Characteristics of antenatal care attenders in a rural population in Tamil Nadu, South India: a community-based cross-sectional study

Nielsen, Birgitte Bruun; Liljestrand, Jerker; Thilsted, Shakuntala H.; Joseph, Abraham; Hedegaard, Morten

doi:10.1046/j.1365-2524.2001.00310.x

Cited by 26 publications

(22 citation statements)

References 31 publications

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“…The third important finding across the two models presented in this study is the role of place of residence (urban/rural) and zone as they influence timing of ANC and is consistent with report of previous studies [32, 34, 38–46, 50]. Generally, women in rural areas use maternal health services less compared to their urban counterparts simply as a result of lack of availability, affordability and accessibility.…”

Section: Discussionsupporting

confidence: 88%

Predictors of delayed Antenatal Care (ANC) visits in Nigeria: secondary analysis of 2013 Nigeria Demographic and Health Survey (NDHS)

Aliyu¹,

Dahiru²

2017

Pan Afr Med J

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IntroductionAntenatal Care (ANC) is an important component of maternal health and covers a wide range of activities with huge potential benefits for positive pregnancy out comes. However, large proportions of women do initiate ANC early resulting in adverse consequences.MethodsThe study utilized the nationally-representative sample of women of reproductive age interviewed during the 2013 Nigeria DHS. Analysis was restricted to 20, 467 women aged 15-49 years who had a live birth in the five-year period prior to the survey. Multinomial logistic regression was performed using Stata v13 to determine significant factors related to timing of initiation of ANC. Relative risk ratio (RRR) was used to assess the strength of association between independent and dependent variables.ResultsOverall, 27%, 62% and 12% of women initiated ANC in the first, second and third trimesters respectively. In both the two model, the findings reveal that maternal education, level of media exposure, region and place of residence are the uniform predictors of initiation of ANC; having health insurance is a significant predictor of third trimester ANC initiation relative to first to first trimester only. Within the categories of household wealth, levels of participation in household decision-making and region some categories are significant predictors while others are not.ConclusionMaternal education, level of media exposure, region and place of residence are the uniform and consistent predictors of delay in ANC initiation. This suggests that girl-child education, universal health coverage and universal health insurance could be the interventions required to improve service utilization and maternal health.

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Section: Discussionsupporting

confidence: 88%

Predictors of delayed Antenatal Care (ANC) visits in Nigeria: secondary analysis of 2013 Nigeria Demographic and Health Survey (NDHS)

Aliyu¹,

Dahiru²

2017

Pan Afr Med J

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“…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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“…A number of individual-level contextual factors were considered in developing the segments including religion [20], caste [21,22], economic status [21–24], woman’s autonomy [21,25], literacy [21,22,24], husband’s education [21,22,24], age of marriage [21,26], and woman’s occupational status [21]. …”

Section: Introductionmentioning

confidence: 99%

Heterogeneities in utilization of antenatal care in Uttar Pradesh, India: the need to contextualize interventions to individual contexts

Sridharan

Pereira

Hay

et al. 2018

Global Health Action

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Background: This paper explores the heterogeneities in antenatal care (ANC) utilization in India’s most populated state, Uttar Pradesh. Taking an intersectionality lens, multiple individual- and district-level factors are used to identify segments of any antenatal care usage in Uttar Pradesh Objective: This paper seeks to understand the multilevel contexts of ANC utilization. The planning and programming challenge is that such knowledge of contextual specificity is rarely known upfront at the initial stages of planning or implementing an intervention. Exploratory data analysis might be needed to identify such contextual specificity. Methods: Tree-structured regression methods are used to identify segments and interactions between factors. The results from the tree-structured regression were complemented with multilevel models that controlled for the clustering of individuals within districts. Results: Heterogeneities in utilization of any ANC were observed. The multiple segments of ANC utilization that were developed went from a low utilization of 23.7% for respondents who were not literate and did not have home ownership to a high of 82.4% for respondents who were literate and at the highest level of wealth. Key variables that helped define the segments of ANC utilization include: woman’s literacy, ownership of home, wealth index, and district-level sex ratio. Based on the multilevel model of any ANC utilization, cross-level interactions also were obtained between sex ratio and ownership of home as well as between sex ratio and literacy. Increases in sex ratio increased the influence of ownership of home on any ANC, while increases in sex ratio reduced the impact of woman’s literacy on receiving any ANC. Conclusion: We argue that a focus on heterogeneous segments of utilization can help build knowledge of the mechanisms that underlie inequities in maternal health utilization. Such knowledge of heterogeneity needs to be incorporated in contextualizing interventions to meet a variety of recipients’ needs.

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Characteristics of antenatal care attenders in a rural population in Tamil Nadu, South India: a community-based cross-sectional study

Cited by 26 publications

References 31 publications

Predictors of delayed Antenatal Care (ANC) visits in Nigeria: secondary analysis of 2013 Nigeria Demographic and Health Survey (NDHS)

Predictors of delayed Antenatal Care (ANC) visits in Nigeria: secondary analysis of 2013 Nigeria Demographic and Health Survey (NDHS)

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

Heterogeneities in utilization of antenatal care in Uttar Pradesh, India: the need to contextualize interventions to individual contexts

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