) and proximity (48.6%). Age had a higher impact (Beta = 0.892) on the health-seeking preferences of the respondents as compared to their occupation and religion (Beta = 0.368 and −0.746, resp.). Therefore, in order to meet the health care of patients, it is pertinent that the unmet needs of patients are properly addressed by appropriate agencies.

scholarly journals Utilization of antenatal care services in a rural area of Nalgonda district, Telangana state, India

2020 ◽  
Vol 7 (9) ◽  
pp. 3380
Author(s):  
K. Jahnavi ◽  
Kondagunta Nagaraj ◽  
Abhay Subhashrao Nirgude
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Health Staff ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Care Services ◽  
Prime Determinant ◽  
Antenatal Visits

Background: Majority of maternal deaths can be prevented through appropriate maternal health services during antenatal, natal and post natal period Reasons for non-utilization of Antenatal health services could be due to various social, cultural and economic factors. Therefore, keeping this in view, this study was conducted to assess the utilization pattern of antenatal services by mothers, the facilitators of utilization of services.Methods: It is a Community based cross sectional study conducted in Cherlapally and villages around, which constitute the rural field practice area of Department of SPM, Kamineni Institute of Medical Sciences, Narketpally telangana. This study was conducted from September 2012-October 2014. A pre-designed and pre-tested questionaire was used to collect the data. The data was compiled and analyzed using SPSS version 19.Results: Majority (91.5%) of the mothers had three or more than three antenatal visits. Antenatal visits less than 3 was seen in only 8.5% of mothers. Mothers who took minimum of 2 tetanus toxoid injections were 93.6%.  But only 37.7% of the mothers consumed 100 IFA tablets. Majority (68.6%) of the mothers received antenatal care from doctor and 22.9% of mothers from both doctor and ANM.Conclusions: Majority of the mothers received antenatal care from private health facility followed by government health facilities. Better care and advice from health staff was the prime determinant for utilization.

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