Contents of antenatal care services in Afghanistan: findings from the national health survey 2018
Abstract Background Maternal and newborn mortality is a public health concern in low- and middle-income countries (LMICs), including Afghanistan, where the evolving socio-political circumstances have added new complexities to healthcare service delivery. Birth outcomes for both pregnant women and th...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-12-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-17411-y |
| _version_ | 1797388044231245824 |
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| author | Muhammad Haroon Stanikzai Essa Tawfiq Massoma Jafari Abdul Wahed Wasiq Mohammad Khaled Seddiq Sheena Currie Hadia Sayam Ahmad Haroon Baray Sayed Ataullah Saeedzai |
| author_facet | Muhammad Haroon Stanikzai Essa Tawfiq Massoma Jafari Abdul Wahed Wasiq Mohammad Khaled Seddiq Sheena Currie Hadia Sayam Ahmad Haroon Baray Sayed Ataullah Saeedzai |
| author_sort | Muhammad Haroon Stanikzai |
| collection | DOAJ |
| description | Abstract Background Maternal and newborn mortality is a public health concern in low- and middle-income countries (LMICs), including Afghanistan, where the evolving socio-political circumstances have added new complexities to healthcare service delivery. Birth outcomes for both pregnant women and their newborns are improved if women receive benefits of quality antenatal care (ANC). Objectives This study aimed to assess the contents of ANC services and identify predictors of utilization of services by pregnant women during ANC visits to health facilities in Afghanistan. Methods In this cross-sectional study, we used data from the Afghanistan Health Survey 2018 (AHS2018). We included a total of 6,627 ever-married women, aged 14–49 years, who had given birth in the past 2 years or were pregnant at the time of survey and had consulted a health worker for ANC services in a health facility. The outcome was defined as 1–4 services and 5–8 services that a pregnant woman received during an ANC visit. The services were (i) taking a pregnant woman’s blood pressure, (ii) weighing her, (iii) testing her blood, (iv) testing her urine, (v) providing advice on nutrition, (vi) advising about complicated pregnancy, (vii) advising about the availability of health services, and (viii) giving her at least one dose of Tetanus Toxoid (TT) vaccine. The binary outcome (1–4 services versus 5–8 services) was used in a multivariable logistic regression model. Results Of all 6,627 women, 31.4% (2,083) received 5–8 services during ANC visits. Only 1.3% (86) received all 8 services, with 98.7% (6,541) receiving between 1 and 7 services, and 71.6% (4,745) women had their blood pressure measured during ANC visits. The likelihood (adOR = Adjusted Odds Ratio) of receiving 5–8 services was higher in women who could read and write (adOR = 1.33: 1.15–1.54), in women whose husbands could read and write (adOR = 1.14: 1.00-1.28), in primipara women (adOR = 1.42: 1.02–1.98), in women who knew one danger sign (adOR = 5.38: 4.50–6.45), those who knew 2 danger signs (adOR = 8.51: 7.12–10.19) and those who knew ≥ 3 danger signs (adOR = 13.19: 10.67–16.29) of complicated pregnancy, and in women who had almost daily access to TV (adOR = 1.16: 1.01–1.33). However, the likelihood of receiving 5–8 services was lower in women who used private clinics (adOR = 0.64: 0.55–0.74) and who received services from nurses (adOR = 0.27 (0.08–0.88). Conclusion Our findings have the potential to influence the design and implementation of ANC services of health interventions to improve the delivery of services to pregnant women during ANC visits. |
| first_indexed | 2024-03-08T22:34:03Z |
| format | Article |
