Antenatal Health Care; A Literature Review of Antenatal and Postnatal Health Care Utilization in Pakistan

Asim, Muhammad; Malik, Nazia; Siddiqui, Saira; Nawaz, Waseem; Ali, Farman

doi:10.17957/tpmj/17.3803

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…Childbirth and pregnancy issues are leading death problems, particularly for women with disabilities at reproductive age, mostly in developed nations [51]. The health professionals in the hospitals directly perform prenatal and postnatal services with all pregnant women, as well as recommend or make the patients aware of the schedule for the next visits for the examinations [52].…”

Section: Review Of Literature and Hypothesesmentioning

confidence: 99%

Patient Satisfaction with Health Care Services; An Application of Physician’s Behavior as a Moderator

Manzoor

Wei

Hussain

et al. 2019

IJERPH

241

124

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Patient satisfaction is a measure of the extent to which a patient is content with the health care they received from their health care provider. Patient satisfaction is one of the most important factors to determine the success of a health care facility. The purpose of this study was to determine patient satisfaction with healthcare services and encompass the physician’s behavior as moderation between patient satisfaction and healthcare services. The study seeks to measure the health care services, like a laboratory and diagnostic care, preventive healthcare and prenatal care, to patient satisfaction in the public health sectors of Pakistan. A descriptive survey research design was used for this study. The target population was patients from the out-patient department (OPD) of three public hospitals from Pakistan. By using the convenient sampling technique, 290 sample participants were selected from the target population. The reliability scales were tallied by using Cronbach’s Alpha. The findings of the study are gleaned by using regression to explore patient satisfaction with the health care services, and whether or not the physician’s behavior moderates the link of patient satisfaction and healthcare services. SPSS Hayes process was used for the moderation effect of the physician’s behavior. The main results of the regression analysis validate that health care services, such as laboratory and diagnostic care, preventive healthcare, and prenatal care, have a significant and positive effect on patient satisfaction. Specifically, the study suggests that the physician’s behavior significantly moderates the effect of health care services on the satisfaction of patients. The overall opinions about the satisfaction level of patients for the availability of health services in the hospitals were good. The degree of satisfaction was satisfactory with respect to laboratory and diagnostic care, preventive healthcare, and prenatal care services. Based on the outcomes, the study confirms that the proposed hypotheses are statistically significant. Furthermore, the directions for future research of the study are offered.

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Section: Review Of Literature and Hypothesesmentioning

confidence: 99%

Patient Satisfaction with Health Care Services; An Application of Physician’s Behavior as a Moderator

Manzoor

Wei

Hussain

et al. 2019

IJERPH

241

124

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“…13 In Pakistan, women with primary education were less likely to utilize ANC compared to women with secondary and tertiary education. 14 The current study outcomes show that women whose husbands or partners were educated utilized ANC services more than those who were not educated. In Nepal, Tripathi and Singh emphasize that women whose partners are educated are more likely to attend ANC services because partners may be well-organized in the use of available information on maternal and child care and well-informed about healthy practices endorsing safe motherhood.…”

Section: Discussionmentioning

confidence: 64%

An investigation of factors affecting the utilization of antenatal care services among women in post-natal wards in two Namibian hospitals in the Khomas region

