scholarly journals EVALUATING SOCIO-CULTURAL BARRIERS TO ANTENATAL CARE UTILIZATION AMONG REPRODUCTIVE AGE WOMEN IN WUSHISHI AND ZUNGERU COMMUNITIES IN NIGER STATE, NIGERIA: A LOGISTIC REGRESSION APPROACH

2020 ◽  
Vol 1 (4) ◽  
pp. 93-100
Author(s):  
Phillips Edomwonyi Obasohan ◽  
Dorcas Nike Obasohan ◽  
Egbako Umar Ahmed ◽  
Muhammad Jibril Toroko
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Care Service ◽  
Traditional Birth Attendant ◽  
Health Facilities ◽  
Reproductive Age ◽  
World Health ◽  
Care Utilization ◽  
Childbearing Age ◽  
African Region

More than 33% of Nigerian pregnant women do not use the Antenatal Care service during pregnancy. In 2015, for instance, World Health Organization (WHO) revealed that only 61% of Nigerian pregnant women had attended ANC at least once during their pregnancy period. Only 51% of these women met the WHO standard of a minimum of 4 visits. This ANC rate is, without doubt, lower than the WHO African region average of 77%. The situation in Wushishi and Zungeru communities of Niger State may not be different. Despite the number of health facilities available in these communities, some women of childbearing age do not access antenatal care. Most times, many of them lose their lives during delivery at home, some end up with complications or lose their babies at births. This situation raised concern why pregnant women do not attend antenatal care in health facilities around them? This paper examined the socio-cultural impediments to accessing antenatal care services among reproductive-aged women in Wushishi and Zungeru Communities of Niger State. We used a Multivariate Logistic Analysis. A total of 150 subjects were involved in this study comprising 83 from Zungeru and 67 from Wushishi. The questionnaire used for data collection was a structured consist of 17 items. The results indicated that ethnicity and preference for traditional birth attendant are major influences to accessing ANC in these communities

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

scholarly journals Magnitude of antenatal care service uptake and associated factors among pregnant women: analysis of the 2016 Ethiopia Demographic and Health Survey

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043904
Author(s):  
Setegn Muche Fenta ◽  
Girum Ayenew ◽  
Berhanu Engidaw Getahun
Keyword(s):  
Secondary Education ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Women ◽  
Associated Factors ◽  
Care Service ◽  
Well Being ◽  
Reproductive Age ◽  
Service Utilisation ◽  
Pregnant Mothers

ObjectiveAntenatal and postnatal cares are crucial for the survival and well-being of both the mother and the child. WHO recommends a minimum of four antenatal care (ANC) visits during a pregnancy. In Ethiopia, only 38% of women in the reproductive age make a minimum of first ANC visits. This value is far below the typical rates of least developed countries. This study aimed to calculate the magnitude and identify associated factors of ANC service utilisation among pregnant women in Ethiopia.DesignCross-sectional study design.SettingEthiopia.ParticipantsA total of 7913 pregnant women participated in the study.Primary outcome measuresAntenatal care service uptake among pregnant women.ResultOnly 35.5% of the pregnant mothers have used ANC services at least four times and 64.5% of the pregnant mothers have used less than three times during their periods of pregnancy. The study showed that rich women (PR=1.077, 95% CI: 1.029 to 1.127), having access to mass media (PR=1.086, 95% CI: 1.045 to 1.128), having pregnancy complications (PR=1.203, 95% CI: 1.165 to 1.242), secondary education and above (PR=1.112, 95% CI:1.052 to 1.176), husbands’ having secondary education and above (PR=1.085, 95% CI: 1.031 to 1.142) and married (PR=1.187; 95% CI: 1.087 to 1.296), rural women (PR=0.884, 95% CI: 0.846 to 0.924) and women>30 years of age (PR=1.067, 95% CI: 1.024 to 1.111) significantly associated with the ANC service uptake.ConclusionThe magnitude of ANC service uptake was low. This low magnitude of ANC service utilisation calls for a need to improve community awareness about maternal health. More importantly, intensive health education is required for pregnant women to have better ANC service uptake and follow-up adherence.

