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

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.

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Sabita Paudel ◽  
Tarun Paudel ◽  
Seshananda Sanjel

Background: In context of Nepal, although pregnant women from city areas contribute to maternal mortality, evidence of the study of utilization of antenatal care services and factors affecting antenatal care visits (ANC) are focused in rural areas where health institutions are not easily available. The objective of this study was to identify ANC services utilization by eligible women in Pokhara sub-metropolitan city. Methods: This was a cross-sectional study conducted applying face to face interviews with 240 eligible women bearing at least one youngest child below the age of two years. A structured and semi-structured questionnaire was used after translating into the Nepali language and pretesting it in the field. Data entered in Microsoft excel were transferred in SPSS (Statistical package for social sciences) version 21 and analysis were carried out. Both descriptive and inferential statistics were computed. The significance was set at the 0.05 level. Results: Approximately 97.0% of women had visited ANC during their recent pregnancy and about 56.0% of women had ≥4 ANC visits. The majority (80.3%) of the women used to seek ANC checkups during their first trimester and nearly half (49.0%) of the respondents belonged to the younger age of 15-19 years. Women’s (99.0%) and her husbands’ (86.0%) educational level significantly impacted ANC visits. Women having fewer numbers of children (98.0%) and the nuclear family (99.0%) had significantly higher ANC visits. Husbands’and mother-in-laws’ encouragement to go for ANC visits was significantly higher. All of the above-mentioned parameters were statistically significant at p< 0.05 level. Conclusions: There was variation in ANC service taking as per the encouragement from the husband and mother-in-law of the woman. Hence, awareness programs targeting husband and mother-in-law regarding the importance of ANC services are suggested. Conduction of detailed study in the future to explore the quality of services is recommended.


2021 ◽  
Vol 17 ◽  
Author(s):  
Md Mosharaf Hossain ◽  
Ruhani Mat Min ◽  
Madihah Mohd

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.


Author(s):  
Sandhya Mishra ◽  
Ankur Shrivastava ◽  
Vijay Kumar ◽  
Anamika Chandra ◽  
Jaun Zeb Rizvi

Background: On January 30, 2020, the World Health Organization declared the COVID-19 outbreak a global health emergency. With nearly 25000 fresh cases registered daily, the COVID-19 tally in India rose to 13 lakh till mid of July 2020, according to the Ministry of Health and Family Welfare. Understanding the inclination of doctors to work in COVID-19 outbreak is essential for betterment of health care services. Objective were to assess the willingness of Doctors to work in COVID-19 outbreak and to determine the factors affecting willingness to work in COVID-19 outbreak.Methods: The study was conducted among doctors working in various medical colleges, specialist hospitals and research centers across various states of India. A predesigned self-administered questionnaire in Google form was emailed to the participants. Data was collected and analysed using SPSS version 13.Results: Out of 342 participants, 61% were willing to work in the COVID-19 pandemic. Female participants and those staying with their family were found to be significantly more afraid of COVID-19 pandemic and also willingness to work was significantly lower among them than their male counterparts living away from family.Conclusions: The COVID-19 pandemic caused emotional distress among the doctors. However our results suggest that during an outbreak majority of doctors are willing to work and will be available in the future. Staying with family drives them away from work more due to fear of infection or death of their family members.


Sign in / Sign up

Export Citation Format

Share Document