| id | doaj.art-19e394a03e9e46cca70e9438121d08c1 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-08T22:34:03Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-19e394a03e9e46cca70e9438121d08c12023-12-17T12:32:18ZengBMCBMC Public Health1471-24582023-12-0123111110.1186/s12889-023-17411-yContents of antenatal care services in Afghanistan: findings from the national health survey 2018Muhammad Haroon Stanikzai0Essa Tawfiq1Massoma Jafari2Abdul Wahed Wasiq3Mohammad Khaled Seddiq4Sheena Currie5Hadia Sayam6Ahmad Haroon Baray7Sayed Ataullah Saeedzai8Department of Public Health, Faculty of Medicine, Kandahar UniversityThe Kirby Institute, UNSW SydneyMcMaster UniversityDepartment of Internal Medicine, Faculty of Medicine, Kandahar UniversityStop Tuberculosis Partnership of AfghanistanJhpiegoDepartment of Para-clinic, Faculty of Medicine, Malalay Institute of Higher EducationDepartment of Public Health, Faculty of Medicine, Kandahar UniversityMinistry of Public HealthAbstract Background Maternal and newborn mortality is a public health concern in low- and middle-income countries (LMICs), including Afghanistan, where the evolving socio-political circumstances have added new complexities to healthcare service delivery. Birth outcomes for both pregnant women and their newborns are improved if women receive benefits of quality antenatal care (ANC). Objectives This study aimed to assess the contents of ANC services and identify predictors of utilization of services by pregnant women during ANC visits to health facilities in Afghanistan. Methods In this cross-sectional study, we used data from the Afghanistan Health Survey 2018 (AHS2018). We included a total of 6,627 ever-married women, aged 14–49 years, who had given birth in the past 2 years or were pregnant at the time of survey and had consulted a health worker for ANC services in a health facility. The outcome was defined as 1–4 services and 5–8 services that a pregnant woman received during an ANC visit. The services were (i) taking a pregnant woman’s blood pressure, (ii) weighing her, (iii) testing her blood, (iv) testing her urine, (v) providing advice on nutrition, (vi) advising about complicated pregnancy, (vii) advising about the availability of health services, and (viii) giving her at least one dose of Tetanus Toxoid (TT) vaccine. The binary outcome (1–4 services versus 5–8 services) was used in a multivariable logistic regression model. Results Of all 6,627 women, 31.4% (2,083) received 5–8 services during ANC visits. Only 1.3% (86) received all 8 services, with 98.7% (6,541) receiving between 1 and 7 services, and 71.6% (4,745) women had their blood pressure measured during ANC visits. The likelihood (adOR = Adjusted Odds Ratio) of receiving 5–8 services was higher in women who could read and write (adOR = 1.33: 1.15–1.54), in women whose husbands could read and write (adOR = 1.14: 1.00-1.28), in primipara women (adOR = 1.42: 1.02–1.98), in women who knew one danger sign (adOR = 5.38: 4.50–6.45), those who knew 2 danger signs (adOR = 8.51: 7.12–10.19) and those who knew ≥ 3 danger signs (adOR = 13.19: 10.67–16.29) of complicated pregnancy, and in women who had almost daily access to TV (adOR = 1.16: 1.01–1.33). However, the likelihood of receiving 5–8 services was lower in women who used private clinics (adOR = 0.64: 0.55–0.74) and who received services from nurses (adOR = 0.27 (0.08–0.88). Conclusion Our findings have the potential to influence the design and implementation of ANC services of health interventions to improve the delivery of services to pregnant women during ANC visits.https://doi.org/10.1186/s12889-023-17411-yAfghanistanAntenatal careANC contentsPregnant womenAHS |
| spellingShingle | Muhammad Haroon Stanikzai Essa Tawfiq Massoma Jafari Abdul Wahed Wasiq Mohammad Khaled Seddiq Sheena Currie Hadia Sayam Ahmad Haroon Baray Sayed Ataullah Saeedzai Contents of antenatal care services in Afghanistan: findings from the national health survey 2018 BMC Public Health Afghanistan Antenatal care ANC contents Pregnant women AHS |
| title | Contents of antenatal care services in Afghanistan: findings from the national health survey 2018 |
| title_full | Contents of antenatal care services in Afghanistan: findings from the national health survey 2018 |
| title_fullStr | Contents of antenatal care services in Afghanistan: findings from the national health survey 2018 |
| title_full_unstemmed | Contents of antenatal care services in Afghanistan: findings from the national health survey 2018 |
| title_short | Contents of antenatal care services in Afghanistan: findings from the national health survey 2018 |
| title_sort | contents of antenatal care services in afghanistan findings from the national health survey 2018 |
| topic | Afghanistan Antenatal care ANC contents Pregnant women AHS |
| url | https://doi.org/10.1186/s12889-023-17411-y |
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