Factors Affecting Antenatal Care Utilization Among the Disadvantaged Dalit Population of Nepal: A Cross- sectional Study

Chaurasiya, Surendra Prasad; Pravana, Nilesh Kumar; Khanal, Vishnu; Giri, Dhiraj

doi:10.2174/1874944501912010155

Cited by 3 publications

(17 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15,16 Similar study conducted in Mahottari district of Nepal found that the women had lower four or more ANC visits than this study. 13 Age of the participants in not significantly associated with the utilization of ANC, and the finding is supported by a study conducted in Mahottari of Nepal. 13 The finding is not supported by a study conducted in Gorkha district of Nepal.…”

Section: Discussionmentioning

confidence: 55%

“…13 Age of the participants in not significantly associated with the utilization of ANC, and the finding is supported by a study conducted in Mahottari of Nepal. 13 The finding is not supported by a study conducted in Gorkha district of Nepal. 16 In this study, the participants of higher age have higher odds than the participants with lower age.…”

Section: Discussionmentioning

confidence: 55%

“…18,21 A study conducted in Terai region of Nepal does not support the finding. 13 Occupation of the participants has not shown be significantly associated with ANC practice and is supported by some studies. 18,[22][23][24] participants' occupation was significantly associated with ANC practice in a study conducted among marginalized community in Nepal.…”

Section: Discussionmentioning

confidence: 82%

“…17 Different studies conducted in Nepal and other parts of the world have shown education level of mothers to be associated with four or more ANC visits. 13,15,16,[18][19][20] Higher the education of mothers, more the mothers will be aware of the health services and more the mothers will utilize the sexual and reproductive health services from the skilled health personnel.Husband'seducation has not shown to be significantly associated with ANC practice and is supported by a study conducted in Nepal and Rwanda. 18,21 A study conducted in Terai region of Nepal does not support the finding.…”

Section: Discussionmentioning

confidence: 99%

“…If the mothers said that they receivedall the services like iron supplementation, medical checkup, TT2+ injection, blood pressure checkup, intestinal drugs, and health education,then we classified the ANC services as "good", and in case any one of the components above were missing, we classified it as "poor." 13 A community-based cross-sectional study was carried out in Sindhupalchowk district of Nepal from April -June, 2019 with mixed methods. According to Nepal Population and Housing Census 2011, the total population of the Municipality was 45343,with 23614 males and 21729 females 14 .…”

Section: Methodsmentioning

confidence: 99%

See 4 more Smart Citations

Prevalence of Antenatal Care Practice among Marginalized Community of Nepal

Sangroula

Khatiwada²,

Dahal³

et al. 2020

Europasian J Med Sci.

View full text Add to dashboard Cite

Background: The government of Nepal aims to improve the health of mothers and newborns by providing quality safe motherhood services. Increasing access and utilization of antenatal care (ANC) services are the first steps towards improving maternal and neonatal health outcomes, particularly those of the marginalized communities.Objective: The aim of this study is to assess the prevalence and factors associated with the antenatal care visits among the marginalized community of Nepal.Methods: A mixed-method study was conducted among 202 reproductive aged females of marginalized community in Nepal having childbirth during the last 2 years. Pre-tested semi-structured questionnaires and key informant interview guidelines were used for the collection of data. Bivariate and multiple regression analysis were carried out to find out the factors associated with the antenatal care visits. For qualitative data, thematic analysis was done. Results: More than half (56.9%) of the participants had completed four or more antenatal care visits. Mothers with primary level of education were 2.7 times more likely to complete four or more ANC visits (AOR: 2.7, CI: 1.09-7.07). Age at marriage (AOR: 2.3, CI: 1.08-5.22), women who took decisions alone for their health (AOR: 2.9, CI: 1.22-6.96),exposure to FCHV (AOR:2.5, CI: 1.1-5.9), knowledge about safe delivery incentive program (AOR: 3.6, CI: 1.46-9.0) and perception of “good quality” ANC service(AOR:7.5, CI: 3.3-17.1)were significantly associated with the number of ANC visits. Conclusion: The overall utilization of antenatal health services was low. So, there is a need of different community based maternal health programs especially targeting the marginalized females.

show abstract

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of Antenatal Care Practice among Marginalized Community of Nepal

Sangroula

Khatiwada²,

Dahal³

et al. 2020

Europasian J Med Sci.

