Do four or more antenatal care visits increase skilled birth attendant use and institutional delivery in Bangladesh? A propensity-score matched analysis

Ryan, Bridget L.; Krishnan, Ramya; Terry, Amanda; Thind, Amardeep

doi:10.1186/s12889-019-6945-4

Cited by 29 publications

(36 citation statements)

References 23 publications

(44 reference statements)

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“…Unmarried women had nearly 50% (AOR = 0.58, 95%CI: 0.38, 0.88) fewer odds of dropout from antenatal care service after being registered for it compared to married. On the contrary, some studies conducted elsewhere have noted that marital status was not significantly associated with dropout from the maternity continuum of care [6,7,12,13,15,18,19]. This might be due to the effect of reduced women's autonomy on decision making.…”

Section: Plos Onementioning

confidence: 84%

“…The maternity continuum of care was very vital to reduce maternal and child mortality to achieve the sustainable development goal [5,6]. Antenatal care services were started across the globe to reduce maternal and neonatal mortality by increasing skilled birth attendance and institutional delivery rate [7][8][9][10]. The World Health Organization (WHO) and other stakeholders are fighting to reduce maternal and child mortality with different intervention programs and strategies [11].…”

Section: Introductionmentioning

confidence: 99%

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High dropout rate from maternity continuum of care after antenatal care booking and its associated factors among reproductive age women in Ethiopia, Evidence from Demographic and Health Survey 2016

et al. 2020

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Background Maternal continuums of care were vital to reducing maternal and neonatal mortalities. While the dropout rate remains high and limited studies were found on risk factors associated with a high dropout rate of the maternal continuum of care. Objective This study aimed to assess the magnitude of dropout rate and its associated factors of maternity continuum of care in Ethiopia, 2016 Methods An in-depth secondary data analysis was conducted from the Ethiopian Demographic and Health Survey 2016 data. A total of 4,693 women who were booked for antenatal care visit were included to the final analysis. A community-based cross-sectional study design and a pre-tested and standardized questionnaire were used to collect the survey data. Data were weighted using women data weighting variables. Chi-square and multicollinearity assumptions were checked for independent variables. Bi-variable and multivariable logistics regression used to identify associated factors with a cut of the p-value of 0.2 and 0.05 respectively.

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Section: Plos Onementioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

High dropout rate from maternity continuum of care after antenatal care booking and its associated factors among reproductive age women in Ethiopia, Evidence from Demographic and Health Survey 2016

et al. 2020

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“…ANC can increase access to and chances of using a skilled attendant at birth around labor and delivery – which is when most maternal and newborn deaths occur – through a birth and emergency preparedness plan [2]. Studies show that attending at least four quality ANC sessions is an effective strategy to increase skilled birth attendant use and institutional delivery [3, 4].…”

Section: Introductionmentioning

confidence: 99%

Antenatal care in rural Bangladesh: current state of costs, content and recommendations for effective service delivery

Alland

Ali³

et al. 2019

BMC Health Serv Res

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BackgroundMeasurement of antenatal care (ANC) service coverage is often limited to the number of contacts or type of providers, reflecting a gap in the assessment of quality as well as cost estimations and health impact. The study aims to determine service subcomponents and provider and patient costs of ANC services and compares them between community (i.e. satellite clinics) and facility care (i.e. primary and secondary health centers) settings in rural Bangladesh.MethodsService contents and cost data were collected by one researcher and four interviewers in various community and facility health care settings in Gaibandha district between September and December 2016. We conducted structured interviews with organization managers, observational studies of ANC service provision (n = 70) for service contents and provider costs (service and drug costs) and exit interviews with pregnant women (n = 70) for patient costs (direct and indirect costs) in health clinics at community and facility levels. Fisher’s exact tests were used to determine any different patient characteristics between community and facility settings. ANC service contents were assessed by 63 subitems categorized into 11 groups and compared within and across community and facility settings. Provider and patient costs were collected in Bangladesh taka and analyzed as 2016 US Dollars (0.013 exchange rate).ResultsWe found generally similar provider and patient characteristics between the community and facility settings except in clients’ gestational age. High compliance (> 50%) of service subcomponents were observed in blood pressure monitoring, weight measurement, iron and folate supplementation given, and tetanus vaccine, while lower compliance of service subcomponents (< 50%) were observed in some physical examinations such as edema and ultrasonogram and routine tests such as blood test and urine test. Average unit costs of ANC service provision were about double at the facility level ($2.75) compared with community-based care ($1.62). ANC patient costs at facilities ($2.66) were about three times higher than in the community ($0.78).ConclusionThe study reveals a delay in pregnant women’s initial ANC care seeking, gaps in compliance of ANC subcomponents and difference of provider and patient costs between facility and community settings.

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“…The uptake of maternal and child health care service is limited to both the supply side and demand side challenges, structural and social factors. Several attempts have been made to measure association between low uptake of SBA and BHF [4], [7]- [10]. Thus, an integrated and consolidated effort is required to understand the association between utilization and confounding factors to improve the uptake of health service.…”

Section: Background Informationmentioning

confidence: 99%

What is the Impact of Ante Natal Care (ANC) Attendance on the Subsequent Maternal Health Care Services Utilization in Conflict Affected Area

Bocher

Abdulkadir

Lewela

et al. 2021

Preprint

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Background: Somalia has registered 732 maternal mortality every 100,000 live birth; the uptake of maternal health care service is lowest in the world. The purpose of study is to understand social and economic factors that hinder or facilitate the uptake of maternal health care service during the pregnancy in Somalia. Methods: Cross-sectional data was collected from 642 mothers of reproductive age in Mogadishu town through a community survey in November 2020. Descriptive data analysis and propensity score matching models were employed to measure association between the determinants of the uptake of required ANC, Skilled birth attendance and confounding factors. In addition, the impact of minimum ANC attendance on the uptake of mother health care services was evaluated Results: The study indicated that ANC is at its lowest level, only 10% women reported attending 4-ANC[1], 23% didn’t attend any ANC, and 61% attending 1 to 3 ANC; moreover, skilled birth attendance is low rate at 30%, against 67% average in Africa; 78% of women are unable to make decision to visit health clinic or hospital autonomously, rather the decision is made by other people, 44% decision is made by the husband and only 30% jointly by the woman and her husband. Contrary to the data on attendance, about 70% of the surveyed women were aware of health benefits of attending ANC. The cost associated with accessing health service at 31%, distance to health centers, 12%, and perception (ANC is not needed), 23% were the major reasons of not delivering at health institutions.Conclusions: Thus, the number of ANC visits has an incremental positive effect on the probability utilization of skilled birth attendance and delivery at health facility. Access related factors are the most hindering barriers for the poor utilization of health care service as evidently indicated by the negative correlation of distance from health center. Improving access to health education, interventions targeting improved income and women empowerment lead to better maternal health outcome.

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Do four or more antenatal care visits increase skilled birth attendant use and institutional delivery in Bangladesh? A propensity-score matched analysis

Cited by 29 publications

References 23 publications

High dropout rate from maternity continuum of care after antenatal care booking and its associated factors among reproductive age women in Ethiopia, Evidence from Demographic and Health Survey 2016

High dropout rate from maternity continuum of care after antenatal care booking and its associated factors among reproductive age women in Ethiopia, Evidence from Demographic and Health Survey 2016

Antenatal care in rural Bangladesh: current state of costs, content and recommendations for effective service delivery

What is the Impact of Ante Natal Care (ANC) Attendance on the Subsequent Maternal Health Care Services Utilization in Conflict Affected Area

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