scholarly journals Utilization of Antenatal Care Services in Urban Slums of Nanded City

2019 ◽  
Vol 5 (2) ◽  
pp. 69-73
Author(s):  
Sunita P. Pawar ◽  
◽  
Geeta S. Pardeshi ◽  
Shriram Gosavi ◽  
◽  
...  
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Care Service ◽  
Urban Slums ◽  
Reproductive Age ◽  
Care Utilization ◽  
Special Focus ◽  
Age Group ◽  
Care Services ◽  
Reproductive Age Group

Background: Complications during pregnancy and delivery are well documented and can be prevented and managed effectively especially with adequate antenatal care. Women in urban slums represent a marginalized community and improving health care utilization in this group remains a challenge. Objective: To study existing antenatal care practices and study the factors associated with it among women of reproductive age group in urban slums of Nanded city. Methods: This is a community based cross sectional descriptive study carried out from March 2010 to April 2011 in which 400 women reporting delivery in past two years were selected using Probability Proportionate Sampling. Data on Sociodemographic factors and different components of antennal care were collected using a Semi structured questionnaire. Analysis was done using chi square test. Results: Among the 400 women included in the study, coverage of full Antenatal care (ANC) services was reported by 80 (20%) respondents. While 381 (95%) women were immunized with Tetanus Toxoid, only 98 (25%) women had consumed 100 or more Iron and Folic acid tablets, 315 (79%) women had three or more antenatal check-ups and 213 (53%) had registered themselves in first trimester of pregnancy. There was significant association between full antenatal care and woman’s education, husband’s education and occupation, religion and socio-economic status of family (<0.05). Conclusion: There is a need to improve the utilization of full antenatal care package among women in urban slums with a special focus on early registration and IFA consumption. Sociodemographic variables of reproductive age group women have impact on utilization of antenatal care services. The risk factors identified for low antenatal care service utilization were low educational status of women and their husbands and low socioeconomic status. Special efforts should be made to motivate this group for antenatal care service utilization

Differentials in Utilizations of Antenatal Care Services among Currently Married Women in Urban Southwest and Northwest of Nigeria

2016 ◽  
Vol 3 (9) ◽  
pp. 148
Author(s):  
Olowoporoku Ayodeji John ◽  
Ajayi Adeola
Keyword(s):  
Antenatal Care ◽  
Care Service ◽  
Multivariable Analysis ◽  
Secondary Data ◽  
Wealth Index ◽  
Married Women ◽  
Care Utilization ◽  
Care Services ◽  
Logistic Analysis ◽  
Children Ever Born

<p>The study examines differentials in utilization of antenatal care services among currently married women in urban Southwest and Northwest of Nigeria. Attempt was made to investigate differentials in utilization of antenatal care services among currently married women in both regions. In-depth interviews currently married women in urban Southwest and Northwest. Secondary data were extracted from 2008 Nigeria Demographic and Health Survey (NDHS) dataset. Out of the 33,385 currently married interviewed, the study employed sample of 14,811 comprising 8,202 for Northwest and 6,789 for Southwest. The analyses were done in three stages of univariate, bivariate and multivariate levels. The result showed evidence of higher age of respondents, higher education among currently married in southwest than northwest. The number of children ever born (CEB) among currently married in both regions were four and five respectively. For both regions antenatal care utilization increased with wealth index. The result of the multivariable analysis regarding utilization of antenatal care services, the logistic analysis shows factors such as education, religion and wealth index as the variables influencing utilization of antenatal care service in Northwest while age of respondents, occupation and CEB determined utilization of antenatal care services in Southwest than Northwest. The study concluded that currently married women in Southwest and Northwest showed differentials in utilization of antenatal care services. Currently married women in Southwest exhibiting higher utilization of antenatal care services and lower utilization in Northwest. Religion, education, wealth index, women autonomy, children ever born, distance to health and cost of antenatal care were the most important variables explaining the differentials in utilization of antenatal care services among currently married women in urban Southwest and Northwest in Nigeria.</p>

scholarly journals Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258468
Author(s):  
Gizachew Tadesse Wassie ◽  
Minyichil Birhanu Belete ◽  
Azimeraw Arega Tesfu ◽  
Simachew Animen Bantie ◽  
Asteray Assmie Ayenew ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Survey ◽  
Postnatal Care ◽  
Public Health Intervention ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Care Utilization ◽  
Timely Initiation ◽  
Care Services

Background Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care services in 2016. Objective This study examined the association between antenatal care and timely postnatal care checkup among reproductive-age women in Ethiopia. Methods The study used the 2016 Ethiopian Demographic and Health Survey data. The current study included 4,081 women who give birth in the two years preceding the survey. Chi-square test and multivariable logistic regression analyses were used to examine the association between antenatal care and timely initiation of postnatal care. Results Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkups compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% CI 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as a significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77). Conclusion The prevalence of timely initiation of postnatal care in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve the timely initiation of postnatal care.

scholarly journals A study on utilization of antenatal care services in urban slums of Amritsar city, Punjab, India

2017 ◽  
Vol 4 (3) ◽  
pp. 698 ◽  
Author(s):  
Nidhi Sharma ◽  
Kiran Kumar H. V. ◽  
Shivesh Devgan
Keyword(s):  
Antenatal Care ◽  
Urban Poverty ◽  
Urban Slums ◽  
Reproductive Age ◽  
Antenatal Visit ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Rapid Urbanization ◽  
Care Services ◽  
Slum Areas

Background: Rapid urbanization in India is fuelling a growth in urban poverty, particularly in the urban slums where the quality of life is extremely poor. There have been limited efforts to capture the health of population living in urban slums and most severely affected are the women of childbearing age and children. So the present study was carried out to assess the utilization pattern of antenatal care and to identify the factors affecting it in urban slums of Amritsar city.Methods: A cross-sectional study was conducted in 1600 houses selected randomly in four slum areas of Amritsar city in which 659 married women in the reproductive age group of 15-49 years who had at least 1 child and had delivered the last child in the last 3 years were found. Total 659 women were interviewed using a pre-designed and pre-tested proforma.Results: 58.4% of respondent women attended at least one antenatal visit during last pregnancy. Maximum (43.4%) attended 2 antenatal visits. Majority (64.4%) had their first antenatal visit in 2nd trimester. Majority (57.1%) consumed <100 IFA tablets. Majority (65.6%) were fully immunized with 2 doses/booster of TT. Lack of knowledge about ANC services was the reason given by most of the women (31.0%) for not attending any antenatal visit. The utilization of antenatal care (ANC) services by women was found to be significantly associated with their age, education, birth order, socio-economic status and husband’s education.Conclusions: The utilization of antenatal care services was found to be poor in the study population. Important barriers to service utilization were found to be lack of awareness and lack of felt need. This shows the need for intensive efforts to be made in slum areas to create awareness among women by Behaviour Change Communication (BCC) activities. 

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