scholarly journals A Review on Antenatal Care in Developing Country Like India

2021 ◽  
Vol 8 (5) ◽  
pp. 397-403
Author(s):  
Irin Ephrem ◽  
Ateendra Jha ◽  
A. R Shabaraya
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Maternal Health ◽  
Antenatal Care ◽  
Rural Areas ◽  
Maternal Education ◽  
Health Centre ◽  
Well Being ◽  
Maternal Health Care ◽  
Urban And Rural Areas

Antenatal care is the ‘care before birth’ to promote the well-being of mother and fetus, and it is essential to reduce maternal morbidity and mortality, low-weight births and perinatal mortality. The care for the mother during pregnancy, during delivery, and after delivery is important for the wellbeing of the mother and the child. Maternal health-care vary within developing countries, which shows differences between affluent and poor women, and between women living in urban and rural areas. Health care service provision in India is very diverse, with rural services achieving considerably less coverage than their urban counterparts. It was found that following factors affects the antenatal care utilization maternal education, husband’s education, marital status, availability, cost, household income, women’s employment, media exposure and having a history of obstetric complications. If a woman visited health centre three or more than three times, her chances were 31 percent higher to deliver in an institution. Poorer women may prefer home-based delivery care. Lack of affordability might explain the large poor–rich inequalities in professional delivery attendance within urban and rural areas. Traditional beliefs and ideas about pregnancy also influence on antenatal care use. Older women would have accumulated knowledge on maternal health care and therefore would likely have more self-confidence on pregnancy and childbirth and thus, may give less importance to obtaining institutional care. Incomplete access and underutilization of modern healthcare services are major causes for poor health in the developing countries. There is a need of enhancing community awareness about the importance for educating women about early detection of complications during pregnancy and promptly seeking care, and about the importance of giving birth in a health facility. Keywords: Antenatal Care, Developing Countries.

scholarly journals Utilization pattern and associated factors of maternal health care services in Haryana, India: a study based on district level household survey data

2018 ◽  
Vol 7 (3) ◽  
pp. 1154 ◽  
Author(s):  
Shinjini Ray ◽  
Pravat Bhandari ◽  
Jang Bahadur Prasad
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Institutional Delivery ◽  
Maternal Mortality Ratio ◽  
Maternal Health Care ◽  
District Level ◽  
Care Services ◽  
Maternal Health Care Services

Background: Maternal health was one of the most important millennium development goals (MDGs), India didn’t achieve by the year 2015. Since, India is a multicultural, social and multiregional country, where some of the regions have good social and demographic achievement while some are poor. Haryana is one of them, which has 146 maternal mortality ratio. The level of receiving antenatal care (ANC) in Haryana is quite low as compared to other states of India. Objective of present study was to Understand the extent of use of maternal health care services in Haryana as well as examining the role of antenatal care and other socio-economic factors on the utilization of maternal health services.Methods: Bivariate analysis, chi-square test, and binary logistic regression have been used based on district level household and facility survey-4 data.Results: The utilization of ANC (any and full), institutional delivery and post-delivery treatment seeking varies among women by literacy, age at first marriage, age at women and place of residence. Literate women are two times more likely to access ANC [odds ratio (OR)=1.97 (any ANC), 1.95 (full ANC), p<0.01] and 1.52 times more likely to prefer institutional delivery [OR=1.52, p<0.01].Conclusions: Empowering women through the encouragement of mother’s education should be one of the most fundamental strategies to promote maternal health care services and reduce inequalities.

scholarly journals Assessing the role of women’s autonomy and acceptability of intimate-partner violence in maternal health-care utilization in 63 low- and middle-income countries

2019 ◽  
Vol 48 (5) ◽  
pp. 1580-1592 ◽  
Author(s):  
Pooja Sripad ◽  
Charlotte E Warren ◽  
Michelle J Hindin ◽  
Mahesh Karra
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Partner Violence ◽  
Maternal Health Care ◽  
Care Utilization ◽  
Women’S Autonomy ◽  
Women's Autonomy ◽  
Maternal Health Care Utilization ◽  
Care Services

Abstract Background Our study investigates the associations between women’s autonomy and attitudes toward the acceptability of intimate-partner violence against women (IPVAW) and maternal health-care utilization outcomes. Methods We combine data from 113 Demographic and Health Surveys conducted between 2003 and 2016, which give us a pooled sample of 765 169 mothers and 777 352 births from 63 countries. We generate composite scores of women’s autonomy (six-point scale with reference: no contribution) and acceptability of IPVAW (five-point scale with reference: no acceptance) and assess the associations between these measures and women’s use of antenatal care services and facility delivery in pooled and unique country samples. Results A change in a woman’s autonomy score from ‘no contribution to any decision-making domain’ (a composite autonomy score of 0) to ‘contribution to all decision-making domains’ (a score of 6) is associated with a 31.2% increase in her odds of delivering in a facility and a 42.4% increase in her odds of receiving at least eight antenatal care visits over the course of her pregnancy. In contrast, a change in a woman’s attitude towards acceptability of IPVAW from ‘IPVAW is not acceptable under any scenario’ (a score of 0) to ‘IPVAW is acceptable in all scenarios’ (a score of 5) is associated with an 8.9% decrease in her odds of delivering in a facility and a 20.3% decrease in her odds of receiving eight antenatal care visits. Conclusions Our findings suggest that strong and significant associations exist between autonomy, acceptability of IPVAW and utilization of maternal health-care services.

scholarly journals Understanding Barriers and Facilitators of Maternal Health Care Utilization in Central Myanmar