Amungulu

Nghitanwa

Mbapaha

2023

J. Public Health Afr.

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Background. Antenatal care (ANC) services are the care provided by skilled healthcare professionals to pregnant women to ensure the best health for both mother and baby during pregnancy and after delivery. In Namibia, utilization of antenatal care services has been reported to be dropping from 97% in 2013 to 91% in 2016. Objectives. The objectives of this study were to investigate the factors affecting the utilization of ANC services. Methods. A quantitative approach and a cross-sectional analytical design were used to carry out the study. The study population was all mothers who delivered and were admitted to the postnatal ward of Intermediate Hospital Katutura and Windhoek Central Hospital during the time of the study. Data were collected from 320 participants using self-administered structured questionnaires. The data were analyzed using the Statistical Package for Social Science (SPSS) Version 25 software. Results. Participants were aged between 16 and 42 years with a mean age of 27 years. The results show that 229 (71.6%) utilized ANC while 91(28.4%) did not utilize ANC services. Factors such as the negative attitude of health care workers, long distance to and from health facilities, lack of transport money to travel to and from the health facilities, lack of knowledge regarding antenatal care, attitude towards pregnancy, and others, were found as hindrances to the utilization of antenatal care services. Participants also indicated motivators for ANC utilization such as preventing complications, knowing their HIV status, getting health education, knowing the estimated date of delivery, and identifying and treatment of medical conditions. The study reveals the higher knowledge of participants on ANC utilization, most participants have the right to make decisions and had positive attitudes toward the quality of ANC services. The level of attitude toward pregnancy was associated with the utilization of antenatal care services with an odd ratio OR=2.132; and P=0.014. Conclusions. The study identified factors that affect utilization of ANC services such as age, marital status, mother's education, partner’s formal education, negative attitude toward health providers, long distance to and from ANC health care facilities, fear of HIV test and results, Covid-19 regulations, inability to determine the pregnancy at the earlier stages and financial constraints Based on this study findings, it is recommended that the utilization of ANC might be improved through effective community mobilization and outreach maternity services to educate and improve awareness on the importance of ANC.

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“…Factors such as education of the mother, income status of the household, autonomy in decision making and reproductive health are highly significant. 14,15 According to PDHS, 1 2017-2018 and Gateway Health Indicators, 16 of Pakistan. The percentage of women age 15-49 with a live birth in the 5 years before the survey that had 4 or more ANC visits was 51%.…”

Section: Discussionmentioning

confidence: 99%

Impact of Antenatal Care on Maternal Morbidity in Three Military Hospitals of Punjab, Pakistan

Akbar

Azam

Mughal

et al. 2021

PAFMJ

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Objective: To determine the impact of antenatal care on maternal morbidity. Study Design: Comparative cross-sectional study. Place and Duration of Study: Obstetric Departments of three military hospitals in Northern Punjab cities of Rawalpindi, Jehlum and Mangla, from Jan to Mar 2019. Methodology: Data of all mothers who gave live births in the selected military hospitals were collected. These mothers were classified as booked and unbooked on the basis of number of antenatal care visits. Maternal morbidities and complications of pregnancy were recorded. The data were analyzed using Statistical Packages for Social Science (SPSS) version 20. Results: In our study, 254 (8.8%) of mothers were unbooked, 2273 (78.8%) were partially booked and 358 (12.4%) were booked. 894 (31%) mothers did not have any co-morbidity while 1991 (69%) mother had co-morbidity. Out of 749 (27.5%) mothers had anaemia, 869 (30.1%) had hypertension, 141 (30.1%) had diabetes mellitus, 24 (0.8%) cardiac disease, 39 (1.4%) had tuberculosis, 9 (0.3%) had liver disease 13 (0.5%) had kidney disease, 69 (2.4%) had allergies while 33 (1.1%) had other diseases. These complications were significantly greater in unbooked patients as compared to booked patients (p<0.001) Out of total 2885 mothers who gave live births in three military hospitals, only one (0.034%) mother died (who was unbooked) in Jhelum Hospital. Its Maternal Mortality Ratio (MMR) was 34.66 per 100,000 live births. Conclusion: In our study population anemia, hypertension and diabetes were the most common comorbidities in expecting mothers. Unbooked mothers had more morbidities and complications of pregnancy than.........

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Antenatal Health Care; A Literature Review of Antenatal and Postnatal Health Care Utilization in Pakistan

Cited by 5 publications

References 11 publications

Patient Satisfaction with Health Care Services; An Application of Physician’s Behavior as a Moderator

Patient Satisfaction with Health Care Services; An Application of Physician’s Behavior as a Moderator

An investigation of factors affecting the utilization of antenatal care services among women in post-natal wards in two Namibian hospitals in the Khomas region

Impact of Antenatal Care on Maternal Morbidity in Three Military Hospitals of Punjab, Pakistan

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