Utilization of maternal health services among adolescent women in Bangladesh: A scoping review of the literature

Shahabuddin, Asm; Delvaux, Thérèse; Abouchadi, Saloua; Sarker, Malabika; Brouwere, Vincent De

doi:10.1111/tmi.12503

Cited by 58 publications

(54 citation statements)

References 35 publications

(61 reference statements)

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“…husbands) restricted married adolescent girls’ autonomy towards making decisions of their own health care. Furthermore, girls with low levels of education had limited knowledge about reproductive health including the importance of the skilled maternal health care, a finding which has also been corroborated in other studies [29,35]. In addition, adolescent girls often were timid to communicate with husbands and other family members because of their culturally-grounded gender-role leading to limited level of autonomy [25,31,36].…”

Section: Discussionmentioning

confidence: 65%

“…This huge proportion of child marriage contributes to the high rates of pregnancies among adolescent girls in Bangladesh. Existing literature indicates that women’s age, level of education, place of residence, decision-making autonomy, socio-cultural practices and norms, health beliefs and access and availability of quality health services influence the use of skilled maternal health services among women, including adolescents in Bangladesh [22–29]. …”

Section: Introductionmentioning

confidence: 99%

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Exploring Maternal Health Care-Seeking Behavior of Married Adolescent Girls in Bangladesh: A Social-Ecological Approach

et al. 2017

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BackgroundThe huge proportion of child marriage contributes to high rates of pregnancies among adolescent girls in Bangladesh. Despite substantial progress in reducing maternal mortality in the last two decades, the rate of adolescent pregnancy remains high. The use of skilled maternal health services is still low in Bangladesh. Several quantitative studies described the use of skilled maternal health services among adolescent girls. So far, very little qualitative evidence exists about attitudes and practices related to maternal health. To fill this gap, we aimed at exploring maternal health care-seeking behavior of adolescent girls and their experiences related to pregnancy and delivery in Bangladesh.Methods and FindingsA prospective qualitative study was conducted among thirty married adolescent girls from three Upazilas (sub-districts) of Rangpur district. They were interviewed in two subsequent phases (2014 and 2015). To triangulate and validate the data collected from these married adolescent girls, key informant interviews (KIIs) and focus group discussions (FGDs) were conducted with different stakeholders. Data analysis was guided by the Social-Ecological Model (SEM) including four levels of factors (individual, interpersonal and family, community and social, and organizational and health systems level) which influenced the maternal health care-seeking behavior of adolescent girls. While adolescent girls showed little decision making-autonomy, interpersonal and family level factors played an important role in their use of skilled maternal health services. In addition, community and social factors and as well as organizational and health systems factors shaped adolescent girls’ maternal health care-seeking behavior.ConclusionsIn order to improve the maternal health of adolescent girls, all four levels of factors of SEM should be taken into account while developing health interventions targeting adolescent girls.

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Section: Discussionmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Exploring Maternal Health Care-Seeking Behavior of Married Adolescent Girls in Bangladesh: A Social-Ecological Approach

et al. 2017

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“…However, without the empowerment of women, knowledge extension might be only half a battle won. Higher autonomy is reflected in the ability of women to decide whether to attend ANC clinics and makes it more likely for women to utilize the services (20,54). Our study showed that having decision-making power or autonomy to visit relatives might be associated with high first trimester registration and utilization of ANC services.…”

Section: Strengths and Limitationsmentioning

confidence: 69%

“…The components of ANC include risk identification, prevention and management of pregnancyrelated or concurrent diseases, nutritional problems, and health education and health promotion (19). Access to these services enables skilled health care professionals to identify and treat potential health risks to expecting woman and the unborn baby and ensures safe delivery (20).…”

Section: Introductionmentioning

confidence: 99%

Antenatal Care Service Utilization Among Adolescent Pregnant Women–Evidence From Swabhimaan Programme in India

