Challenges in antenatal care utilization in Kandahar, Afghanistan: A cross-sectional analytical study
Quality antenatal care (ANC) is one of the four pillars of safe motherhood initiatives and improves the survival and health of mother and neonate. The main objective of this study was to assess the barriers in the utilization of ANC services in Kandahar, Afghanistan. This was a cross-sectional analy...
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| Veröffentlicht in: | PloS one 2022-11, Vol.17 (11), p.e0277075-e0277075 |
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| creator | Rahimi, Bilal Ahmad Mohamadi, Enayatullah Maku, Muhibullah Hemat, Mohammad Dawood Farooqi, Khushhal Mahboobi, Bashir Ahmad Mudaser, Ghulam Mohayuddin Taylor, Walter R |
| description | Quality antenatal care (ANC) is one of the four pillars of safe motherhood initiatives and improves the survival and health of mother and neonate. The main objective of this study was to assess the barriers in the utilization of ANC services in Kandahar, Afghanistan.
This was a cross-sectional analytical study conducted over one year from December 2018-November 2019. Data were analyzed by descriptive statistics, Chi squared, and binary logistic regression.
A total of 1524 women were recruited in this study with mean age of 30.3 years. Of these women, 848 (55.6%) were rural dwellers, 1450/1510 (96.0%) were illiterate, 438/608 (72.0%) belonged to low-income families, 1112/1508 (73.7%) lived in joint families, 1420/1484 (95.7%) lived in a house of >10 inhabitants, while 388/1494 (26.0%) had attended had at least one ANC visit during their last pregnancy. On univariate analysis, the main barriers in the utilization of ANC services were living in rural areas, being illiterate, having lower socio-economic status, remoteness of the health facility from home, bad behavior of clinic personnel, and unplanned pregnancy. Only lower socio-economic status and bad behavior of clinic personnel were independent explanatory variables in the regression model.
Utilization of ANC services is inadequate in Kandahar province. Improving clinic staff professional behavior and status of women by expanding educational opportunities, and enhancing community awareness of the value of ANC are recommended. |
| doi_str_mv | 10.1371/journal.pone.0277075 |
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This was a cross-sectional analytical study conducted over one year from December 2018-November 2019. Data were analyzed by descriptive statistics, Chi squared, and binary logistic regression.
A total of 1524 women were recruited in this study with mean age of 30.3 years. Of these women, 848 (55.6%) were rural dwellers, 1450/1510 (96.0%) were illiterate, 438/608 (72.0%) belonged to low-income families, 1112/1508 (73.7%) lived in joint families, 1420/1484 (95.7%) lived in a house of >10 inhabitants, while 388/1494 (26.0%) had attended had at least one ANC visit during their last pregnancy. On univariate analysis, the main barriers in the utilization of ANC services were living in rural areas, being illiterate, having lower socio-economic status, remoteness of the health facility from home, bad behavior of clinic personnel, and unplanned pregnancy. Only lower socio-economic status and bad behavior of clinic personnel were independent explanatory variables in the regression model.
Utilization of ANC services is inadequate in Kandahar province. Improving clinic staff professional behavior and status of women by expanding educational opportunities, and enhancing community awareness of the value of ANC are recommended.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0277075</identifier><identifier>PMID: 36409670</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Afghanistan ; Age ; Ambulatory Care Facilities ; Biology and Life Sciences ; Births ; Chi-square test ; Cross-Sectional Studies ; Data collection ; Demographic aspects ; Earth Sciences ; Economic aspects ; Education ; Families & family life ; Female ; Females ; Health care ; Health care disparities ; Health care facilities ; Health facilities ; Humans ; Independent variables ; Infant, Newborn ; Maternal mortality ; Medicine and Health Sciences ; Midwifery ; Mothers ; Parent educational background ; Patient outcomes ; People and Places ; Personnel ; Pregnancy ; Pregnancy, Complications of ; Pregnancy, Unplanned ; Prenatal Care ; Prevention ; Public health ; Questionnaires ; Regression models ; Rural areas ; Social aspects ; Social Sciences ; Socioeconomic factors ; Socioeconomics ; Statistical analysis ; Utilization ; Womens health</subject><ispartof>PloS one, 2022-11, Vol.17 (11), p.e0277075-e0277075</ispartof><rights>Copyright: © 2022 Rahimi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Rahimi 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. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Rahimi et al 2022 Rahimi et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c534t-61d10290944bb017cefc8f9a273c241b1bbb7acc9957df90241f33e183c0adb63</cites><orcidid>0000-0002-6630-5742</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678260/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678260/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36409670$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rahimi, Bilal Ahmad</creatorcontrib><creatorcontrib>Mohamadi, Enayatullah</creatorcontrib><creatorcontrib>Maku, Muhibullah</creatorcontrib><creatorcontrib>Hemat, Mohammad Dawood</creatorcontrib><creatorcontrib>Farooqi, Khushhal</creatorcontrib><creatorcontrib>Mahboobi, Bashir Ahmad</creatorcontrib><creatorcontrib>Mudaser, Ghulam Mohayuddin</creatorcontrib><creatorcontrib>Taylor, Walter R</creatorcontrib><title>Challenges in antenatal care utilization in Kandahar, Afghanistan: A cross-sectional analytical study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Quality antenatal care (ANC) is one of the four pillars of safe motherhood initiatives and improves the survival and health of mother and neonate. The main objective of this study was to assess the barriers in the utilization of ANC services in Kandahar, Afghanistan.
This was a cross-sectional analytical study conducted over one year from December 2018-November 2019. Data were analyzed by descriptive statistics, Chi squared, and binary logistic regression.
