Determinants of first trimester attendance at antenatal care clinics in the Amazon region of Peru: A case-control study
نویسندگان
چکیده
OBJECTIVE To identify determinants which influence the timing of the first antenatal care (ANC) visit in pregnant women. DESIGN Retrospective matched nested case-control study. SETTING Two health centres, Belén and 6 de Octubre, in the Peruvian Amazon. POPULATION All pregnant women who had attended ANC during the years 2010, 2011, and 2012. METHODS All cases (819 women initiating ANC in their first trimester) were selected from ANC registries from 2010 to 2012. A random sample of controls (819 women initiating ANC in their second or third trimester) was matched 1:1 to cases on health centre and date of first ANC visit. Data were obtained from ANC registries. Conditional logistic regression analyses were performed. MAIN OUTCOME MEASURE Case-control status of each woman determined by the gestational age at first ANC visit. RESULTS Cases had higher odds of: 1) being married or cohabiting (aOR = 1.69; 95% CI: 1.19, 2.41); 2) completing secondary school or attending post-secondary school (aOR = 1.45; 95% CI: 1.02, 2.06); 3) living in an urban environment (aOR = 1.79; 95% CI: 1.04, 3.10) and 4) having had a previous miscarriage (aOR = 1.56; 95% CI: 1.13, 2.15), compared to controls. No statistically significant difference in odds was found for parity (aOR = 1.08; 95% CI: 0.85, 1.36). CONCLUSIONS This study provides empirical evidence of determinants of first ANC attendance. These findings are crucial to the planning and timing of local interventions, like deworming, aimed at pregnant women so that they can access and benefit fully from all government-provided ANC services.
منابع مشابه
A comparison of booked and unbooked mothers delivering at the Port Moresby General Hospital: a case-control study.
A case-control study of unbooked mothers delivering at the maternity unit of the Port Moresby General Hospital was undertaken over a period of 7 months. 48 mothers who had no antenatal attendances during pregnancy were recruited with 96 booked controls. Reasons for non-attendance, understanding of the importance of antenatal clinics and socioeconomic and demographic factors were recorded to ass...
متن کاملDeterminants of maternal health care utilization in Holeta town, central Ethiopia
BACKGROUND In developing countries a large number of women are dying due to factors related to pregnancy and child birth. Implementing and assuring utilization of maternal health care services is potentially one of the most effective health interventions for preventing maternal morbidity and mortality. However, in Ethiopia the utilization of maternal health care is low. METHODS A cross-sectio...
متن کاملFacility-imposed barriers to early utilization of focused antenatal care services in Mangochi District, Malawi – a mixed methods assessment
BACKGROUND Focused Antenatal Care (FANC) is advocated by the World Health Organization (WHO) as a key service approach to improving the health of pregnant women. Four targeted visits to antenatal clinics are recommended starting in the first trimester. First trimester attendance for FANC in Mangochi District, Malawi was low at 8%. FANC has mainly been promoted through health facility based comm...
متن کاملInequities in Antenatal Care, and Individual and Environmental Determinants of Utilization at National and Sub-national Level in Pakistan: A Multilevel Analysis
Background Nationally representative surveys are vital for gauging progress in health and planning health services. However, often marred with inadequate analysis to provide any guidance to health policy and planning. Most recent Pakistan Demographic and Health Survey (PDHS) 2012-2013 is an inclusive nationally representative investigation. Nonetheless, its published report offers limited evide...
متن کاملThe Maternal and Child Health (MCH) Handbook in Mongolia: A Cluster-Randomized, Controlled Trial
OBJECTIVE To assess the effectiveness of the Maternal and Child Health (MCH) handbook in Mongolia to increase antenatal clinic attendance, and to enhance health-seeking behaviors and other health outcomes. METHODS A cluster randomized trial was conducted using the translated MCH handbook in Bulgan, Mongolia to assess its effectiveness in promoting antenatal care attendance. Pregnant women wer...
متن کامل