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

A.N.M. Rezaul Karim




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.



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.



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.



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.



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.


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

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