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Enablers and Barriers to the Utilization of Antenatal Care Services in India

Antenatal care (ANC) reduces adverse health outcomes for both mother and baby during pregnancy and childbirth. The present study investigated the enablers and barriers to ANC service use among Indian women. The study used data on 183,091 women from the 2015–2016 India Demographic and Health Survey....

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Autores principales: Ogbo, Felix Akpojene, Dhami, Mansi Vijaybhai, Ude, Ebere Maureen, Senanayake, Praween, Osuagwu, Uchechukwu L., Awosemo, Akorede O., Ogeleka, Pascal, Akombi, Blessing Jaka, Ezeh, Osita Kingsley, Agho, Kingsley E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747369/
https://www.ncbi.nlm.nih.gov/pubmed/31470550
http://dx.doi.org/10.3390/ijerph16173152
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author Ogbo, Felix Akpojene
Dhami, Mansi Vijaybhai
Ude, Ebere Maureen
Senanayake, Praween
Osuagwu, Uchechukwu L.
Awosemo, Akorede O.
Ogeleka, Pascal
Akombi, Blessing Jaka
Ezeh, Osita Kingsley
Agho, Kingsley E.
author_facet Ogbo, Felix Akpojene
Dhami, Mansi Vijaybhai
Ude, Ebere Maureen
Senanayake, Praween
Osuagwu, Uchechukwu L.
Awosemo, Akorede O.
Ogeleka, Pascal
Akombi, Blessing Jaka
Ezeh, Osita Kingsley
Agho, Kingsley E.
author_sort Ogbo, Felix Akpojene
collection PubMed
description Antenatal care (ANC) reduces adverse health outcomes for both mother and baby during pregnancy and childbirth. The present study investigated the enablers and barriers to ANC service use among Indian women. The study used data on 183,091 women from the 2015–2016 India Demographic and Health Survey. Multivariate multinomial logistic regression models (using generalised linear latent and mixed models (GLLAMM) with the mlogit link and binomial family) that adjusted for clustering and sampling weights were used to investigate the association between the study factors and frequency of ANC service use. More than half (51.7%, 95% confidence interval (95% CI): 51.1–52.2%) of Indian women had four or more ANC visits, 31.7% (95% CI: 31.3–32.2%) had between one and three ANC visits, and 16.6% (95% CI: 16.3–17.0%) had no ANC visit. Higher household wealth status and parental education, belonging to other tribes or castes, a woman’s autonomy to visit the health facility, residence in Southern India, and exposure to the media were enablers of the recommended ANC (≥4) visits. In contrast, lower household wealth, a lack of a woman’s autonomy, and residence in East and Central India were barriers to appropriate ANC service use. Our study suggests that barriers to the recommended ANC service use in India can be amended by socioeconomic and health policy interventions, including improvements in education and social services, as well as community health education on the importance of ANC.
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spelling pubmed-67473692019-09-27 Enablers and Barriers to the Utilization of Antenatal Care Services in India Ogbo, Felix Akpojene Dhami, Mansi Vijaybhai Ude, Ebere Maureen Senanayake, Praween Osuagwu, Uchechukwu L. Awosemo, Akorede O. Ogeleka, Pascal Akombi, Blessing Jaka Ezeh, Osita Kingsley Agho, Kingsley E. Int J Environ Res Public Health Article Antenatal care (ANC) reduces adverse health outcomes for both mother and baby during pregnancy and childbirth. The present study investigated the enablers and barriers to ANC service use among Indian women. The study used data on 183,091 women from the 2015–2016 India Demographic and Health Survey. Multivariate multinomial logistic regression models (using generalised linear latent and mixed models (GLLAMM) with the mlogit link and binomial family) that adjusted for clustering and sampling weights were used to investigate the association between the study factors and frequency of ANC service use. More than half (51.7%, 95% confidence interval (95% CI): 51.1–52.2%) of Indian women had four or more ANC visits, 31.7% (95% CI: 31.3–32.2%) had between one and three ANC visits, and 16.6% (95% CI: 16.3–17.0%) had no ANC visit. Higher household wealth status and parental education, belonging to other tribes or castes, a woman’s autonomy to visit the health facility, residence in Southern India, and exposure to the media were enablers of the recommended ANC (≥4) visits. In contrast, lower household wealth, a lack of a woman’s autonomy, and residence in East and Central India were barriers to appropriate ANC service use. Our study suggests that barriers to the recommended ANC service use in India can be amended by socioeconomic and health policy interventions, including improvements in education and social services, as well as community health education on the importance of ANC. MDPI 2019-08-29 2019-09 /pmc/articles/PMC6747369/ /pubmed/31470550 http://dx.doi.org/10.3390/ijerph16173152 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ogbo, Felix Akpojene
Dhami, Mansi Vijaybhai
Ude, Ebere Maureen
Senanayake, Praween
Osuagwu, Uchechukwu L.
Awosemo, Akorede O.
Ogeleka, Pascal
Akombi, Blessing Jaka
Ezeh, Osita Kingsley
Agho, Kingsley E.
Enablers and Barriers to the Utilization of Antenatal Care Services in India
title Enablers and Barriers to the Utilization of Antenatal Care Services in India
title_full Enablers and Barriers to the Utilization of Antenatal Care Services in India
title_fullStr Enablers and Barriers to the Utilization of Antenatal Care Services in India
title_full_unstemmed Enablers and Barriers to the Utilization of Antenatal Care Services in India
title_short Enablers and Barriers to the Utilization of Antenatal Care Services in India
title_sort enablers and barriers to the utilization of antenatal care services in india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747369/
https://www.ncbi.nlm.nih.gov/pubmed/31470550
http://dx.doi.org/10.3390/ijerph16173152
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