Assessing Barriers for Delayed Antenatal Care Services among Tribal Women of Bangladesh

A.N.M. Rezaul Karim

Abstract


 

Background

Since the mother's health of the indigenous women is a global concern, it draws our attention to them because they are underprivileged people around the world . This issue seems to be true even from the point of view of Bangladesh.

 

Problem

Antenatal care (ANC) is the first flight of stairs to reach the peak of success for safe-motherhood. It represents a series of evaluations over time, which is not implemented appropriately due to different types of limitation and problems. The time to start ANC checking up is very important brcause it sets the way to determine complexity and remedies durimg pregnancy. The delayed ANC creates many complications and increases maternal and child mortality.

 

Aim

The study aimed to delve into delayed ANC practices and the factors associated with this practices among tribal women dwelling in the Chittagong Hill Tracts (CHT) of Bangladesh.

 

Methods

This paper is based on a quantitative study. Married women having babies whose age was not more than one year were conveniently selected. The descriptive statistic was used to analyze frequency, percentage of the collected data. Associations were evaluated through Chi-square tests, and multivariate logistic regression model was used to investigate the factors concerened the use of delayed ANC services.

 

Findings

The study exposes that one-third (29.9%) of the pregnant women wanted ANC from a trained doctor of which only 16.4% initiated attendance within three months of the pregnancy. Multivariable logistic regression analyses indicate that, place of residence, women's education, distance to health facilities, family planning, socio-economic status, husband’s education were considered as the main determinant to seek ANC.

Discussion & Conclusion

Study results recommend that specific efforts are needed to advance socio-economic status of tribal people, increasing the educational level of women and their husbands, reducing the distance from a health center, and strengthening family planning program are needed.


Keywords


Antenatal care - Tribal women - Maternal mortality - Non-attendance & delayed antenatal care

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References


Tuladhar H, Dhakal N. Impact of antenatal care on maternal and perinatal outcome: a Study at Nepal Medical College Teaching Hospital. Nepal Journal of Obstetrics and Gynaecology. 2012; 6(2): 37-43.

Dennis LI, Flynn BC, Martin JB. Characteristics of pregnant women, utilization and satisfaction with prenatal services in St. Petersburg, Russia. Public Health Nursing. 1995; 12(6): 374–377.

Heaman MI, Newburn-Cook CV, Green CG, Elliott LJ, Helewa ME. Inadequate prenatal care and its association with adverse pregnancy outcomes: a comparison of indices. BMC Pregnancy, Childbirth. 2008; 8:15.

Bragg R, Action M. Money and maternity: charging vulnerable pregnant women for NHS care. Maternity Action and Medact. 2013; 26:1-9.

Alibekova R, Huang JP, Chen YH. Adequate prenatal care reduces the risk of adverse pregnancy outcomes in women with history of infertility: a nationwide population-based study. PLoS One. 2013; 8(12): e84237.

Gebremariam A. Factors predisposing to low birth weight in Jimma Hospital Southwestern Ethiopia. East Afr Med J. 2005; 8(1):554.

Tayie FA, Lartey A. Antenatal care and pregnancy outcome in Ghana, the importance of women's education. African Journal of Food, Agriculture, Nutrition and Development. 2008; 8(3):291-303.

Carroli G, Rooney C, Villar J. How effectiveness is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Paediatr Perinat Epidemiol. 2001; 15(1): s1-s42.

World Health Organization. The World Health Report2002: WHO Antenatal Care, Randomized Controlled Trial: Manual for the implementation of the New Model. Geneva, Switzerland: World Health Organization; 2002.

WHO Pregnancy, childbirth, postpartum and newborn care: A guide for essential practice. Geneva: World Health Organization; 2009.

Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016; 387 (10017): 462-74.

National Institute of Population Research and Training (NIPORT). Mitra and Associates, and ICF International. Bangladesh Demographic and Health Survey 2014. Dhaka, Bangladesh; 2016.

