Factor Analysis of Antenatal Care in Women of Fertilizing Age in Nepal

Resham Khumar Gautam, Manu Pallikadavath, Kishowed Rahman, Muhammad Aleem Shahid Khan

Abstract


The high maternal and infant mortality rate in Nepal is a global problem. Antenatal Care (ANC) services are an effort to reduce maternal and infant mortality rates. This study aims to analyze factors in the utilization of antenatal care among women of childbearing age in Nepal. This research method The Nepal Demographic and Health Survey (NDHS) was carried out in the new era with official approval from the Ministry of Health and Population (MoHP), and the data collection period lasted from January 5 to June 22, 2022. The study population was women aged 15 to 49 years. who have given birth or experienced a stillbirth in the previous two years and have attended at least one antenatal care (ANC) visit. Data collection using questionnaires interviewed after they were discharged from the facility that provides delivery services. Data analysis using the JASP version 18 application to see the influence of the independent variable on the dependent variable. Bivariate data will be analyzed using chi-square analysis, and multivariate data will be analyzed using the logistic regression test. The research results showed that there was a relationship between age (p<0.001), place of residence (p<0.001), zone of residence (p<0.001), economy (p<0.001), education (p<0.001), number of children (p<0.001) women of childbearing age in Nepal with ANC visits. These factors greatly influence women of childbearing age in utilizing ANC services. Therefore, it is necessary to strengthen ANC service policies and remind women of childbearing age to make at least 4 ANC visits during pregnancy so that examinations and visits for pregnant women can be carried out completely.

 

Keywords : Antenatal Care, Women of childbearing age, Nepal

Full Text:

PDF

References


Acharya, D., Singh, J. K., Kadel, R., Yoo, S. J., Park, J. H., & Lee, K. (2018). Maternal factors and utilization of the antenatal care services during pregnancy associated with low birth weight in rural Nepal: Analyses of the antenatal care and birth weight records of the matri-suman trial. International Journal of Environmental Research and Public Health, 15(11), 1–14. https://doi.org/10.3390/ijerph15112450

Adewuyi, E. O., Auta, A., Khanal, V., Bamidele, O. D., Akuoko, C. P., Adefemi, K., Tapshak, S. J., & Zhao, Y. (2018). Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey. PLoS ONE, 13(5), 1–21. https://doi.org/10.1371/journal.pone.0197324

Ali, S. A., Ali, S. A., Feroz, A., Saleem, S., Fatmai, Z., & Kadir, M. M. (2020). Factors affecting the utilization of antenatal care among married women of reproductive age in the rural Thatta, Pakistan: Findings from a community-based case-control study. BMC Pregnancy and Childbirth, 20(1), 1–12. https://doi.org/10.1186/s12884-020-03009-4

Anaba, E. A., Alor, S. K., & Badzi, C. D. (2022). Utilization of antenatal care among adolescent and young mothers in Ghana; analysis of the 2017/2018 multiple indicator cluster survey. BMC Pregnancy and Childbirth, 22(1), 1–8. https://doi.org/10.1186/s12884-022-04872-z

Angraini, E. C., Ningsih, S. R., & Utami, F. S. (2022). Kepatuhan Ibu Hamil Dalam Melakukan Kunjungan Antenatal Care Pada Masa Pandemi. Jurnal Kesehatan, 13(1), 353–360.

Apanga, P. A., & Kumbeni, M. T. (2021). Association between early antenatal care and antenatal care contacts across low-And middle-income countries: Effect modification by place of residence. Epidemiology and Health, 43, 1–7. https://doi.org/10.4178/epih.e2021092

Apanga, P. A., Kumbeni, M. T., Sakeah, J. K., Olagoke, A. A., & Ajumobi, O. (2022). The moderating role of partners’ education on early antenatal care in northern Ghana. BMC Pregnancy and Childbirth, 22(1), 1–10. https://doi.org/10.1186/s12884-022-04709-9

Atlas Big. (2019). Statistik dan Peta Nepal. https://www.atlasbig.com/id/nepal

Babalola, B. . (2014). Determinants of urban-rural differentials of antenatal care utilization in Nigeria. CrossRef, 28, 1263–1273.

Basha, G. W. (2019). Factors Affecting the Utilization of a Minimum of Four Antenatal Care Services in Ethiopia. Obstetrics and Gynecology International, 2019. https://doi.org/10.1155/2019/5036783

Belay, A., Astatkie, T., Abebaw, S., Gebreamanule, B., & Enbeyle, W. (2022). Prevalence and factors affecting the utilization of antenatal care in rural areas of Southwestern Ethiopia. BMC Pregnancy and Childbirth, 22(1), 1–8. https://doi.org/10.1186/s12884-021-04362-8

Bhatt, H., Tiwari, S., Ensor, T., Ghimire, D. R., & Gavidia, T. (2018). Contribution of Nepal’s free delivery care policies in improving utilisation of maternal health services. International Journal of Health Policy and Management, 7(7), 645–655. https://doi.org/10.15171/ijhpm.2018.01

