Antenatal care practice among Pregnant Women in a selected rural area of Bangladesh

Begum, Nurun Nahar Fatema; Begum, Nasreen; Hossain, SK Akbar; Imran, Afm Ashik; Nahar, Mst Laizuman

doi:10.3329/nimcj.v10i1.39328

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…For instance, the mother's level of education, place of residence, administrative division, media access, and birth order were the most common significant predictors of the frequency of ANC visits in the published studies. The earlier studies that sought to assess ANC service utilization in Bangladesh were limited to rural areas [6,20,21]. Some studies identified the level and trends in the frequency of ANC visits [22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Are Bangladeshi healthcare facilities prepared to provide antenatal care services? Evidence from two nationally representative surveys

Hakim

Chowdhury²,

Ahmed³

et al. 2022

PLOS Glob Public Health

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Identifying high-risk pregnancies through antenatal care (ANC) is considered the cornerstone to eliminating child deaths and improving maternal health globally. Understanding the factors that influence a healthcare facility’s (HCF) preparedness to provide ANC service is essential for assisting maternal and newborn health system progress. We aimed to evaluate the preparedness of HCFs to offer ANC services among childbearing women in Bangladesh and investigate the facility characteristics linked to the preparedness. The data for this study came from two waves of the Bangladesh Health Facilities Survey (BHFS), conducted in 2014 and 2017 using a stratified random sample of facilities. The study samples were 1,508 and 1,506 HCFs from the 2014 and 2017 BHFS, respectively. The outcome variable "ANC services preparedness" was calculated as an index score using a group of tracer indicators. Multinomial logistic regression models were used to identify the significant correlates of ANC service preparedness. We found that private hospitals had a lower chance of having high preparedness than district and upazila public facilities in 2014 (RRR = 0.04, 95% CI: 0.01–0.22, p-value = <0.001) and 2017 (RRR = 0.23, 95% CI: 0.07–0.74, p-value = 0.01), respectively. HCFs from the Khulna division had a 2.84 (RRR = 2.84, CI: 1.25–6.43, p-value = 0.01) and 3.51 (RRR = 3.51, CI: 1.49–8.27, p-value = <0.001) higher likelihood of having medium and high preparedness, respectively, for ANC service compared to the facilities in the Dhaka division in 2017. The facilities that had a medium infection prevention score were 3.10 times (RRR = 3.10, 95% CI: 1.65–5.82; p-value = <0.001) and 1.89 times (RRR = 1.89, 95% CI: 1.09–3.26, p-value = 0.02) more likely to have high preparedness compared to those facilities that had a low infection prevention score in 2014 and 2017 respectively. Facilities without visual aids for client education on pregnancy and ANC were less likely to have high (RRR = 0.29, 95% CI: 0.16–0.53, p-value = <0.001) and (RRR = 0.55, 95% CI: 0.30–0.99, p-value = 0.04) preparedness, respectively, than those with visual aids for client education on pregnancy and ANC in both the surveys. At all two survey time points, facilities that did not maintain individual client cards or records for ANC clients were less likely to have high (RRR = 0.53, 95% CI: 0.31-.92, p-value = 0.02) and (RRR = 0.41, 95% CI: 0.25–0.66, p-value = <0.001) preparedness, respectively, compared to their counterparts. We conclude that most facilities lack adequate indicators for ANC service preparedness. To improve the readiness of ANC services, government authorities could focus on union-level facilities, community clinics, private facilities, and administrative divisions. They could also make sure that infection control items are available, maintain individual client cards or records for ANC clients, and also ensure ANC clients have access to visual aids.