United Nations Children's Fund, World Health Organization, World Bank. United Nations- -DESA Population Division. Levels and Trends in Child Mortality 2015. Geneva, Switzerland: World Health Organization; 2015 [cited 2017 April 3]. Available from: https://data.unicef.org/topic/maternal-health/antenatal-care/.

Kamal SMM, Hassan CH, Islam MD. Factors associated with the timing of antenatal care seeking in Bangladesh. Asia-Pacific Journal of Public Health. 2013; 27(2): 1467-80. doi: 10.1177/1010539513485786.

Bangladesh Demographic and Health Survey (BDHS). NIPORT, Dhaka, Bangladesh; Mitra and Associates, Dhaka, Bangladesh; 2011.

Islam MR, Odland JO. Determinants of antenatal and postnatal care visits among indigenous people in Bangladesh: a study of the Mru. Community, Rural and Remote Health. 2009; 11: 1-13.

Islam MR, Islam MN, Rahman MM. Trends and Patterns of reproductivity decline in Bangladesh: 1956-1998. Man in India. 2004; 84 (1 & 2): 85-97.

Mohsin A. The Politics of Nationalism - The case of Chittagong Hill Tracts Bangladesh. The University Press Limited, Dhaka, Bangladesh; 1997.

National Institute of Population Research and Training (NIPORT), Mitra and Associates, and ICF International. Bangladesh Demographic and Health Survey 2014. Dhaka, Bangladesh, and Rockville, Maryland, USA: NIPORT, Mitra and Associates, and ICF International; 2016.

Silwal M. Maternal health care practices among indigenous people of Nepal: a case study of the raute community [Master’s Thesis] Faculty of Social Sciences, University of Tromsø, Norway; 2011.

Roy J, Saha KB, Abbad A. Some Aspects of Maternal and Child Health Care among Khairwars of Madhya Pradesh, Kamla-Raj. Ethno Med. 2010; 4: 107-109.

Sharma RK. Newborn care among tribes of Central India experiences from micro level studies. Social Change. 2010; 40:117-137.

Simkhada B, Teijlingen ER, Porter M, Simkhada P. Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. J AdvNurs. 2008; 61(3): 244-260. doi:10.1111/j. 1365-2648.2007.04532.x.

Chakraborty N, Islam MA, Chowdhury RI, Wasimul Bari W, Akhter HH. Determinants of the use of maternal health services in rural Bangladesh. Health Promotion International. 2003; 18(4): 327-337.

Magadi, Monica Akinyi, Nyovani Janet Madise, Roberto Nascimento Rodrigues. Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities. Social Science & Medicine. 2000; 51(4): 551-561.

Mkateko Maria Mkhari. Factors contributing to late antenatal care booking at Thulamahashe local area at Bushbuckridge sub-district in Mpumalanga Provinc [Master’s thesis]. University of South Africa; 2016.

Nghitanwa Emma Maano1, Shanyengange Tuwilika N. Factors associated with the delay in seeking a first antenatal care service among pregnant women at Katutura state hospital, Khomas region. International Journal of Medicine. 2017); 5(1): 37-40.

McCaw-Binns A, La Grenade J, Ashley D. Under-users of antenatal care: A comparison of non-attenders and late attenders for antenatal care with early attenders. Social Science and Medicine. 2007; 40: 1003–1012.

Kapaya H, Mercer E, Boffey F, Jones G, Mitchell C, Anumba D. Deprivation and poor psychosocial support are key determinants of late antenatal presentation and poor fetal outcomes-a combined retrospective and prospective study. BMC Pregnancy, Childbirth. 2015;15(1):309

Edward B. Factors influencing the utilization of antenatal care content in Uganda. Aust Med J. 2011; 4(9):516. doi: 10.4066/AMJ.2011.849

Adeyemi, Makinde, Ajenifuja, Soyinka, Ayinde, Ola, Ofili. Determinants of antenatal booking time in a South-Western Nigeria Setting: 2007, October-December. West Afr. J. Med. [cited 2011 Nov 1]. Available from: http://www.ncbi.nlm.gov/pubmed/18705429.


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