Fulpagare

Saraswat

Dinachandra

et al. 2019

Front. Public Health

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Purpose: Pregnant adolescent girls (15-19 years) are more vulnerable to poor health and nutrition than adult pregnant women because of marginalization and lack of knowledge about the antenatal care (ANC) services. The present study aims to test this hypothesis and assess determinants of ANC service utilization among currently adolescent pregnant women.Methods: Data were drawn from the baseline survey of SWABHIMAAN project, which had been conducted in three states of India: Bihar, Chhattisgarh, and Odisha. Out of a total 2,573 pregnant women (15-49 years) included in the sample, about 10% (N = 278) were adolescent girls (15-19 years) at the time of the survey, and the rest were adults. Sample was selected from the population using simple random sampling, and information was collected using pretested questionnaires.Results: For all indicators of ANC service utilization, performance of adolescent pregnant women was better than adult pregnant women. However, significant variations were reported in the level of services received by adult pregnant women for different indicators. Religion, wealth, food insecurity, Village Health Sanitation and Nutrition Day meeting, Public Distribution System and Integrated Child Development Services entitlements, and knowledge of family planning methods had a significant effect on the ANC service utilization.Conclusion: Adolescent pregnant women have shown better utilization of selected indicators than their adult counterparts. Utilization of full ANC services starting from first trimester itself for adolescent pregnant women is an urgent need in present context. Intervention program must pay attention to such adolescent married girls who are entering into the motherhood phase of their lives.

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“…Previous studies show that the determinants of ANC use among youth has been influenced by predisposing, enabling, environment, need and health provider factors, although the influence is mixed. Antenatal care use has been associated with age of the youth (40), education level (25,40,41), pregnancy desire (42,43), and parity (25,40,44). Wealth quintile (26,30,45), employment status (46), region of residence (47)(48)(49) and urban residence were also associated with early and frequent ANC use (40,41).…”

mentioning

confidence: 99%

Predictors of the Timing and Number of Antenatal Care Visits among Unmarried Compared To Married Youth in Uganda Between 1995 And 2011

Agaba

Misinde

2020

Preprint

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Introduction Inadequate use of maternal health services among the youth remains a serious health challenge in Uganda. The low use of maternal health services among youth partly explains the persistence high maternal mortality rate in the country. Yet, improved use of maternal health services by the youth would help reduce maternal deaths in the country. Therefore, this study examines predisposing and enabling factors associated with the timing and the number of antenatal care visits among unmarried compared to married youth aged 15-24 years between 1995 and 2011 in Uganda. Methodology Two-level binary logistic and linear regression models with district as a second level of analysis were conducted on pooled data of the 1995, 2000/01, 2006 and 2011 Uganda Demographic and Health Surveys. This analysis was among 581 unmarried, compared to 5,437 married youth, aged 15-24 years. Results Only 16% of unmarried youth and 18% of married youth had ANC in the first trimester. Education was the only factor that was significantly associated with early use of antenatal care among unmarried youth. Whereas high education was associated with higher odds of using antenatal care in the first trimester among married youth (OR=1.30, 95%CI=1.08-1.57), it was associated with late start among unmarried youth (OR=0.56, 95%CI=0.31-0.98). Higher parity, protestant membership and residence in eastern region were associated with late start of antenatal care, while access to radio and television, and education level of the husband were associated with higher odds of early use of antenatal care among married youth. Overall, married youth were more likely to have more frequent antenatal care visits than unmarried youth. Among both groups, higher educational attainment and greater access to radio were associated with frequent antenatal care use. Residing in western region was associated with fewer antenatal care visits among both married and unmarried youth. Access to newspaper was associated with more antenatal care visits among married youth only. Conclusion This study presents the individual level predisposing and enabling factors that are important predictors of the use of antenatal health care services among youth that will guide policy to reduce maternal deaths among youth in Uganda.

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Utilization of maternal health services among adolescent women in Bangladesh: A scoping review of the literature

Cited by 58 publications

References 35 publications

Exploring Maternal Health Care-Seeking Behavior of Married Adolescent Girls in Bangladesh: A Social-Ecological Approach

Exploring Maternal Health Care-Seeking Behavior of Married Adolescent Girls in Bangladesh: A Social-Ecological Approach

Antenatal Care Service Utilization Among Adolescent Pregnant Women–Evidence From Swabhimaan Programme in India

Predictors of the Timing and Number of Antenatal Care Visits among Unmarried Compared To Married Youth in Uganda Between 1995 And 2011

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