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Section: Introductionmentioning

confidence: 99%

Are Bangladeshi healthcare facilities prepared to provide antenatal care services? Evidence from two nationally representative surveys

Hakim

Chowdhury²,

Ahmed³

et al. 2022

PLOS Glob Public Health

View full text Add to dashboard Cite

show abstract

“…[15,[17][18][19] For example, mothers level of education, place of residence, administrative division, media access, birth order were the common signi cant predictors of frequency of ANC visit in the published studies. Moreover, other studies have attempted to assess the utilization of ANC service in Bangladesh were limited to rural areas [6,20,21]). Furthermore, some studies identi ed the level and trends of frequency of ANC visits [22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Antenatal Care Services and Preparedness of Health Facilities in Bangladesh: Evidence From Two Nationally Representative Surveys

Hakim

Chowdhury

Ahmed

et al. 2021

Preprint

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ObjectiveTo assess whether health facilities in Bangladesh are prepared to provide ANC services and to investigate facility characteristics that are linked to preparedness.Methods This cross-sectional analysis used publicly available data from two waves of Bangladesh Health Facilities Survey (BHFS) that was conducted in 2014 and 2017 using stratified random sample of facilities. 1508 and 1506 health facilities were included as study samples from the 2014 and 2017 BHFS respectively. The outcome variable ‘ANC services preparedness’ was calculated as an index score using a group of tracer indicators. Multivariable logistic regression models were used to identify the important correlates of ANC service preparednessResultsThe percentage of facilities providing ANC services has increased slightly from 97.4% in 2014 to 98.8% in 2017. Union level public facilities were less likely to be prepared for providing ANC service than district level public facilities in 2014 (Odds ratio (OR): 0.20, Confidence interval (CI): 0.08-0.50, P-value=<0.001). Similar results were also found in 2017 (OR: 0.14, CI: 0.06-0.33, P-Value=<0.001). The facilities with high basic amenities score were more likely to be prepared for providing ANC than the facilities with low basic amenities score in 2014 (OR: 2.52, CI: 1.02-6.12, P-Value=0.04) and in 2017 (OR: 1.79, CI: 1.08-2.99, P-Value=0.02). Conclusion The overall preparedness score to offer ANC service was also poor. Our findings may be considered for not only health planning but also decision making in order to produce a healthy mother and a baby at the end of pregnancy.

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Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey

et al. 2023

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Background Assessing the quality of antenatal care (ANC) is imperative for improving care provisions during pregnancy to ensure the health of mother and baby. In Bangladesh, there is a dearth of research on ANC quality using nationally representative data to understand its levels and determinants. Thus, the current study aimed to assess ANC quality and identify the sociodemographic factors associated with the usage of quality ANC services in Bangladesh. Methods Secondary data analysis was conducted using the last two Bangladesh Demographic and Health Surveys (BDHSs) from 2014 and 2017–18. A total of 8,277 ever-married women were included in the analysis (3,631 from 2014 and 4,646 from 2017–18). The quality ANC index was constructed using a principal component analysis on the following ANC components: weight and blood pressure measurements, blood and urine test results, counselling about pregnancy complications and completion of a minimum of four ANC visits, one of which was performed by a medically trained provider. Multinomial logistic regression was used to determine the strength of the association. Results The percentage of mothers who received all components of quality ANC increased from about 13% in 2014 to 18% in 2017–18 (p < 0.001). Women from the poorest group, those in rural areas, with no education, a high birth order and no media exposure were less likely to receive high-quality ANC than those from the richest group, those from urban areas, with a higher level of education, a low birth order and media exposure, respectively. Conclusion Although the quality of ANC improved from 2014 to 2017–18, it remains poor in Bangladesh. Therefore, there is a need to develop targeted interventions for different socio-demographic groups to improve the overall quality of ANC. Future interventions should address both the demand and supply-side perspectives.

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Antenatal care practice among Pregnant Women in a selected rural area of Bangladesh

Cited by 3 publications

References 6 publications

Are Bangladeshi healthcare facilities prepared to provide antenatal care services? Evidence from two nationally representative surveys

Are Bangladeshi healthcare facilities prepared to provide antenatal care services? Evidence from two nationally representative surveys

Antenatal Care Services and Preparedness of Health Facilities in Bangladesh: Evidence From Two Nationally Representative Surveys

Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey

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