Knowledge, attitude and practice of antenatal exercise (ANEx) among married women in Afghanistan: A cross-sectional study

Background: Antenatal physical activity is an important physical, mental, and biochemical factor to consider. Several studies across the world have demonstrated the importance of physical activity during the antenatal period. Various factors are associated with knowledge, attitudes, and practices related to Antenatal PA. This study aimed to determine the knowledge, attitudes, and practices related to Antenatal PA among married women in Afghanistan. Methods: This community-based cross-sectional study was conducted in Herat province. In total, 316 married women age group–16-60 were included in this study. Participants were asked about their knowledge, attitudes, and practices regarding Antenatal exercise (ANEx). Results: More than half (56.3%) of the participants were between 16-30 years old. Two-thirds of the participants lived in urban areas, and one-sixth of the participants were illiterate (57.9%). Less than one-third of the participants had heard of antenatal exercises (32.0%). Approximately 72% of the participants had poor knowledge, 90% had poor attitudes, and only 4% practiced antenatal exercises. Higher education, residence in urban areas, and higher monthly family income were important predictors of knowledge regarding ANEx. Similarly, a greater number of children and higher education levels are determinants of ANEx practice. Conclusion: Poor knowledge, attitudes, and practices remained the main barriers to ANEx. In the current situation of political instability and a lack of healthcare facilities, community workers can only be a way to address this issue.