Factors associating different antenatal care contacts of women: A cross-sectional analysis of Bangladesh demographic and health survey 2014 data
Antenatal care (ANC) contacts have long been considered a critical component of the continuum of care for a pregnant mother along with the newborn baby. The latest maternal mortality survey in Bangladesh suggests that progress in reducing maternal mortality has stalled as only 37% of pregnant women...
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| description | Antenatal care (ANC) contacts have long been considered a critical component of the continuum of care for a pregnant mother along with the newborn baby. The latest maternal mortality survey in Bangladesh suggests that progress in reducing maternal mortality has stalled as only 37% of pregnant women have attended at least four ANC contacts. This paper aims to determine what factors are associated with ANC contacts for women in Bangladesh. We analysed the data, provided by Bangladesh demographic and health survey 2014, covering a nationally representative sample of 17,863 ever married women aged 15-49 years. A two-stage stratified cluster sampling was used to collect the data. Data derived from 4,475 mothers who gave birth in the three years preceding the survey. Descriptive, inferential, and multivariate statistical techniques were used to analyse the data. An overall 78.4% of women had ANC contacts, but the WHO recommended ≥8 ANC contacts and ANC contacts by qualified doctors were only 8% for each. The logistic regression analysis revealed that division, maternal age, women's education, husband's education, wealth index and media exposure were associated with the ANC contacts. Likewise, place of residence, women's education, religion, and wealth index were also found to be associated with the WHO recommended ANC contacts. Furthermore, the husband's education, division, religion and husband's employment showed significant associations with ANC contacts by qualified doctors. However, Bangladeshi women in general revealed an unsatisfactory level of ANC contacts, the WHO recommended as well as ANC contacts by qualified doctors. In order to improve the situation, it is necessary to follow the most recent ANC contacts recommended by the WHO and to contact the qualified doctors. Moreover, an improvement in education as well as access to information along with an increase of transports, care centres and reduction of service costs would see an improvement of ANC contacts in Bangladesh. |
| doi_str_mv | 10.1371/journal.pone.0232257 |
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The latest maternal mortality survey in Bangladesh suggests that progress in reducing maternal mortality has stalled as only 37% of pregnant women have attended at least four ANC contacts. This paper aims to determine what factors are associated with ANC contacts for women in Bangladesh. We analysed the data, provided by Bangladesh demographic and health survey 2014, covering a nationally representative sample of 17,863 ever married women aged 15-49 years. A two-stage stratified cluster sampling was used to collect the data. Data derived from 4,475 mothers who gave birth in the three years preceding the survey. Descriptive, inferential, and multivariate statistical techniques were used to analyse the data. An overall 78.4% of women had ANC contacts, but the WHO recommended ≥8 ANC contacts and ANC contacts by qualified doctors were only 8% for each. The logistic regression analysis revealed that division, maternal age, women's education, husband's education, wealth index and media exposure were associated with the ANC contacts. Likewise, place of residence, women's education, religion, and wealth index were also found to be associated with the WHO recommended ANC contacts. Furthermore, the husband's education, division, religion and husband's employment showed significant associations with ANC contacts by qualified doctors. However, Bangladeshi women in general revealed an unsatisfactory level of ANC contacts, the WHO recommended as well as ANC contacts by qualified doctors. In order to improve the situation, it is necessary to follow the most recent ANC contacts recommended by the WHO and to contact the qualified doctors. Moreover, an improvement in education as well as access to information along with an increase of transports, care centres and reduction of service costs would see an improvement of ANC contacts in Bangladesh.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0232257</identifier><identifier>PMID: 32348364</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Birth order ; Critical components ; Cross-sectional studies ; Data ; Data analysis ; Demographics ; Education ; Employment ; Health aspects ; Health services ; Health surveys ; Husbands ; Indexes ; Information dissemination ; Married women ; Maternal and infant welfare ; Maternal mortality ; Medical societies ; Medicine and Health Sciences ; Mortality ; Mothers ; Newborn infants ; People and Places ; Physicians ; Polls & surveys ; Pregnancy ; Pregnant women ; Prenatal care ; Regression analysis ; Religion ; Research and Analysis Methods ; Residence ; Social Sciences ; Sociology ; Statistical analysis ; Statistical methods ; Studies ; Surveys ; Wives ; Women ; Women's education ; Womens health</subject><ispartof>PloS one, 2020-04, Vol.15 (4), p.e0232257-e0232257</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Chanda et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chanda, Sanjoy Kumar</au><au>Ahammed, Benojir</au><au>Howlader, Md Hasan</au><au>Ashikuzzaman, Md</au><au>Shovo, Taufiq-E-Ahmed</au><au>Hossain, Md Tanvir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associating different antenatal care contacts of women: A cross-sectional analysis of Bangladesh demographic and health survey 2014 data</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-04-29</date><risdate>2020</risdate><volume>15</volume><issue>4</issue><spage>e0232257</spage><epage>e0232257</epage><pages>e0232257-e0232257</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Antenatal care (ANC) contacts have long been considered a critical component of the continuum of care for a pregnant mother along with the newborn baby. The latest maternal mortality survey in Bangladesh suggests that progress in reducing maternal mortality has stalled as only 37% of pregnant women have attended at least four ANC contacts. This paper aims to determine what factors are associated with ANC contacts for women in Bangladesh. We analysed the data, provided by Bangladesh demographic and health survey 2014, covering a nationally representative sample of 17,863 ever married women aged 15-49 years. A two-stage stratified cluster sampling was used to collect the data. Data derived from 4,475 mothers who gave birth in the three years preceding the survey. Descriptive, inferential, and multivariate statistical techniques were used to analyse the data. An overall 78.4% of women had ANC contacts, but the WHO recommended ≥8 ANC contacts and ANC contacts by qualified doctors were only 8% for each. The logistic regression analysis revealed that division, maternal age, women's education, husband's education, wealth index and media exposure were associated with the ANC contacts. Likewise, place of residence, women's education, religion, and wealth index were also found to be associated with the WHO recommended ANC contacts. Furthermore, the husband's education, division, religion and husband's employment showed significant associations with ANC contacts by qualified doctors. However, Bangladeshi women in general revealed an unsatisfactory level of ANC contacts, the WHO recommended as well as ANC contacts by qualified doctors. In order to improve the situation, it is necessary to follow the most recent ANC contacts recommended by the WHO and to contact the qualified doctors. Moreover, an improvement in education as well as access to information along with an increase of transports, care centres and reduction of service costs would see an improvement of ANC contacts in Bangladesh.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32348364</pmid><doi>10.1371/journal.pone.0232257</doi><tpages>e0232257</tpages><orcidid>https://orcid.org/0000-0001-5950-5511</orcidid><orcidid>https://orcid.org/0000-0003-0315-6900</orcidid><orcidid>https://orcid.org/0000-0001-8208-9579</orcidid><orcidid>https://orcid.org/0000-0001-6603-7189</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Sociological Abstracts; Public Library of Science (PLoS) |
| subjects | Birth order Critical components Cross-sectional studies Data Data analysis Demographics Education Employment Health aspects Health services Health surveys Husbands Indexes Information dissemination Married women Maternal and infant welfare Maternal mortality Medical societies Medicine and Health Sciences Mortality Mothers Newborn infants People and Places Physicians Polls & surveys Pregnancy Pregnant women Prenatal care Regression analysis Religion Research and Analysis Methods Residence Social Sciences Sociology Statistical analysis Statistical methods Studies Surveys Wives Women Women's education Womens health |
| title | Factors associating different antenatal care contacts of women: A cross-sectional analysis of Bangladesh demographic and health survey 2014 data |
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