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Inequality in time to first antenatal care visits and its predictors among pregnant women in India: an evidence from national family health survey
For countries with high maternal mortality and morbidity, on-time initiation of antenatal care (ANC) is indispensable. Therefore this paper aims for studying the median survival time (MST) of first ANC among pregnant women as well as understanding the contextual factors that influence a mother’s dec...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033916/ https://www.ncbi.nlm.nih.gov/pubmed/36949163 http://dx.doi.org/10.1038/s41598-023-31902-3 |
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author | Tripathy, Abhipsa Mishra, Prem Shankar |
author_facet | Tripathy, Abhipsa Mishra, Prem Shankar |
author_sort | Tripathy, Abhipsa |
collection | PubMed |
description | For countries with high maternal mortality and morbidity, on-time initiation of antenatal care (ANC) is indispensable. Therefore this paper aims for studying the median survival time (MST) of first ANC among pregnant women as well as understanding the contextual factors that influence a mother’s decision to access ANC services in India. The study used cross-sectional survey data obtained from the NFHS-4 conducted in 2015–2016. The MST of the timing of the first ANC visit was estimated using the Kaplan-Meir estimate. A multivariate Cox-proportional hazard regression model was used to identify the factors related to the timing of the first ANC visit with a 95% confidence interval (CI). Overall at least one ANC checkup was assessed by 60.15% of women and the median survival time for the first ANC checkup was found to be 4 months. Early initiation of ANC in pregnant women increased by 37% (AHR: 1.37, CI:1.34–1.39) for primary education, and 88% (AHR:1.88, CI:1.86–1.90) for secondary education compared to women having no formal education. Results of the current study revealed that the median survival time of the first ANC visit was 4 months in India which is delayed compared to recommendations of WHO. Therefore boosting the access and utilization of antenatal care coverage among pregnant women can ensure the best health outcomes for their pregnancy. |
format | Online Article Text |
id | pubmed-10033916 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-100339162023-03-24 Inequality in time to first antenatal care visits and its predictors among pregnant women in India: an evidence from national family health survey Tripathy, Abhipsa Mishra, Prem Shankar Sci Rep Article For countries with high maternal mortality and morbidity, on-time initiation of antenatal care (ANC) is indispensable. Therefore this paper aims for studying the median survival time (MST) of first ANC among pregnant women as well as understanding the contextual factors that influence a mother’s decision to access ANC services in India. The study used cross-sectional survey data obtained from the NFHS-4 conducted in 2015–2016. The MST of the timing of the first ANC visit was estimated using the Kaplan-Meir estimate. A multivariate Cox-proportional hazard regression model was used to identify the factors related to the timing of the first ANC visit with a 95% confidence interval (CI). Overall at least one ANC checkup was assessed by 60.15% of women and the median survival time for the first ANC checkup was found to be 4 months. Early initiation of ANC in pregnant women increased by 37% (AHR: 1.37, CI:1.34–1.39) for primary education, and 88% (AHR:1.88, CI:1.86–1.90) for secondary education compared to women having no formal education. Results of the current study revealed that the median survival time of the first ANC visit was 4 months in India which is delayed compared to recommendations of WHO. Therefore boosting the access and utilization of antenatal care coverage among pregnant women can ensure the best health outcomes for their pregnancy. Nature Publishing Group UK 2023-03-22 /pmc/articles/PMC10033916/ /pubmed/36949163 http://dx.doi.org/10.1038/s41598-023-31902-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Tripathy, Abhipsa Mishra, Prem Shankar Inequality in time to first antenatal care visits and its predictors among pregnant women in India: an evidence from national family health survey |
title | Inequality in time to first antenatal care visits and its predictors among pregnant women in India: an evidence from national family health survey |
title_full | Inequality in time to first antenatal care visits and its predictors among pregnant women in India: an evidence from national family health survey |
title_fullStr | Inequality in time to first antenatal care visits and its predictors among pregnant women in India: an evidence from national family health survey |
title_full_unstemmed | Inequality in time to first antenatal care visits and its predictors among pregnant women in India: an evidence from national family health survey |
title_short | Inequality in time to first antenatal care visits and its predictors among pregnant women in India: an evidence from national family health survey |
title_sort | inequality in time to first antenatal care visits and its predictors among pregnant women in india: an evidence from national family health survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10033916/ https://www.ncbi.nlm.nih.gov/pubmed/36949163 http://dx.doi.org/10.1038/s41598-023-31902-3 |
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