2020 ◽  
Vol 17 (5) ◽  
pp. 1464
Author(s):  
Maja Aleksandra Milkowska-Shibata ◽  
Thin Thin Aye ◽  
San Myint Yi ◽  
Khin Thein Oo ◽  
Kyi Khaing ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Maternal Mortality Ratio ◽  
Maternal Health Care ◽  
Traditional Birth Attendants ◽  
Barriers And Facilitators ◽  
Care Utilization ◽  
Study Objective ◽  
Birth Attendants

The study objective was to examine barriers and facilitators of maternal health services utilization in Myanmar with the highest maternal mortality ratio in Southeast Asia. Data for 258 mothers with children under five were extracted from a community health survey administered between 2016 and 2017 in Mandalay, the largest city in central Myanmar, and analyzed for associations between determinants of maternal health care choices and related outcomes. The study showed that late antenatal care was underutilized (41.7%), and antenatal care attendance was significantly associated with geographical setting, household income, education, and access to transportation (p ≤ 0.05). Less than one-third of women gave birth at home and 18.5% of them did so without the assistance of traditional birth attendants. Household education level was a significant predictor for home delivery (p < 0.01). Utilization of postnatal care services was irregular (47.9%–70.9%) and strongly associated with women’s places of delivery (p < 0.01). Efforts geared towards improving maternal health outcomes should focus on supporting traditional birth attendants in their role of facilitating high-quality care and helping women reach traditional health facilities, as well as on maternal health literacy based on culturally appropriate communication.

scholarly journals Examining the “Urban Advantage” in Maternal Health Care in Developing Countries

PLoS Medicine ◽  
2010 ◽  
Vol 7 (9) ◽  
pp. e1000327 ◽  
Author(s):  
Zoë Matthews ◽  
Amos Channon ◽  
Sarah Neal ◽  
David Osrin ◽  
Nyovani Madise ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Maternal Health ◽  
Maternal Health Care

scholarly journals Socioeconomic and Geographical Inequalities in Births by Caesarean Section Persist in the Context of Free Maternal Health Care: Evidence from a Cross-Sectional Survey of Southwestern and North Central, Nigeria

2019 ◽  
Author(s):  
Anthony Idowu Ajayi
Keyword(s):  
Health Care ◽  
Secondary Education ◽  
Maternal Health ◽  
Caesarean Section ◽  
Rural Areas ◽  
Urban Areas ◽  
Positive Impact ◽  
Health Care Service ◽  
Maternal Health Care ◽  
Monthly Income

Background User fee exemption for maternal and child health care service policy was introduced with a focus on providing free caesarean sections (CS) in Nigeria from 2011 to 2015. This policy had a positive impact on access to facility-based delivery, but its effect on socioeconomic and geographical inequality remains unclear. This study&rsquo;s main objective is to examine access to birth by CS in the context of free maternal health care. Specifically, the study examines socio-demographic and geographical inequality in access to birth by CS among women who gave birth between 2011 and 2015 under the free maternal health care policy using a population-based survey data obtained from two of the six main regions of the country. Methods Data were obtained from 1227 women who gave birth during the period the policy was in operation selected using cluster random sampling between May and August 2016. Adjusted and unadjusted binary logistic regression models were used to examine whether there is socio-demographic and geographical inequality in access to birth by caesarean section. Results The overall caesarean section rate of 6.1% was found but varies by income (14.1% in monthly income of over $150 versus 4.9% in income of $150 and below), education (11.8% in women with higher education versus 3.9% among women with secondary education and less) and place of residence (7.8% in urban areas versus 3.6% in rural areas). Women who earn a monthly income of $150 or less were 48% less likely to have a birth by CS compared to those who earn more. Compared to women who were educated to tertiary level, women who had secondary education or less were 54% less likely to have birth by caesarean section. Conclusion This study shows that inequality in access to CS persists despite the implementation of free maternal health care services. Given the poor access to facilities with capabilities to offer CS in most rural areas, free maternal healthcare policy is not enough to make birth by CS universally accessible to all pregnant women in Nigeria.

scholarly journals Access to Maternal Health Care for Native Canadians on Reserves in Northern Canada

2016 ◽  
Vol 3 (1) ◽  
pp. 21-25
Author(s):  
David M Beking
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Mortality Rates ◽  
Maternal Health Care ◽  
Cultural Norms ◽  
Native Canadians ◽  
Native Canadian ◽  
Canadian Population ◽  
New Models

The history of abuse and isolation of Native Canadian populations has created a gap in maternal health care, resulting in infant mortality rates (IMRs) of 12 per 1000 births for on-reserve populations compared to 5.8 per 1000 births for the general Canadian population. This discrepancy is deemed a population health issue, as Native Canadian people constitute roughly 3% of the Canadian population, but have infant mortality rates similar to other third world countries. Currently, there are multiple government and non-government organizations in charge of providing maternal health care for on-reserve populations. A lack of a unified communication system linking these organizations creates a gap in the delivery of services and compromises the prenatal care in Native Canadians. The current method of caring for high risk pregnancies on Northern Canadian reserves is to fly the mothers out of their home community to a hospital that is both far away from their families and completely foreign to them. This practice contrasts with the cultural norms of the Native Canadian population, where expecting women receive antenatal care from elder women within their community. New models of care, in which midwives are the primary providers of antenatal care within a given community, have recently been implemented in Northern Quebec and other isolated areas of Canada. The midwives work with women elders of the community to provide a full system of maternal care. These new models show great promise in improving our current system of maternal health care for Native Canadians by providing more efficient and accessible antenatal care while also incorporating cultural norms of the communities.  

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