Antenatal Care Service Utilization Among Adolescent Pregnant Women–Evidence From Swabhimaan Programme in India

Abstract

Purpose: Pregnant adolescent girls (15-19 years) are more vulnerable to poor health and nutrition than adult pregnant women because of marginalization and lack of knowledge about the antenatal care (ANC) services. The present study aims to test this hypothesis and assess determinants of ANC service utilization among currently adolescent pregnant women.Methods: Data were drawn from the baseline survey of SWABHIMAAN project, which had been conducted in three states of India: Bihar, Chhattisgarh, and Odisha. Out of a total 2,573 pregnant women (15-49 years) included in the sample, about 10% (N = 278) were adolescent girls (15-19 years) at the time of the survey, and the rest were adults. Sample was selected from the population using simple random sampling, and information was collected using pretested questionnaires.Results: For all indicators of ANC service utilization, performance of adolescent pregnant women was better than adult pregnant women. However, significant variations were reported in the level of services received by adult pregnant women for different indicators. Religion, wealth, food insecurity, Village Health Sanitation and Nutrition Day meeting, Public Distribution System and Integrated Child Development Services entitlements, and knowledge of family planning methods had a significant effect on the ANC service utilization.Conclusion: Adolescent pregnant women have shown better utilization of selected indicators than their adult counterparts. Utilization of full ANC services starting from first trimester itself for adolescent pregnant women is an urgent need in present context. Intervention program must pay attention to such adolescent married girls who are entering into the motherhood phase of their lives.

Maternal Satisfaction with Antenatal Care and Associated Factors among Pregnant Women in Hossana Town

“…This finding is similar to a study conducted in Jimma University Specialized Hospital where 77% of respondents were satisfied [28]. This finding is not consistent with a study conducted in Belgium, at the University Hospital of Ghent (Belgium), Australia, Sweden, Nigeria, Shire North West Tigray, Bahir Dar, and Jimma town mothers in which majority of the study participants were satisfied by antenatal care services [13][14][15][16][17][18][19][20]. The difference might be due to competency, attitude, and skills of maternal care providers and overall service delivery structure differences between Ethiopia and European countries.…”

“…Patients' use of health care is affected by the quality of care; those who are not satisfied with their providers may be less likely to continue with treatment or seek further services. According to the U.S. Agency for Healthcare Research and Quality, National Consumer Assessment of Healthcare Providers and Systems (CAHPS) Benchmarking Database in Africa, a maternal satisfaction survey was conducted at different times in different counties (for instance, in 2012 and 2018 and in Egypt and Nigeria, the level of maternal satisfaction with ANC was greater than 90% and 90%, respectively, whereas in Ethiopia, the levels of maternal satisfaction with antenatal care in 2008, 2013, 2014, 2018, and 2019 were 35%, 47.7%, 60.4%, 90%, and 90.8%, respectively [17][18][19][20][21][22][23].…”

Association of Maternal Characteristics With Complications of Pregnancy: A Cross-Sectional Study Among Middle Socioeconomic Pregnant Women

“…However, the highest rate of maternal complications (53, 44.16%) was identified among subjects with Pre-University Course/Diploma education. In addition, employed pregnant women tend to seek ANC during pregnancy, due to financial independence [18]. Only 8.84% study subjects were found to be employed (Table 1).…”

A Clinical Study of Obstetrical and Perinatal Outcome In Teenage Pregnancies In Central Referral Hospital (CRH), Gangtok

“…Being single and at school, the teenager may hide the pregnancy and therefore not utilize the available antenatal care services. 5 She may also try to terminate the pregnancy late in gestation for the same reason and end up with life threatening compilations like uterine perforation, sepsis and even death. Pelvis is underdeveloped because of the young age.…”