Factors associated with utilization of antenatal care among rural women in Bangladesh: A community-based cross-sectional study

Background: Despite the Government of Bangladesh's considerable efforts, utilization of antenatal care (ANC) services remains low among Bangladeshi women, notably those from rural areas. Therefore, this study aimed to assess the utilization and underlying factors affecting the utilization of AN...

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Main Authors: Md Wahidur Rahman Nizum, Md Mahbubul Alam Shaun, Md Omar Faruk, Md Asaduzzaman Shuvo, Fahmida Fayeza, Md Fakrul Alam, Sujan Kanti Mali, Md Hafizur Rahman, Mohammad Delwer Hossain Hawlader
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213398423000490
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author Md Wahidur Rahman Nizum
Md Mahbubul Alam Shaun
Md Omar Faruk
Md Asaduzzaman Shuvo
Fahmida Fayeza
Md Fakrul Alam
Sujan Kanti Mali
Md Hafizur Rahman
Mohammad Delwer Hossain Hawlader
author_facet Md Wahidur Rahman Nizum
Md Mahbubul Alam Shaun
Md Omar Faruk
Md Asaduzzaman Shuvo
Fahmida Fayeza
Md Fakrul Alam
Sujan Kanti Mali
Md Hafizur Rahman
Mohammad Delwer Hossain Hawlader
author_sort Md Wahidur Rahman Nizum
collection DOAJ
description Background: Despite the Government of Bangladesh's considerable efforts, utilization of antenatal care (ANC) services remains low among Bangladeshi women, notably those from rural areas. Therefore, this study aimed to assess the utilization and underlying factors affecting the utilization of ANC among women of reproductive age in rural Bangladesh. Methods: We conducted a community-based cross-sectional study in three sub-districts of the Rangpur division, Bangladesh, from May 31, 2021, to June 9, 2021. A total of 1195 women with a live birth preceding the survey participated in the study. We used a multivariate logistic regression model to examine the association between all potential factors and the utilization of ANC4/4+ services. Multicollinearity and Hosmer-Lemeshow test was conducted to check the regression model's goodness fit test. Results: The rate of utilization of ANC4/4+ services by women in the three sub-districts of the Rangpur division was 71.7%. Women with more age, education, having more than five members in a family, and being involved in any income-generating activities were more likely to utilize ANC4/4+ in this study. Conclusion: The study found an insufficiency in ANC4/4+ usage, which might lead to missed opportunities for women in rural Bangladesh to have improved maternal outcomes. Particular focus should be given to women's higher education and prioritizing women's autonomy in health seeking issues in the rural women to increase the utilization of ANC4/4+.
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spelling doaj.art-dbdc74816d214c919f72008d445fdcf62023-04-10T04:04:00ZengElsevierClinical Epidemiology and Global Health2213-39842023-03-0120101262Factors associated with utilization of antenatal care among rural women in Bangladesh: A community-based cross-sectional studyMd Wahidur Rahman Nizum0Md Mahbubul Alam Shaun1Md Omar Faruk2Md Asaduzzaman Shuvo3Fahmida Fayeza4Md Fakrul Alam5Sujan Kanti Mali6Md Hafizur Rahman7Mohammad Delwer Hossain Hawlader8Department of Public Health, School of Health and Life Sciences, North South University, Dhaka, 1229, Bangladesh; Corresponding author.Department of Biochemistry and Food Analysis, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Dumki, 8602, Patuakhali, BangladeshDepartment of Biochemistry and Food Analysis, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Dumki, 8602, Patuakhali, BangladeshDepartment of Public Health, School of Health and Life Sciences, North South University, Dhaka, 1229, BangladeshDepartment of Biochemistry and Food Analysis, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Dumki, 8602, Patuakhali, BangladeshDepartment of Biochemistry and Food Analysis, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Dumki, 8602, Patuakhali, BangladeshDepartment of Biochemistry and Food Analysis, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Dumki, 8602, Patuakhali, BangladeshInternational Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), BangladeshDepartment of Public Health, School of Health and Life Sciences, North South University, Dhaka, 1229, BangladeshBackground: Despite the Government of Bangladesh's considerable efforts, utilization of antenatal care (ANC) services remains low among Bangladeshi women, notably those from rural areas. Therefore, this study aimed to assess the utilization and underlying factors affecting the utilization of ANC among women of reproductive age in rural Bangladesh. Methods: We conducted a community-based cross-sectional study in three sub-districts of the Rangpur division, Bangladesh, from May 31, 2021, to June 9, 2021. A total of 1195 women with a live birth preceding the survey participated in the study. We used a multivariate logistic regression model to examine the association between all potential factors and the utilization of ANC4/4+ services. Multicollinearity and Hosmer-Lemeshow test was conducted to check the regression model's goodness fit test. Results: The rate of utilization of ANC4/4+ services by women in the three sub-districts of the Rangpur division was 71.7%. Women with more age, education, having more than five members in a family, and being involved in any income-generating activities were more likely to utilize ANC4/4+ in this study. Conclusion: The study found an insufficiency in ANC4/4+ usage, which might lead to missed opportunities for women in rural Bangladesh to have improved maternal outcomes. Particular focus should be given to women's higher education and prioritizing women's autonomy in health seeking issues in the rural women to increase the utilization of ANC4/4+.http://www.sciencedirect.com/science/article/pii/S2213398423000490ANC visitLactating womenSocioeconomic statusBangladesh
spellingShingle Md Wahidur Rahman Nizum
Md Mahbubul Alam Shaun
Md Omar Faruk
Md Asaduzzaman Shuvo
Fahmida Fayeza
Md Fakrul Alam
Sujan Kanti Mali
Md Hafizur Rahman
Mohammad Delwer Hossain Hawlader
Factors associated with utilization of antenatal care among rural women in Bangladesh: A community-based cross-sectional study
Clinical Epidemiology and Global Health
ANC visit
Lactating women
Socioeconomic status
Bangladesh
title Factors associated with utilization of antenatal care among rural women in Bangladesh: A community-based cross-sectional study
title_full Factors associated with utilization of antenatal care among rural women in Bangladesh: A community-based cross-sectional study
title_fullStr Factors associated with utilization of antenatal care among rural women in Bangladesh: A community-based cross-sectional study
title_full_unstemmed Factors associated with utilization of antenatal care among rural women in Bangladesh: A community-based cross-sectional study
title_short Factors associated with utilization of antenatal care among rural women in Bangladesh: A community-based cross-sectional study
title_sort factors associated with utilization of antenatal care among rural women in bangladesh a community based cross sectional study
topic ANC visit
Lactating women
Socioeconomic status
Bangladesh
url http://www.sciencedirect.com/science/article/pii/S2213398423000490
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