Coccia, P. F., Pappo, A. S., Beaupin, L., Borges, V. F., Borinstein, S. C., Chugh, R., Dinner, S., Folbrecht, J., Frazier, A. L., Goldsby, R., Gubin, A., Hayashi, R., Huang, M. S., Link, M. P., Livingston, J. A., Matloub, Y., Millard, F., Oeffinger, K. C., Puccetti, D., … Shead, D. A. (2018). Adolescent and young adult oncology, version 2.2018: Clinical practice guidelines in oncology. JNCCN Journal of the National Comprehensive Cancer Network, 16(1), 66–97. https://doi.org/10.6004/jnccn.2018.0001

Damayanti, N. A., Wulandari, R. D., & Ridlo, I. A. (2023). Maternal Health Care Utilization Behavior, Local Wisdom, and Associated Factors Among Women in Urban and Rural Areas, Indonesia. International Journal of Women’s Health, 15, 665–677. https://doi.org/10.2147/IJWH.S379749

Denny, H. M., Laksono, A. D., Matahari, R., & Kurniawan, B. (2022). The Determinants of Four or More Antenatal Care Visits Among Working Women in Indonesia. Asia-Pacific Journal of Public Health, 34(1), 51–56. https://doi.org/10.1177/10105395211051237

El-Khatib, Z., Odusina, E. K., Ghose, B., & Yaya, S. (2020). Patterns and predictors of insufficient antenatal care utilization in Nigeria over a decade: A pooled data analysis using demographic and health surveys. International Journal of Environmental Research and Public Health, 17(21), 1–14. https://doi.org/10.3390/ijerph17218261

Fekadu, G. A., Ambaw, F., & Kidanie, S. A. (2019). Fekadu GA, Ambaw F, Kidanie SA. Facility delivery and postnatal care services use among mothers who attended four or more antenatal care visits in Ethiopia: further analysis of the 2016 demographic and health survey. BMC pregnancy and childbirth. 19(1), 64.

Girotra, S., Malik, M., Roy, S., & Basu, S. (2023). Utilization and determinants of adequate quality antenatal care services in India: evidence from the National Family Health Survey (NFHS-5) (2019-21). BMC Pregnancy and Childbirth, 23(1), 1–12. https://doi.org/10.1186/s12884-023-06117-z

Gopnik, A., O’Grady, S., Lucas, C. G., Griffiths, T. L., Wente, A., Bridgers, S., Aboody, R., Fung, H., & Dahl, R. E. (2017). Changes in cognitive flexibility and hypothesis search across human life history from childhood to adolescence to adulthood. Proceedings of the National Academy of Sciences of the United States of America, 114(30), 7892–7899. https://doi.org/10.1073/pnas.1700811114

Gupta, S., Yamada, G., Mpembeni, R., Frumence, G., Callaghan-Koru, J. A., Stevenson, R., Brandes, N., & Baqui, A. H. (2014). Factors associated with four or more antenatal care visits and its decline among pregnant women in Tanzania between 1999 and 2010. PLoS ONE, 9(7). https://doi.org/10.1371/journal.pone.0101893

Islam, M. M., & Masud, M. S. (2018). Determinants of frequency and contents of antenatal care visits in Bangladesh: Assessing the extent of compliance with the WHO recommendations. PLoS ONE, 13(9), 1–22. https://doi.org/10.1371/journal.pone.0204752

Jebena, M. G., Tesfaye, M., Abashula, G., Balina, S., Jackson, R., Assefa, Y., Kifle, Y., Tesfaye, C., Yilma, M., Hiruy, A., Teklu, A., Bahru, B. A., Assefa, E., Demissie, M., Mitike, G., & Tushune, K. (2022). Barriers and facilitators of maternal health care services use among pastoralist women in Ethiopia: Systems thinking perspective. Pastoralism, 12(1). https://doi.org/10.1186/s13570-022-00236-6

Laksono, A. D., Sukoco, N. E. W., Rachmawati, T., & Wulandari, R. D. (2022). Factors Related to Stunting Incidence in Toddlers with Working Mothers in Indonesia. International Journal of Environmental Research and Public Health, 19(17). https://doi.org/10.3390/ijerph191710654

Laksono, A., & Wulandari, R. (2020). Urban-rural disparities of facility-based childbirth in Indonesia. In In: 4th international symposium on Health Research (ISHR 2019). https://doi.org/https://doi.org/10.2991/ahsr.k.2 00215.007

Langa, N., & Bhatta, T. (2020). The rural-urban divide in Tanzania: residential context and socioeconomic inequalities in maternal health care utilization. PLoS ONE, 15(11). https://doi.org/https://doi.org/10.1371/journal.pone.0241746

Lassi, Z. S., Mansoor, T., Salam, R. A., Das, J. K., & Bhutta, Z. A. (2014). Essential pre-pregnancy and pregnancy interventions for improved maternal, newborn and child health. Reproductive Health, 11(1), 1–19. https://doi.org/10.1186/1742-4755-11-S1-S2