scholarly journals Strengthen iron folate supplementation of pregnant women in Ntchisi District, Malawi

2018 ◽  
Vol 9 (3) ◽  
pp. 254-260 ◽  
Author(s):  
Tendai Mary Museka-Saidi ◽  
Trust Takudzwa Mlambo ◽  
Nancy Aburto ◽  
Regina Susan Keith
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Facility ◽  
Consumer Demand ◽  
Health Workers ◽  
Building Blocks ◽  
Health Facilities ◽  
Reproductive Age ◽  
Care Group ◽  
Folate Supplementation

While an estimated 45% of pregnant women in Malawi are anaemic, only 33% take iron tablets for a minimum of 90 days during pregnancy. The study explored the capacity of health facilities and communities to strengthen antenatal iron folate supplementation in Ntchisi, to support the achievement of Malawi’s nutrition target on halving anaemia in women of reproductive age by 2025. This qualitative study employed systematic random and purposeful sampling. Eight Focus Group Discussions with mothers of children 0-23 months, eight with Care Group volunteers and eight in-depth interviews with Village Health Workers (Health Surveillance Assistants) were conducted in each village falling within the catchment area of each of 8 health facilities. Health facilities had been sampled each from the 7 Traditional Authorities with the district hospital and direct observations had been conducted at each for antenatal care service delivery. 10 key informants from the health facilities and the District Health Office were interviewed. Thus a total of 16 FGDs, 8 HSA interviews, and 10 key informant interviews provided the data analysed in this paper.  Data were analysed manually using thematic framework analysis. Poor access to and follow up of antenatal care at the health facility has limited access to iron folate supplements, as the health facility is the main source of Iron folates. Recurrent depletion of stock of iron folate were reported by mothers at most health facilities. Consumer demand for the tablets was low due to side effects, poor acceptability, associated myths, forgetfulness and frustration from having to take a daily medication. There was limited training and education materials at the health facility and community with inadequate support given to women. The absence of clear policies and guidelines on iron folate supplementation resulted in inconsistencies in messaging. Uptake and adherence were not routinely monitored. There is a need to improve the main building blocks of the iron folate programme, including the: delivery system, tablet supply, patient education, consumer demand, monitoring and evaluation and policy.

scholarly journals Prevalence and Determinants of Readiness of Health Facilities for Quality Antenatal Care Services in Bangladesh

2021 ◽  
Author(s):  
Shahnaz Nilima ◽  
Kanchan Kumar Sen ◽  
Fatima Tuz Zahura ◽  
Wasimul Bari
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Multinomial Logistic Regression ◽  
Healthcare Providers ◽  
Health Facilities ◽  
Public Hospitals ◽  
World Health ◽  
Chi Square ◽  
The Government ◽  
Health Organization

Abstract BackgroundThe quality antenatal care (ANC) services can reduce the risk of the pregnancy complications, and hence reduce the maternal and child morbidity and mortality. To ensure the quality ANC services to the pregnant women, it is essential that healthcare providers should be fully prepared with six tracer indicators recommended by World Health Organization. In this study, the prevalence of readiness by selected covariates has been examined. Potential factors responsible for the readiness have also been identified.MethodsUsing data from nationally representative Bangladesh Health Facility Survey (BHFS), 2017, the readiness indices of health facilities providing ANC services have been measured based on the six tracer indicators of the service. The chi-square test has been applied to check the association of selected covariates with the readiness index, and to obtain the adjusted associations of covariates, we have carried out a multinomial logistic regression model. ResultsOnly 4.26% of the facilities is found to provide quality ANC services to the pregnant women. Rural facilities have lower readiness to provide quality services compared to urban facilities [RRR: 0.13, 95% CI: 0.06-0.31; p<0.001]. Community clinics and private hospitals are less likely to have medium or high readiness compared to public hospitals or clinics. The health facilities having specialist or MBBS doctors are more likely to be considered as ready for quality ANC services compared to others facilities. Regional difference exists in readiness for providing the service.ConclusionA huge gap has been found in the facilities of Bangladesh to prove quality ANC services. This is a high time to reduce this gap in achieving sustainable development goals related with maternity and neonatal mortality. The present study recommends that the government of Bangladesh should take necessary initiatives to fully prepared healthcare providers so that quality ANC services can be equally provided to each pregnant woman.

