Barriers to Utilization of Antenatal Care Services in Eastern Nepal

Frontiers in Public Health
Krishna Kumar DeoRajendra Raj Wagle

Abstract

World Health Organization recommends at least four pregnancy check-ups for normal pregnancies. Ministry of Health and Population Nepal has introduced various strategies to promote prenatal care and institutional delivery to reduce maternal and child deaths. However, maternal health service utilization is low in some selected socio-economic and ethnic groups. Hence, this study aims to assess barriers to the recommended four antenatal care (4ANC) visits in eastern Nepal. A cross-sectional quantitative study was conducted in Sunsari district. A total of 372 randomly selected women who delivered in the last year preceding the survey were interviewed using a semi-structured questionnaire. Bivariate and multivariate logistic regression analysis was carried out to identify barriers associated with 4ANC visits. More than two-third women (69%) attended at least 4ANC visits. The study revealed that women exposed to media had higher chance of receiving four or more ANC visits with an adjusted odds ratio (aOR = 3.5, 95% CI: 1.2-10.1) in comparison to women who did not. Women from an advantaged ethnic group had more chance of having 4ANC visits than respondents from a disadvantaged ethnic group (aOR = 2.4, 95% CI: 2.1-6.9). Similarly, women...Continue Reading

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Citations

Feb 23, 2018·Maternal and Child Health Journal·Britni L AyersPearl Anna McElfish
Sep 29, 2017·Frontiers in Public Health·Yuba Raj PaudelSuresh Mehata
Mar 16, 2019·International Journal of Environmental Research and Public Health·Sujan Gautam, Hyoung-Sun Jeong
Oct 9, 2021·BMC Pregnancy and Childbirth·Desire Habonimana, Neha Batura

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