Moyer, C. A., Adongo, P. B., Aborigo, R. A., Hodgson, A., & Engmann, C. M. (2014). “They treat you like you are not a human being”: Maltreatment during labour and delivery in rural northern Ghana. Midwifery, 30(2), 262–268. https://doi.org/10.1016/j.midw.2013.05.006

Ngotiek, P., Kahiga, T., & Ondora, O. (2021). Determinants of Home Births Among Women of Reproductive Age After Antenatal Hospital Care Visits in Narok County, Kenya. Journal of Health, Medicine and Nursing, 7(3), 10–28. https://doi.org/10.47604/jhmn.1467

Nisingizwe, M. P., Tuyisenge, G., Hategeka, C., & Karim, M. E. (2020). Are perceived barriers to accessing health care associated with inadequate antenatal care visits among women of reproductive age in Rwanda? BMC Pregnancy and Childbirth, 20(1), 1–10. https://doi.org/10.1186/s12884-020-2775-8

Ousman, S. K., Mdala, I., Thorsen, V. C., Sundby, J., & Magnus, J. H. (2019). Social determinants of antenatal care service use in ethiopia: Changes over a 15-year span. Frontiers in Public Health, 7(JUN), 1–10. https://doi.org/10.3389/fpubh.2019.00161

Paudel, Y. R., Jha, T., & Mehata, S. (2017). Timing of First Antenatal Care (ANC) and Inequalities in Early Initiation of ANC in Nepal. Frontiers in Public Health, 5(September), 1–6. https://doi.org/10.3389/fpubh.2017.00242

Puri, M. C., Moroni, M., Pearson, E., Pradhan, E., & Shah, I. H. (2020). Investigating the quality of family planning counselling as part of routine antenatal care and its effect on intended postpartum contraceptive method choice among women in Nepal. BMC Women’s Health, 20(1), 1–11. https://doi.org/10.1186/s12905-020-00904-y

Rurangirwa, A. A., Mogren, I., Nyirazinyoye, L., Ntaganira, J., & Krantz, G. (2017). Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population based study. BMC Pregnancy and Childbirth, 17(1), 1–10. https://doi.org/10.1186/s12884-017-1328-2

Sarkar, M., Das, T., & Roy, T. B. (2021). Determinants or barriers associated with specific routine check-up in antenatal care in gestational period: A study from EAG states, India. Clinical Epidemiology and Global Health, 11(April), 100779. https://doi.org/10.1016/j.cegh.2021.100779

Tadesse, E. (2020). Antenatal Care Service Utilization of Pregnant Women Attending Antenatal Care in Public Hospitals During the COVID-19 Pandemic Period. International Journal of Women’s Health, 12, 1181–1188. https://doi.org/10.2147/IJWH.S287534

Tanou, M., Kishida, T., & Kamiya, Y. (2021). The effects of geographical accessibility to health facilities on antenatal care and delivery services utilization in Benin: a cross-sectional study. Reproductive Health, 18(1), 1–11. https://doi.org/10.1186/s12978-021-01249-x

Tsegaye, B., Amare, B., & Reda, M. (2021). Prevalence and factors associated with immediate postnatal care utilization in ethiopia: Analysis of Ethiopian demographic health survey 2016. International Journal of Women’s Health, 13, 257–266. https://doi.org/10.2147/IJWH.S294058

WHO. (2018a). Health Equity Assessment Toolkit (HEAT) Software for exploring and comparing health inequalities in countries.

WHO. (2018b). WHO Recommendation on Antenatal Care for a Positive Pregnancy Experience: Summary. Geneva, Switzerland: World Health Organization. https://iris.who.int/bitstream/handle/10665/259947/WHO-RHR-18.02-eng.pdf?sequence=1

WHO. (2020). Maternal mortality. World Health Organization.

Wondimu, W., Girma, M., & Agedew, E. (2017). Antenatal Care Utilization and Associated Factors among Reproductive Age Mother in Ari Woreda, South Omo Zone. Bioenergetics Open Access, 06(01), 1–7. https://doi.org/10.4172/2161-038x.1000200

Wulandari, R. D., Laksono, A. D., & Rohmah, N. (2021). Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia. BMC Public Health, 21(1), 1–10. https://doi.org/10.1186/s12889-021-11318-2

Yaya, S., Bishwajit, G., Ekholuenetale, M., Shah, V., Kadio, B., & Udenigwe, O. (2017). Timing and adequate attendance of antenatal care visits among women in Ethiopia. PLoS ONE, 12(9), 1–16. https://doi.org/10.1371/journal.pone.0184934




DOI: http://dx.doi.org/10.30829/contagion.v6i1.19162

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Resham Khumar Gautam, Manu Pallikadavath, Kishowed Rahman

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

 
Contagion: Scientific Periodical Journal of Public Health and Coastal Health by Program Studi Ilmu Kesehatan Masyarakat is licensed under Creative Commons Attribution-ShareAlike 4.0 International License.