scholarly journals Persepsi Ibu Hamil pada Pelayanan Antenatal Care di Desa Bolorejo Kecamatan Kauman Kabupaten Tulungagung

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Dewi Ratna Sulistina
Keyword(s):  
Health Services ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Care Service ◽  
Structured Interview ◽  
Low Risk ◽  
Reproductive Age ◽  
Laboratory Examination ◽  
Cross Sectional ◽  
The Village

The high maternal mortality rate or MMR in Indonesia is an important issue that needs to be handled seriously. AKI is a measure of maternal health success and is a barometer of health services in a country, if the rate is still high, it means that health services in the country are categorized not good (Adriansz, 2007). So one of the efforts that need to get attention in reducing AKI is through improvement of health service quality of pregnant and maternity mother especially through antenatal care. The purpose of this study to determine the perception of pregnant women on antenatal care (ANC) in the Bolorejo village, Kauman District, Tulungagung Regency. This research is a qualitative research with cross sectional research design. Variable in this research is pregnant woman's perception on antenatal care service with population counted 11 responden, using technique of non probability sampling saturated (census), where research tool used is structured interview guidance, research location in Bolorejo village, Kauman district, Tulungagung regency. Time of study in July 2017. Presentation of data in the form of pie chart. From the results of the study obtained the results of pregnant women's perception on antenatal care service in the village of Bolorejo District Kauman Tulungagung district based on the care of ANC 10T that has been given to pregnant women has not been fully achieved. This is indicated from the data of the majority of pregnant women have received antenatal care 8T (80%) While a small proportion of pregnant women have not received antenatal care 2T (20%) which includes TT immunization and laboratory examination related to pregnancy (PP test, Hb, Protein urine, Urine reduction). Pregnant women who do not get TT immunization that there is 1 pregnant women due to pregnant women check into the village midwife in late third trimester of pregnancy and approaching delivery. As for pregnant women who do not get laboratory tests related to pregnancy (PP test, Hb, urine protein, urine reduction) that is as many as 3 pregnant women because the pregnant women did not want to be examined for fear of injections and no signs of danger pregnancy accompanying pregnant women during pregnancy (seen from the characteristics of respondents based on maternal reproductive age in low risk categories, based on parity also low risk). For pregnant women who are afraid of injections have actually been motivated by health cadres and village midwives but pregnant women are still not pleased to do laboratory examination (Based on the perception of pregnant women to public services and services ANC indicates that the services provided by health personnel are in conformity with standards) So that an unacceptable ANC examination of the standard (10T) was caused by a low awareness of pregnant women themselves. Keywords: Perception, Pregnant Women, Antenatal Care

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

ANALISIS HUBUNGAN SARANA, PENGETAHUAN, DAN SIKAP BIDAN PRAKTIK MANDIRI DENGAN KEPATUHAN MENJALANKAN STANDAR PELAYANAN ANTENATAL CARE DI KOTA PADANGSIDIMPUAN

2019 ◽  
Vol 2 (1) ◽  
pp. 27-33
Author(s):  
Megawati Sinambela ◽  
Evi Erianty Hasibuan
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Logistic Regression Analysis ◽  
Care Service ◽  
Multivariate Logistic Regression Analysis ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
The North

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).

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