Монголын Анагаахын Сэтгүүлүүдийн Холбоо (МАСХ)
Mongolian Journal of Health Sciences, 2009, 1(6)
Identification of factors influencing women receiving antenatal care-seeking behaviour in Bangladesh
( Судалгааны өгүүлэл )

Mosiur Rahman,  Towhidul Islam Tarafder

Department of Population Science and Human Resource Development,

University of Rajshahi, Rajshahi-6205, Bangladesh.

 
Абстракт

Background: Antenatal care is a key strategy for reducing maternal mortality, but millions of women in developing countries do not receive it. Objectives: This paper is a report of a systematic review to identify and analyze the main factors influencing the utilization of antenatal care in Bangladesh. Methodology:  To reach our goal Bangladesh Demographic and Health Survey of 2004 data for last five years (N = 4873) has been used. Descriptive and multivariate logistic regression methods were employed in analyzing the data. Results: An increasing trend of receiving sufficient ANC was observed. Sufficient ANC is defined at least three antenatal care visits from doctors, nurses or family welfare visitors. Only a small proportion of mothers have taken sufficient antenatal care during pregnancy between 2000-2004 and only 16.3% women received prenatal care visits 4 or more times even though the recommended number of visits is 10. Adolescents (<20 years) and middle aged mothers (20-29 years) have taken more proper antenatal care during pregnancy than older aged mothers (≥30 years). This study elucidates that the rate of receiving sufficient antenatal care was lower among mothers living in rural areas than among mothers of urban areas. Muslim families show little interest in receiving health care during pregnancy. Restricted women reported less reception of proper antenatal care services than mothers who have no restriction to go outside alone.  Multivariate logistic regression analysis shows that higher educated women were one and half time times more likely to receive sufficient antenatal care. The same is true of husband education. Women whose husbands had a lower status job were less likely to receive sufficient antenatal care. The other main contributing factors likely to affect reception of sufficient antenatal care were the mother’s earning status, the mother’s age at the last birth household quality and assets index, knowledge about pregnancy complications, where to go for pregnancy complication and the type of toilet facility. Conclusions: The results indicate several policy options. The high-risk group such as adolescents and higher aged women need special care and the existing health management system should be strengthened to create awareness among mothers of these groups for seeking appropriate measures from the beginning of pregnancy. There is need to ensure the availability of maternal health care centers that provide antenatal care and expand and improve the quality of normal delivery at home by trained providers and introduce post-partum visits. It is equally important that education for women is emphasized to bring about a lasting impact on the overall health condition of women. More qualitative research is required to explore the effect of women's satisfaction, autonomy and gender role in the decision-making process. Adequate utilization of antenatal care cannot be achieved merely by establishing health centers. Women's overall social, political and economic status needs to be considered.

 


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