Author:
Hossain Md. Ismail,Rahman Tanjima,Sadia Tahsin Shams,Saleheen Ahmed Abdus Saleh,Sarkar Shuvongkar,Khan Maruf,Ohi Tahsina Fariha,Haq Iqramul
Abstract
AbstractThis study focuses on the importance of early and regular Antenatal Care (ANC) visits in reducing maternal and child mortality rates in Bangladesh, a country where such health indicators are a concern. The research utilized data from the Bangladesh Demographic and Health Survey (BDHS) conducted in 2017–18 and employed the Cox proportional hazard model to identify factors influencing women’s intention of ANC services. The results revealed that 40.4% of women engaged in at least one ANC activity during the first trimester, which, although higher than in other countries, falls below the global average. Notably, women between the aged of 25 and 29 years took 15% less time for their first ANC visit compared to their younger counterparts, suggesting higher awareness and preparedness in this age group. Education, both for women and their partners, had a significant influence on the intention to visit ANC early. Women in the poor wealth quantile exhibited lower odds of seeking timely ANC, whereas those with a planned pregnancy were more likely to do so. Moreover, access to mass media decreased the timing of ANC visits by 26% compared to women who were not exposed. Moreover, living in rural areas was linked to a 17% delay in the timing of the first ANC visit compared to urban areas. These findings underscore the importance of addressing these determinants to improve the timeliness and accessibility of ANC services, thereby enhancing maternal and child health outcomes in Bangladesh.
Publisher
Springer Science and Business Media LLC
Reference36 articles.
1. Moller, A.-B., Petzold, M., Chou, D. & Say, L. Early antenatal care visit: A systematic analysis of regional and global levels and trends of coverage from 1990 to 2013. Lancet Glob. Health 5, e977–e983 (2017).
2. World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. www.who.inthttps://www.who.int/publications/i/item/9789241549912 (2016).
3. Mouhoumed, H. M. & Mehmet, N. Utilization pattern of antenatal care and determining factors among reproductive-age women in Borama, Somaliland. J. Prevent. Med. Hyg. 62, 439–446 (2021).
4. World Health Organization. Maternal mortality. Who.int. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality (2023).
5. Victora, C. G. et al. Countdown to 2015: A decade of tracking progress for maternal, newborn, and child survival. The Lancet 387, 2049–2059 (2016).