Determinants of frequency and contents of antenatal care visits in Bangladesh: Assessing the extent of compliance with the WHO recommendations.
Determinants of frequency and contents of antenatal care visits in Bangladesh: Assessing the extent of compliance with the WHO recommendations.
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DOI：
10.1371/journal.pone.0204752
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Masud MS
中科院分区：
文献类型：
--
作者：
Islam MM;Masud MS
除了产前护理(ANC)就诊的次数外，ANC就诊所涵盖的ANC服务项目对ANC服务的有效性有很大影响。最近，世界卫生组织(世卫组织)不仅建议非国大至少就诊8次，而且还建议使用非国大安全孕产服务的一套核心项目。这项研究调查了孟加拉国ANC就诊频率和内容的水平及其决定因素，从而评估了孟加拉国在怀孕期间遵守世卫组织建议的数量和ANC服务内容的程度。这项研究的数据来自2014年孟加拉国人口与健康调查(BDHS)，该调查涵盖了具有全国代表性的17863名15-49岁已婚女性的样本。来自4627名在调查前三年分娩的母亲的数据构成了研究对象。数据分析采用描述性、推断性和多变量统计方法。平均而言，母亲接受的非国大就诊次数不到3次(2.7次)，只有6%的母亲接受了建议的8次或更多非国大就诊。约22%的母亲接受了非国大规定的所有基本服务项目。大约五分之一(21%)的母亲从未接受过非国大的访问，因此没有非国大的服务项目。据69%的母亲报告，血压测量是非国大就诊期间最常见的项目。血液检测是最不受欢迎的项目(43%)。非国大就诊次数与接受非国大服务项目增加之间存在显著的正相关关系。高社会经济地位、低平等性、居住在城市地区和某些行政区、计划怀孕、有媒体曝光率、拜访非国大服务的熟练提供者以及访问公共或非政府组织卫生设施与非国大频繁访问和接受非国大内容较多的项目有关。在孟加拉国观察到非国大访问的覆盖率和内容都不能令人满意。需要进一步调查，以查明孟加拉国非国大服务未得到充分利用的原因。更好地了解已确定的风险因素，并将其纳入短期和长期战略，将有助于提高孟加拉国非国大服务的覆盖面和内容，从而提高其质量。
In addition to the number of antenatal care (ANC) visits, the items of ANC services covered by ANC visits greatly influence the effectiveness of the ANC services. Recently the World Health Organization (WHO) recommended not only to achieve a minimum of eight ANC visits, but also to use a core set of items of ANC services for safe motherhood. This study examined the levels and determinants of frequency and contents of ANC visits in Bangladesh and thus assessed the level of compliance with the WHO recommended number and the content of ANC services during pregnancy in Bangladesh. The data for the study come from the 2014 Bangladesh Demographic and Health Survey (BDHS), which covereda nationally representative sample of 17,863 ever-married women aged 15–49 years. Data derived from 4,627 mothers who gave birth in the three years preceding the survey constituted the study subjects. Descriptive, inferential and multivariate statistical techniques were used for data analysis. On average, mothers received less than three (2.7 visits) ANC visits and only 6% receive the recommended eight or more ANC visits. About 22% of the mothers received all the prescribed basic items of ANC services. About one-fifth (21%) of the mothers never received ANC visits and thus no items of ANC services. Measurement of blood pressure was the most common item received during ANC visit as reported by 69% mothers. Blood test was the least received item (43%). Significant positive association was found between frequency of ANC visits and receiving the increased number of items of ANC services. High socio-economic status, low parity, living in urban areas and certain administrative regions, planned pregnancies, having media exposure, visiting skilled providers for ANC services and visit to public or NGO health facilities are associated with frequent ANC visits and receiving higher number of items of ANC contents. An unsatisfactory level of coverage of and content of ANC visits have been observed in Bangladesh. Further investigation is needed to identify the causes of under-utilization of ANC services in Bangladesh. A greater understanding of the identified risk factors and incorporating them into short and long term strategies would help improve the coverage and contents and thus quality of ANC services in Bangladesh.
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影响因子：
3.4
作者：
Vidler M;Ramadurg U;Charantimath U;Katageri G;Karadiguddi C;Sawchuck D;Qureshi R;Dharamsi S;Joshi A;von Dadelszen P;Derman R;Bellad M;Goudar S;Mallapur A;Community Level Interventions for Pre-eclampsia (CLIP) India Feasibility Working Group
通讯作者：
Community Level Interventions for Pre-eclampsia (CLIP) India Feasibility Working Group
影响因子：
3.1
作者：
Agha S;Tappis H
通讯作者：
Tappis H
DOI：
10.1363/3201706
发表时间：
2006-03-01
期刊：
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Furuta, M;Salway, S
通讯作者：
Salway, S
DOI：
10.1111/j.1471-0528.1999.tb08276.x
发表时间：
1999-04-01
期刊：
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
影响因子：
--
作者：
Clement, S;Candy, B;Smeeton, N
通讯作者：
Smeeton, N
影响因子：
3.4
作者：
Fagbamigbe, Adeniyi Francis;Idemudia, Erhabor Sunday
通讯作者：
Idemudia, Erhabor Sunday