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Antenatal care in rural Bangladesh: Gaps in adequate coverage and content

INTRODUCTION: Antenatal care (ANC) has long been considered a critical component of the continuum of care during pregnancy, with the potential to contribute to the survival and thriving of women and newborns. Although ANC utilization has increased in over the past decades, adequate coverage and cont...

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Autores principales: Siddique, Abu Bakkar, Perkins, Janet, Mazumder, Tapas, Haider, Mohammad Rifat, Banik, Goutom, Tahsina, Tazeen, Islam, Md. Jahurul, Arifeen, Shams El, Rahman, Ahmed Ehsanur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242304/
https://www.ncbi.nlm.nih.gov/pubmed/30452444
http://dx.doi.org/10.1371/journal.pone.0205149
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author Siddique, Abu Bakkar
Perkins, Janet
Mazumder, Tapas
Haider, Mohammad Rifat
Banik, Goutom
Tahsina, Tazeen
Islam, Md. Jahurul
Arifeen, Shams El
Rahman, Ahmed Ehsanur
author_facet Siddique, Abu Bakkar
Perkins, Janet
Mazumder, Tapas
Haider, Mohammad Rifat
Banik, Goutom
Tahsina, Tazeen
Islam, Md. Jahurul
Arifeen, Shams El
Rahman, Ahmed Ehsanur
author_sort Siddique, Abu Bakkar
collection PubMed
description INTRODUCTION: Antenatal care (ANC) has long been considered a critical component of the continuum of care during pregnancy, with the potential to contribute to the survival and thriving of women and newborns. Although ANC utilization has increased in over the past decades, adequate coverage and content of ANC contacts have fallen under increased scrutiny. The objectives of this article are to describe the coverage and content of ANC contacts in the context of rural Bangladesh. METHODS: A community-based, cross-sectional household survey was conducted in two sub-districts of Netrokona district, Bangladesh in 2016. A total of 737 women with a recent birth outcome were interviewed. Respondents reported on the ANC contacts and the content of these contacts. Descriptive statistics were used to report coverage and content of ANC contacts stratified by covariates. Chi-square tests were performed to explore whether the estimates are different among different categories and significant differences were reported at p<0.05. RESULTS: Around 25% of women attended at least four ANC contacts, with only 11% initiating ANC in the first trimester of pregnancy. Blood pressure was measured in almost all of the ANC contacts (92%), and abdominal examination performed in 80% and weight measured in 85% of ANC contacts. Urine tests were conducted in less than half of the ANC contacts, whereas blood screening tests and ultrasound were conducted in 45% contacts. Health care providers counselled women on danger signs in only 66% of the ANC contacts. Overall, the content of facility-based ANC contacts were better than home-based ANC contacts across all components. CONCLUSIONS: Adequate coverage of ANC remains poor in Netrokona, Bangladesh and important gaps remain in the content of ANC contacts when women attend these services.
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spelling pubmed-62423042018-12-01 Antenatal care in rural Bangladesh: Gaps in adequate coverage and content Siddique, Abu Bakkar Perkins, Janet Mazumder, Tapas Haider, Mohammad Rifat Banik, Goutom Tahsina, Tazeen Islam, Md. Jahurul Arifeen, Shams El Rahman, Ahmed Ehsanur PLoS One Research Article INTRODUCTION: Antenatal care (ANC) has long been considered a critical component of the continuum of care during pregnancy, with the potential to contribute to the survival and thriving of women and newborns. Although ANC utilization has increased in over the past decades, adequate coverage and content of ANC contacts have fallen under increased scrutiny. The objectives of this article are to describe the coverage and content of ANC contacts in the context of rural Bangladesh. METHODS: A community-based, cross-sectional household survey was conducted in two sub-districts of Netrokona district, Bangladesh in 2016. A total of 737 women with a recent birth outcome were interviewed. Respondents reported on the ANC contacts and the content of these contacts. Descriptive statistics were used to report coverage and content of ANC contacts stratified by covariates. Chi-square tests were performed to explore whether the estimates are different among different categories and significant differences were reported at p<0.05. RESULTS: Around 25% of women attended at least four ANC contacts, with only 11% initiating ANC in the first trimester of pregnancy. Blood pressure was measured in almost all of the ANC contacts (92%), and abdominal examination performed in 80% and weight measured in 85% of ANC contacts. Urine tests were conducted in less than half of the ANC contacts, whereas blood screening tests and ultrasound were conducted in 45% contacts. Health care providers counselled women on danger signs in only 66% of the ANC contacts. Overall, the content of facility-based ANC contacts were better than home-based ANC contacts across all components. CONCLUSIONS: Adequate coverage of ANC remains poor in Netrokona, Bangladesh and important gaps remain in the content of ANC contacts when women attend these services. Public Library of Science 2018-11-19 /pmc/articles/PMC6242304/ /pubmed/30452444 http://dx.doi.org/10.1371/journal.pone.0205149 Text en © 2018 Siddique et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://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
Siddique, Abu Bakkar
Perkins, Janet
Mazumder, Tapas
Haider, Mohammad Rifat
Banik, Goutom
Tahsina, Tazeen
Islam, Md. Jahurul
Arifeen, Shams El
Rahman, Ahmed Ehsanur
Antenatal care in rural Bangladesh: Gaps in adequate coverage and content
title Antenatal care in rural Bangladesh: Gaps in adequate coverage and content
title_full Antenatal care in rural Bangladesh: Gaps in adequate coverage and content
title_fullStr Antenatal care in rural Bangladesh: Gaps in adequate coverage and content
title_full_unstemmed Antenatal care in rural Bangladesh: Gaps in adequate coverage and content
title_short Antenatal care in rural Bangladesh: Gaps in adequate coverage and content
title_sort antenatal care in rural bangladesh: gaps in adequate coverage and content
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242304/
https://www.ncbi.nlm.nih.gov/pubmed/30452444
http://dx.doi.org/10.1371/journal.pone.0205149
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