QUANTITATIVE CROSS SECTIONAL SURVEY OF WOMEN’S BELIEFS AS INFLUENCING FACTORS IN THE UTILIZATION OF ANTENATAL SERVICES IN THREE TOWNSHIPS OF CHIN STATE, MYANMAR
Purpose: The objective of this study was to determine women’s beliefs as influencing factors in the utilization of antenatal services. Methodology: The quantitative cross sectional survey was conducted in both rural and urban areas of three townships of Chin State. The multi-stage sampling method was used to recruit 350 women who had given birth within the past year. They were interviewed using structured questionnaires relating to their socio-demographic characteristics, beliefs about the utilization of antenatal services, and the situation of received antenatal care. The X2 values and odd ratio with a 95% of CI were calculated to find out women’s beliefs as influencing factors in the utilization of antenatal services. Findings: Among the 350 participants, the number who received antenatal care at least one time and four times were 303 (86.6%) and 222 (63.4%) respectively. There were only 98 (28.0%) who received antenatal care in first trimester. The number of women who showed awareness of life threatening risks of pregnancy was 135 (38.6%) whilst positive attitudes towards the effectiveness of antenatal care and accessibility of health care staff were 170 (48.6%) and 63 (18.0%) respectively. Women’s beliefs about the risks of pregnancy, effectiveness of antenatal care and accessibility of health care staff for antenatal care were statistically associated with the situation of receiving antenatal care at least four times and care in the first trimester but not associated with the situation of receiving at least one time. Unique contribution to theory, practice and policy: Women in Chin State received late first antenatal care and lack of regular follow-up because of their beliefs about the utilization of antenatal services. Effective health education activities are needed to raise awareness about the utilization of antenatal services.