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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....
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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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. |
format | Online Article Text |
id | pubmed-6747369 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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