The inaccessibility and utilization of antenatal health-care services in Balkh Province of Afghanistan

Hadi, Abdullahel; Mujaddidi, M. Naeem; Rahman, Tahminur; Ahmed, Jalaluddin

doi:10.18356/633fb489-en

Cited by 9 publications

(20 citation statements)

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“…34 spacing, family planning, and their overall health. 10,16,29,34,35 Studies found that educated women recognize emergency obstetric complications and seek medical care immediately 34 , receive antenatal care, use skilled birth attendants, use contraceptives 10,16,35 , and have lower rates of adolescent pregnancies. 10 Women's education, irrespective of other socioeconomic factors, had positive contribution to improved reproductive health.…”

Section: Ahmed Et Al Reported That In Westernmentioning

confidence: 99%

“…29 The study conducted in northern Balkh province indicated that in rural areas, economically active women are much less likely to access antenatal care services compared to noneconomically active women. 29 The relationship is the opposite in the urban areas, where economically active women are slightly more likely to access antenatal care services. 29 It probably implies that women participating in farming, agriculture, or cattle-raising do not have control over the income generated from these activities.…”

Section: Sociocultural Practicesmentioning

confidence: 99%

“…29 The relationship is the opposite in the urban areas, where economically active women are slightly more likely to access antenatal care services. 29 It probably implies that women participating in farming, agriculture, or cattle-raising do not have control over the income generated from these activities.…”

Section: Sociocultural Practicesmentioning

confidence: 99%

“…Hadi et al found that in rural areas, among women with at least six years of schooling, those who were economically active were more likely to use antenatal care services. 29 Also, among women with little or no education, economic activity was an impediment to the use of antenatal care services. Therefore, the combination of low education, rural residence, and the need to work outside the home meant that these women were much less likely to use antenatal care services than were those who were not economically active.…”

Section: Sociocultural Practicesmentioning

confidence: 99%

“…Therefore, the combination of low education, rural residence, and the need to work outside the home meant that these women were much less likely to use antenatal care services than were those who were not economically active. 29 …”

Section: Sociocultural Practicesmentioning

confidence: 99%

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Social Determinants of Maternal Health in Afghanistan: A Review

Najafizada

Bourgeault

Labonté

2017

cajgh

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Introduction: Afghanistan has a high maternal mortality rate of 400 per 100,000 live births. Although direct causes of maternal morbidity and mortality in Afghanistan include hemorrhage, obstructed labor, infection, high blood pressure, and unsafe abortion, the high burden of diseases responsible for maternal mortality arises in large part due to social determinants of health. The focus of this literature review is to examine the impact of various social determinants of health on maternal health in Afghanistan, filling an important gap in the existing literature. Methods: This narrative review was conducted using Arksey and O'Malley's framework of (1) defining the question, (2) searching the literature, (3) assessing the studies, (4) synthesizing selected evidence in context, and (5) summarizing potential programmatic implication of the context. We searched Medline, CABI global health database, and Google Scholar for relevant publications. Results: A total of 38 articles/reports were included in this review. We found that social determinants such as maternal education, sociocultural practices, and social infrastructure have a significant impact on maternal health. Health care may be the immediate determinant, but it is influenced by other determinants that must be addressed in order to alleviate the burden on health care, as well as to achieve long-term reduction in maternal mortality. Conclusion: Because of the importance of social factors for maternal health outcomes, committed involvement of multiple government sectors (i.e. education, labor and social affairs, information and culture, transport and rural development among others, alongside health care) is the long-term solution to the maternal health problems in Afghanistan. National and international organizations' long-term commitment to social investment such as education, local economy, cultural change, and social infrastructure is recommended for Afghanstan and globally.

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Section: Ahmed Et Al Reported That In Westernmentioning

confidence: 99%

Section: Sociocultural Practicesmentioning

confidence: 99%

Section: Sociocultural Practicesmentioning

confidence: 99%

Section: Sociocultural Practicesmentioning

confidence: 99%

Section: Sociocultural Practicesmentioning

confidence: 99%

See 3 more Smart Citations

Social Determinants of Maternal Health in Afghanistan: A Review

Najafizada

Bourgeault

Labonté

2017

cajgh

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Factors Associated with Antenatal Care Utilization Among Rural Women in Lao People’s Democratic Republic

Manithip

Sihavong

Edin

et al. 2010

Matern Child Health J

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This study aims at exploring factors related to the antenatal care (ANC) utilization in rural areas of Lao PDR. A quantitative, cross-sectional interview study was conducted in the Khammouane and Champasack provinces. The study population comprised all currently pregnant women 15-45 years of age with a gestational period beyond 32 weeks plus all women who had given birth during the last 12 months. With the informed consent of all eligible women, 460 respondents were included in the study and interviewed using a structured questionnaire. Multiple logistic regression analysis was applied to determine factors significantly related to ANC use. Fifty-one percent of the respondents had at least one ANC visit. Among the users, 63% had visited ANC three times or more but only 28% attended during the first trimester. After adjusting for other factors, using a 95% Confidence Interval (CI), statistically significant associations were found between ANC use and the following factors: women whose husbands were salaried employees (OR=2.66, CI=1.45-4.88); women younger than 18 years old at first pregnancy (OR 0.56, CI=0.28-0.97); women perceiving ANC as somewhat useful (OR=2.88, CI=1.26-6.61) or very useful (OR=7.45, CI=3.59-15.46). Awareness of the usefulness of ANC was related to more frequent use and could be one focus of community intervention to increase utilization.

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Access to Antenatal Care in Laos: Analysis Using National Level Survey*

Onphanhdala¹,

Philavong²,

Kadoya³

et al. 2020

Asian Economic Journal

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Laos has the highest maternal mortality rate in Southeast Asia. The present study examines antenatal care and birth location in relation to the residence, household education levels, wealth, ethnicity, age and media interest of pregnant women. The logit and OLS regression results show that pregnant women living in urban areas and rural areas with roads, from wealthy families, in the Lao ethnic group and in the young age group are more likely to receive antenatal care and have professional health workers deliver their children. Therefore, greater governmental efforts are required to make antenatal care available to all pregnant women.

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The inaccessibility and utilization of antenatal health-care services in Balkh Province of Afghanistan

Cited by 9 publications

References 0 publications

Social Determinants of Maternal Health in Afghanistan: A Review

Social Determinants of Maternal Health in Afghanistan: A Review

Factors Associated with Antenatal Care Utilization Among Rural Women in Lao People’s Democratic Republic

Access to Antenatal Care in Laos: Analysis Using National Level Survey*

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