View full text Add to dashboard Cite

show abstract

Quality of antenatal care and associated factors among pregnant women attending government hospitals in Sidama Region, Southern Ethiopia

Kare¹,

Gujo²,

Yote³

2021

SAGE Open Medicine

View full text Add to dashboard Cite

Background: Good-quality antenatal care improves maternal health in the least developed countries. This study was aimed at assessing the quality of antenatal care and associated factors among pregnant women attending hospitals in the Sidama Region, Southern Ethiopia. Method: A facility-based cross-sectional study was conducted from 1 February to 30 April 2020 among 372 pregnant women. A two-stage sampling technique—the first stage, selection of health facilities; the second stage, selection of respondents—was used. Trained data collectors administered exit interviews. Data were entered into EPI Info 7 and analyzed using IBM SPSS version 25. Quality of care was assessed using a validated questionnaire containing 68 attributes of quality. Good quality of care was determined by the proportion of respondents who scored ⩾80% of 68 variables. Bivariable and multivariable logistic regressions were used in the analysis. The outputs were presented using an adjusted odds ratio with 95% confidence intervals. Results: This study revealed that 41.2% (95% confidence interval: 36.2%–46.2%) of pregnant women had received good-quality antenatal care. Increased odds of the utilization of quality antenatal care were observed among women who lived in urban areas (adjusted odds ratio = 4.32, 95% confidence interval: 2.58–7.21), attained primary education and more (adjusted odds ratio = 2.68, 95% confidence interval: 1.60–4.48), earned a monthly income >3000 Ethiopia Birr (US$93.3) (adjusted odds ratio = 3.86, 95% confidence interval: 2.28–6.51), and visited hospitals for antenatal care ⩾4 times (adjusted odds ratio = 3.68, 95% confidence interval: 2.21–6.10). Conclusions: The proportion of women who received good-quality antenatal care was low. Good quality care was associated with residence, education status, income level, and frequency of antenatal care visits. Training care providers, strengthening counseling, and promoting women’s economic empowerment to improve the utilization of quality antenatal care are recommended.

show abstract

Level of Autonomy and Antenatal Services Utilization among the Women of Reproductive age Group Residing in an Urban Municipality of Lalitpur

Maharjan

Bharati

Shrestha

et al. 2022

Med. J. Shree Birendra Hosp.

View full text Add to dashboard Cite

Introduction: Antenatal care is one of the pillars of a safe motherhood programme in improving maternal and child health. Women’s autonomy is seen as an important factor in utilization of maternal health services. Therefore, the objective of study was to find the level of autonomy and utilization of antenatal services among the women of reproductive age group. Methods: A descriptive cross-sectional study design was used. A total of 151 women of reproductive age group having at least one child in the age group of less than one year were selected using non probability purposive sampling technique from four randomly selected wards of Godawari Municipality. A validated and pretested Nepali version interview schedule was used to collect data from the respondents through door-to-door visit. Descriptive statistics such as frequency, percentage, mean, standard deviation and inferential statistics i.e. Fisher’s exact test was used to analyze data. Results: The study findings revealed that the majority (58.3%) of respondents had a lower level of overall autonomy. The highest autonomy was seen in decision making and lowest in financial related issues. Almost all (96%) of the respondents had fully utilized antenatal services. There was significant association between antenatal services utilization with women’s autonomy (p-value 0.041). Education of women and their husbands (p-value 0.009 and 0.013 respectively) as well as easy access to health facilities and availability of private transportation (p-value 0.005 and 0.039 respectively) were significantly associated with utilization of antenatal services. Conclusions: This study concludes that women’ autonomy tends to influence their antenatal services utilization. Likewise, education of women as well as their husbands tends to facilitate utilization of antenatal services. The study also concludes that easy access to health facilities and availability of private vehicles facilitates utilization of antenatal services.

show abstract

Factors Affecting Antenatal Care Utilization Among the Disadvantaged Dalit Population of Nepal: A Cross- sectional Study

Cited by 3 publications

References 13 publications

Prevalence of Antenatal Care Practice among Marginalized Community of Nepal

Prevalence of Antenatal Care Practice among Marginalized Community of Nepal

Quality of antenatal care and associated factors among pregnant women attending government hospitals in Sidama Region, Southern Ethiopia

Level of Autonomy and Antenatal Services Utilization among the Women of Reproductive age Group Residing in an Urban Municipality of Lalitpur

Contact Info

Product

Resources

About