A total of 1524 women were recruited in this study with mean age of 30.3 years. Of these women, 848 (55.6%) were rural dwellers, 1450/1510 (96.0%) were illiterate, 438/608 (72.0%) belonged to low-income families, 1112/1508 (73.7%) lived in joint families, 1420/1484 (95.7%) lived in a house of >10 inhabitants, while 388/1494 (26.0%) had attended had at least one ANC visit during their last pregnancy. On univariate analysis, the main barriers in the utilization of ANC services were living in rural areas, being illiterate, having lower socio-economic status, remoteness of the health facility from home, bad behavior of clinic personnel, and unplanned pregnancy. Only lower socio-economic status and bad behavior of clinic personnel were independent explanatory variables in the regression model.
Utilization of ANC services is inadequate in Kandahar province. Improving clinic staff professional behavior and status of women by expanding educational opportunities, and enhancing community awareness of the value of ANC are recommended.</description><subject>Adult</subject><subject>Afghanistan</subject><subject>Age</subject><subject>Ambulatory Care Facilities</subject><subject>Biology and Life Sciences</subject><subject>Births</subject><subject>Chi-square test</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Demographic aspects</subject><subject>Earth Sciences</subject><subject>Economic aspects</subject><subject>Education</subject><subject>Families & family life</subject><subject>Female</subject><subject>Females</subject><subject>Health care</subject><subject>Health care disparities</subject><subject>Health care facilities</subject><subject>Health facilities</subject><subject>Humans</subject><subject>Independent variables</subject><subject>Infant, Newborn</subject><subject>Maternal mortality</subject><subject>Medicine and Health Sciences</subject><subject>Midwifery</subject><subject>Mothers</subject><subject>Parent educational background</subject><subject>Patient outcomes</subject><subject>People and Places</subject><subject>Personnel</subject><subject>Pregnancy</subject><subject>Pregnancy, Complications of</subject><subject>Pregnancy, Unplanned</subject><subject>Prenatal Care</subject><subject>Prevention</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Regression models</subject><subject>Rural areas</subject><subject>Social aspects</subject><subject>Social Sciences</subject><subject>Socioeconomic factors</subject><subject>Socioeconomics</subject><subject>Statistical analysis</subject><subject>Utilization</subject><subject>Womens 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in antenatal care utilization in Kandahar, Afghanistan: A cross-sectional analytical study</title><author>Rahimi, Bilal Ahmad ; Mohamadi, Enayatullah ; Maku, Muhibullah ; Hemat, Mohammad Dawood ; Farooqi, Khushhal ; Mahboobi, Bashir Ahmad ; Mudaser, Ghulam Mohayuddin ; Taylor, Walter R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c534t-61d10290944bb017cefc8f9a273c241b1bbb7acc9957df90241f33e183c0adb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Afghanistan</topic><topic>Age</topic><topic>Ambulatory Care Facilities</topic><topic>Biology and Life Sciences</topic><topic>Births</topic><topic>Chi-square test</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Demographic aspects</topic><topic>Earth Sciences</topic><topic>Economic aspects</topic><topic>Education</topic><topic>Families & family 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One</addtitle><date>2022-11-21</date><risdate>2022</risdate><volume>17</volume><issue>11</issue><spage>e0277075</spage><epage>e0277075</epage><pages>e0277075-e0277075</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Quality antenatal care (ANC) is one of the four pillars of safe motherhood initiatives and improves the survival and health of mother and neonate. The main objective of this study was to assess the barriers in the utilization of ANC services in Kandahar, Afghanistan.
This was a cross-sectional analytical study conducted over one year from December 2018-November 2019. Data were analyzed by descriptive statistics, Chi squared, and binary logistic regression.
A total of 1524 women were recruited in this study with mean age of 30.3 years. Of these women, 848 (55.6%) were rural dwellers, 1450/1510 (96.0%) were illiterate, 438/608 (72.0%) belonged to low-income families, 1112/1508 (73.7%) lived in joint families, 1420/1484 (95.7%) lived in a house of >10 inhabitants, while 388/1494 (26.0%) had attended had at least one ANC visit during their last pregnancy. On univariate analysis, the main barriers in the utilization of ANC services were living in rural areas, being illiterate, having lower socio-economic status, remoteness of the health facility from home, bad behavior of clinic personnel, and unplanned pregnancy. Only lower socio-economic status and bad behavior of clinic personnel were independent explanatory variables in the regression model.
Utilization of ANC services is inadequate in Kandahar province. Improving clinic staff professional behavior and status of women by expanding educational opportunities, and enhancing community awareness of the value of ANC are recommended.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36409670</pmid><doi>10.1371/journal.pone.0277075</doi><orcidid>https://orcid.org/0000-0002-6630-5742</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2022-11, Vol.17 (11), p.e0277075-e0277075 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2738407182 |
| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Afghanistan Age Ambulatory Care Facilities Biology and Life Sciences Births Chi-square test Cross-Sectional Studies Data collection Demographic aspects Earth Sciences Economic aspects Education Families & family life Female Females Health care Health care disparities Health care facilities Health facilities Humans Independent variables Infant, Newborn Maternal mortality Medicine and Health Sciences Midwifery Mothers Parent educational background Patient outcomes People and Places Personnel Pregnancy Pregnancy, Complications of Pregnancy, Unplanned Prenatal Care Prevention Public health Questionnaires Regression models Rural areas Social aspects Social Sciences Socioeconomic factors Socioeconomics Statistical analysis Utilization Womens health |
| title | Challenges in antenatal care utilization in Kandahar, Afghanistan: A cross-sectional analytical study |
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