Barriers to Utilization of Prenatal Care Services in Turkey

Erci, Behice

doi:10.1111/j.1547-5069.2003.00269.x

Cited by 52 publications

(48 citation statements)

References 25 publications

(34 reference statements)

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“…Several studies have shown that this section of society play a crucial role in decision making related to maternal well-being and our study supports the same. [14][15][16][17] Husbands lack of education was reflected as an important determinant of maternal survival. This finding is supported by several other studies.…”

Section: Discussionmentioning

confidence: 99%

Determinants of maternal deaths amongst mothers who suffered from post-partum haemorrhage: a community-based case control study

Khanna

Singh

Agarwal

et al. 2018

Int J Community Med Public Health

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Background: The WHO estimates that, of the 529 000 maternal deaths occurring every year 136 000 take place in India amongst which postpartum haemorrhage (PPH) being the most (29.6%) commonly reported complication. However deaths from PPH can be prevented. The purpose of this study was to identify the risk factors contributing to maternal deaths amongst women who develop PPH.Methods: This was a community based paired case-control study done in rural areas of Lucknow, UP (India) done in a period of one year. Thirty-one maternal deaths due to PPH (cases) were matched and compared with two mothers who survived from PPH (controls). Data was analysed using SPSS version 17.0 and Open Epi version 2.3. The appropriate significance test was applied using MacNemar test for paired data. Risk factors obtained significant in bivariate analysis were subjected to conditional multiple logistic regressions for adjustment and controlling the effect of confounding variables. Results have been given in form of unadjusted Odds ratio (UOR) and adjusted Odds ratio (AOR).Results: It was seen that the mothers who had taken ≥4 antenatal visits during the index pregnancy had a protective effect against deaths due to PPH. Home delivery raised the odds of death by seven times.Conclusions: Deaths due to PPH can be reduced by ensuring institutional delivery, good antenatal care and better referral facilities, especially for mothers from weaker sections of society.

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Section: Discussionmentioning

confidence: 99%

Determinants of maternal deaths amongst mothers who suffered from post-partum haemorrhage: a community-based case control study

Khanna

Singh

Agarwal

et al. 2018

Int J Community Med Public Health

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“…According to studies, higher parity among children has emerged as a barrier to adequately use ANC [18,[22][23][24][25][26], whereas high parity women tended to use the service more often than primiparous women [27], Similarly, studies found that women's first ANC visit was earlier in higher parity women in India [20].…”

Section: Survey Of Literaturementioning

confidence: 99%

“…Mothers with the high educational level expected to accept the recommended number of ANC visits [17,18] literature suggests educated women are more probable to switch on ANC visits early than women who were less educated [19,20]. In contrast, education did not show any association with utilization of ANC services in Pakistan [21].…”

Section: Survey Of Literaturementioning

confidence: 99%

Frequency and Timing of Antenatal Care Visits and Its Impact on Neonatal Mortality in EAG States of India

Gupta¹,

Talukdar²

2017

J Neonatal Biol

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The study aims to examine the association between frequency of antenatal care visits and neonatal mortality in EAG states and to explore the relationship between the timing of first antenatal care visit in the trimester and neonatal mortality in EAG states of India. The study uses data from the third round of National Family Health Survey NFHS-3. The timing of the first antenatal visit and the relative number of ANC visits received by the women is studied separately. Logistic regression is applied to find an association between continuity, the timing of ANC received and neonatal birth outcome. Results explain significant association between mothers receiving ANC 4-9 visits had experienced a lower risk of neonatal mortality. Mothers who received antenatal care visit from the first trimester experienced lest pregnancy outcomes and neonatal deaths.

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“…Group prenatal care is an integrated approach to prenatal care in a group setting, peer support, and education [13]. Also, the study found that group prenatal care ideally suited for mothers in developing countries where adverse cultural and traditional practices and low-quality health services interfere with the satisfactory implementation of prenatal care [11,12]. Group prenatal care (GPC) provides an integrated approach to prenatal care in a group setting, incorporating family members, peer support, and education [13].…”

Section: Introductionmentioning

confidence: 99%

“…In Bangladesh, pregnant women receive prenatal care individually in public, private, or nongovernment organization (NGO) facilities. A previous study found that traditional individual prenatal care can be supplemented by group prenatal classes, which facilitate support networks, social interaction, and additional education [12]. Group prenatal care is an integrated approach to prenatal care in a group setting, peer support, and education [13].…”

Section: Introductionmentioning

confidence: 99%

Cost of introducing group prenatal care (GPC) in Bangladesh: a supply-side perspective

et al. 2017

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Background: Progress towards Millennium Development Goals (MDG) 5 is uneven across different countries. Maternal and neonatal deaths occur mainly in developing countries especially in rural areas and among the poor communities due to underutilization of maternal services. It is evident that group prenatal care (GPC) model could improve health-care utilization among pregnant women that suit in developing countries. The GPC model has introduced in a public facility in the context of Bangladesh, and this study intended to estimate the incremental cost of introducing GPC model over the existing government health-care facility. Methods: Activity-based costing method was employed for analysis of cost during 2015-2016 in a selected Maternal and Child Welfare Centre (MCWC) in Bangladesh. Cost information was collected by applying ingredients approach considering supply-side perspective. Results: The total cost of integrating GPC model over the government service delivery system was estimated to be BDT 1,186,868 (US$15,216.3). The proportion of cost for the start-up period and implementation cost covered approximately 24% and 76% of the total intervention costs, respectively. Considering the total number of per session beneficiary (N = 844), the average cost of the per-beneficiary per-GPC session was BDT 1406 (US$18.0) while cost per beneficiary (N = 300) was estimated to be BDT 3956 (US$50.7) and cost per session (N = 125) was BDT 9495 (US$121.7).Conclusions: It appears from the findings that the built-in interventions of GPC model are doable in the existing government settings at the grass-root level and perhaps at a lower cost if adjusted with the existing government and NGO functionaries.

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Barriers to Utilization of Prenatal Care Services in Turkey

Abstract: Although this sample was limited, the findings indicate barriers for attention by health care providers to ensure appropriate prenatal care and maternal and infant health.

Cited by 52 publications

References 25 publications

Determinants of maternal deaths amongst mothers who suffered from post-partum haemorrhage: a community-based case control study

Determinants of maternal deaths amongst mothers who suffered from post-partum haemorrhage: a community-based case control study

Frequency and Timing of Antenatal Care Visits and Its Impact on Neonatal Mortality in EAG States of India

Cost of introducing group prenatal care (GPC) in Bangladesh: a supply-side perspective

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