Kamal S M Mostafa, Hassan Che Hashim, Islam Md Nazrul
University of Malaya, Kuala Lumpur, Malaysia Islamic University, Kushtia, Bangladesh
University of Malaya, Kuala Lumpur, Malaysia.
Asia Pac J Public Health. 2015 Mar;27(2):NP1467-80. doi: 10.1177/1010539513485786. Epub 2013 Oct 4.
This study investigates the factors affecting the timing of antenatal care (ANC) seeking among Bangladeshi women using the 2007 Bangladesh Demographic and Health Survey data. Overall, 52% of the most recently pregnant women sought skilled ANC. The most pronounced reason for not receiving the services was that it was "not needed." Of the women who sought ANC, 57% entered for ANC at the fourth month or later. The multivariate regression analysis revealed that maternal age, women's education, residence, wealth index, pregnancy intention status, child's birth order, and wanting more children were the important determinants of ANC services utilization. Wanting more children and contraception use were no longer independent contributors to late ANC entry. These barriers should also be addressed as part of health interventions through information education and communication programs to early entry to ANC. The need to reduce financial barriers to care is a major implication of this study.
本研究利用2007年孟加拉国人口与健康调查数据，调查了影响孟加拉国妇女寻求产前护理（ANC）时机的因素。总体而言，52%的最近怀孕妇女寻求了专业的产前护理。未接受这些服务的最明显原因是“不需要”。在寻求产前护理的妇女中，57%在怀孕第四个月或更晚才开始接受产前护理。多变量回归分析显示，产妇年龄、妇女教育程度、居住地、财富指数、怀孕意愿状况、孩子的出生顺序以及想要更多孩子是产前护理服务利用的重要决定因素。想要更多孩子和使用避孕措施不再是导致延迟接受产前护理的独立因素。作为健康干预措施的一部分，还应通过信息教育和宣传项目来消除这些障碍，以促使妇女尽早接受产前护理。本研究的一个主要启示是需要减少护理的经济障碍。
