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Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey

BACKGROUND: Assessing the quality of antenatal care (ANC) is imperative for improving care provisions during pregnancy to ensure the health of mother and baby. In Bangladesh, there is a dearth of research on ANC quality using nationally representative data to understand its levels and determinants....

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Autores principales: Akter, Ema, Hossain, Aniqa Tasnim, Rahman, Ahmed Ehsanur, Ahmed, Anisuddin, Tahsina, Tazeen, Tanwi, Tania Sultana, Nusrat, Nowrin, Nahar, Quamrun, Arifeen, Shams El, Chowdhury, Mahbub Elahi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155983/
https://www.ncbi.nlm.nih.gov/pubmed/37134074
http://dx.doi.org/10.1371/journal.pone.0269767
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author Akter, Ema
Hossain, Aniqa Tasnim
Rahman, Ahmed Ehsanur
Ahmed, Anisuddin
Tahsina, Tazeen
Tanwi, Tania Sultana
Nusrat, Nowrin
Nahar, Quamrun
Arifeen, Shams El
Chowdhury, Mahbub Elahi
author_facet Akter, Ema
Hossain, Aniqa Tasnim
Rahman, Ahmed Ehsanur
Ahmed, Anisuddin
Tahsina, Tazeen
Tanwi, Tania Sultana
Nusrat, Nowrin
Nahar, Quamrun
Arifeen, Shams El
Chowdhury, Mahbub Elahi
author_sort Akter, Ema
collection PubMed
description BACKGROUND: Assessing the quality of antenatal care (ANC) is imperative for improving care provisions during pregnancy to ensure the health of mother and baby. In Bangladesh, there is a dearth of research on ANC quality using nationally representative data to understand its levels and determinants. Thus, the current study aimed to assess ANC quality and identify the sociodemographic factors associated with the usage of quality ANC services in Bangladesh. METHODS: Secondary data analysis was conducted using the last two Bangladesh Demographic and Health Surveys (BDHSs) from 2014 and 2017–18. A total of 8,277 ever-married women were included in the analysis (3,631 from 2014 and 4,646 from 2017–18). The quality ANC index was constructed using a principal component analysis on the following ANC components: weight and blood pressure measurements, blood and urine test results, counselling about pregnancy complications and completion of a minimum of four ANC visits, one of which was performed by a medically trained provider. Multinomial logistic regression was used to determine the strength of the association. RESULTS: The percentage of mothers who received all components of quality ANC increased from about 13% in 2014 to 18% in 2017–18 (p < 0.001). Women from the poorest group, those in rural areas, with no education, a high birth order and no media exposure were less likely to receive high-quality ANC than those from the richest group, those from urban areas, with a higher level of education, a low birth order and media exposure, respectively. CONCLUSION: Although the quality of ANC improved from 2014 to 2017–18, it remains poor in Bangladesh. Therefore, there is a need to develop targeted interventions for different socio-demographic groups to improve the overall quality of ANC. Future interventions should address both the demand and supply-side perspectives.
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spelling pubmed-101559832023-05-04 Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey Akter, Ema Hossain, Aniqa Tasnim Rahman, Ahmed Ehsanur Ahmed, Anisuddin Tahsina, Tazeen Tanwi, Tania Sultana Nusrat, Nowrin Nahar, Quamrun Arifeen, Shams El Chowdhury, Mahbub Elahi PLoS One Research Article BACKGROUND: Assessing the quality of antenatal care (ANC) is imperative for improving care provisions during pregnancy to ensure the health of mother and baby. In Bangladesh, there is a dearth of research on ANC quality using nationally representative data to understand its levels and determinants. Thus, the current study aimed to assess ANC quality and identify the sociodemographic factors associated with the usage of quality ANC services in Bangladesh. METHODS: Secondary data analysis was conducted using the last two Bangladesh Demographic and Health Surveys (BDHSs) from 2014 and 2017–18. A total of 8,277 ever-married women were included in the analysis (3,631 from 2014 and 4,646 from 2017–18). The quality ANC index was constructed using a principal component analysis on the following ANC components: weight and blood pressure measurements, blood and urine test results, counselling about pregnancy complications and completion of a minimum of four ANC visits, one of which was performed by a medically trained provider. Multinomial logistic regression was used to determine the strength of the association. RESULTS: The percentage of mothers who received all components of quality ANC increased from about 13% in 2014 to 18% in 2017–18 (p < 0.001). Women from the poorest group, those in rural areas, with no education, a high birth order and no media exposure were less likely to receive high-quality ANC than those from the richest group, those from urban areas, with a higher level of education, a low birth order and media exposure, respectively. CONCLUSION: Although the quality of ANC improved from 2014 to 2017–18, it remains poor in Bangladesh. Therefore, there is a need to develop targeted interventions for different socio-demographic groups to improve the overall quality of ANC. Future interventions should address both the demand and supply-side perspectives. Public Library of Science 2023-05-03 /pmc/articles/PMC10155983/ /pubmed/37134074 http://dx.doi.org/10.1371/journal.pone.0269767 Text en © 2023 Akter et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Akter, Ema
Hossain, Aniqa Tasnim
Rahman, Ahmed Ehsanur
Ahmed, Anisuddin
Tahsina, Tazeen
Tanwi, Tania Sultana
Nusrat, Nowrin
Nahar, Quamrun
Arifeen, Shams El
Chowdhury, Mahbub Elahi
Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey
title Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey
title_full Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey
title_fullStr Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey
title_full_unstemmed Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey
title_short Levels and determinants of quality antenatal care in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey
title_sort levels and determinants of quality antenatal care in bangladesh: evidence from the bangladesh demographic and health survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155983/
https://www.ncbi.nlm.nih.gov/pubmed/37134074
http://dx.doi.org/10.1371/journal.pone.0269767
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