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Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017–18

Like many other low- and middle-income countries, Bangladesh experiences a disproportionately higher number of maternal and neonatal deaths compared to high-income countries. Despite this, a majority of pregnant women in Bangladesh do not receive appropriate antenatal care (ANC). We investigated the...

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Autores principales: Kibria, Gulam Muhammed Al, Crispen, Reese
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10446198/
https://www.ncbi.nlm.nih.gov/pubmed/37610995
http://dx.doi.org/10.1371/journal.pgph.0002325
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author Kibria, Gulam Muhammed Al
Crispen, Reese
author_facet Kibria, Gulam Muhammed Al
Crispen, Reese
author_sort Kibria, Gulam Muhammed Al
collection PubMed
description Like many other low- and middle-income countries, Bangladesh experiences a disproportionately higher number of maternal and neonatal deaths compared to high-income countries. Despite this, a majority of pregnant women in Bangladesh do not receive appropriate antenatal care (ANC). We investigated the disparities, distribution, and determinants of the timing, number, and quality of ANC in this country. This cross-sectional study analyzed Bangladesh Demographic and Health Survey (BDHS) 2017–18 data on ever-married reproductive-age (i.e., 15-49-year-olds) women. After describing the study sample and proportions, multilevel logistic regression was applied to study determinants. The prevalence and odds of the studied outcomes were higher among women with higher parity, a higher education level, more highly educated husbands, urban residence, and residence in some administrative divisions (p<0.05). For instance, among women in the poorest, poorer, middle, richer, and richest wealth quintiles, the proportions of those who initiated ANC during the first trimester were 22.2% (95% confidence interval (CI): 19.6–25.0), 30.1% (95% CI: 27.1–33.2), 35.1% (95% CI: 31.7–38.6), 38.5% (95% CI: 35.2–42.0), and 61.0% (95% CI: 57.5–64.3). Then, compared to women in the poorest wealth quintile, the adjusted odds ratio (AOR) for ANC initiation was higher among those in the poorer (AOR: 1.3, 95% CI: 1.1–1.7), middle (AOR: 1.5, 95% CI: 1.2–1.9), richer (AOR: 1.4, 95% CI: 1.1–1.8), and richest (AOR: 2.7, 95% CI: 2.1–3.5) household wealth quintiles. Given the importance of appropriate ANC, it is crucial to increase awareness and coverage among women with low socioeconomic status and rural residence, among other factors studied.
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spelling pubmed-104461982023-08-24 Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017–18 Kibria, Gulam Muhammed Al Crispen, Reese PLOS Glob Public Health Research Article Like many other low- and middle-income countries, Bangladesh experiences a disproportionately higher number of maternal and neonatal deaths compared to high-income countries. Despite this, a majority of pregnant women in Bangladesh do not receive appropriate antenatal care (ANC). We investigated the disparities, distribution, and determinants of the timing, number, and quality of ANC in this country. This cross-sectional study analyzed Bangladesh Demographic and Health Survey (BDHS) 2017–18 data on ever-married reproductive-age (i.e., 15-49-year-olds) women. After describing the study sample and proportions, multilevel logistic regression was applied to study determinants. The prevalence and odds of the studied outcomes were higher among women with higher parity, a higher education level, more highly educated husbands, urban residence, and residence in some administrative divisions (p<0.05). For instance, among women in the poorest, poorer, middle, richer, and richest wealth quintiles, the proportions of those who initiated ANC during the first trimester were 22.2% (95% confidence interval (CI): 19.6–25.0), 30.1% (95% CI: 27.1–33.2), 35.1% (95% CI: 31.7–38.6), 38.5% (95% CI: 35.2–42.0), and 61.0% (95% CI: 57.5–64.3). Then, compared to women in the poorest wealth quintile, the adjusted odds ratio (AOR) for ANC initiation was higher among those in the poorer (AOR: 1.3, 95% CI: 1.1–1.7), middle (AOR: 1.5, 95% CI: 1.2–1.9), richer (AOR: 1.4, 95% CI: 1.1–1.8), and richest (AOR: 2.7, 95% CI: 2.1–3.5) household wealth quintiles. Given the importance of appropriate ANC, it is crucial to increase awareness and coverage among women with low socioeconomic status and rural residence, among other factors studied. Public Library of Science 2023-08-23 /pmc/articles/PMC10446198/ /pubmed/37610995 http://dx.doi.org/10.1371/journal.pgph.0002325 Text en © 2023 Kibria, Crispen 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
Kibria, Gulam Muhammed Al
Crispen, Reese
Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017–18
title Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017–18
title_full Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017–18
title_fullStr Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017–18
title_full_unstemmed Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017–18
title_short Disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in Bangladesh: Evidence from Demographic and Health Survey 2017–18
title_sort disparities, distribution, and determinants in appropriate timely initiation, number, and quality of antenatal care in bangladesh: evidence from demographic and health survey 2017–18
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10446198/
https://www.ncbi.nlm.nih.gov/pubmed/37610995
http://dx.doi.org/10.1371/journal.pgph.0002325
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