Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, Afghanistan
Background. Women’s and children’s health is a crucial public health concern that epitomizes the universal platform for Sustainable Development Goals (SDGs). Appropriate and timely care during pregnancy can improve maternal and child health. Objectives. The present study aimed at determining the mag...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2021/5201682 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832567633483923456 |
|---|---|
| author | Muhammad Haroon Stanikzai Mohammad Hashim Wafa Abdul Wahed Wasiq Hadia Sayam |
| author_facet | Muhammad Haroon Stanikzai Mohammad Hashim Wafa Abdul Wahed Wasiq Hadia Sayam |
| author_sort | Muhammad Haroon Stanikzai |
| collection | DOAJ |
| description | Background. Women’s and children’s health is a crucial public health concern that epitomizes the universal platform for Sustainable Development Goals (SDGs). Appropriate and timely care during pregnancy can improve maternal and child health. Objectives. The present study aimed at determining the magnitude and determinants of antenatal care services’ utilization in Kandahar city. Methods. A community-based cross-sectional study involving 850 women with at least one delivery in the last 2 years was carried out in Kandahar city from January to February 2021. Questionnaires to record information on sociodemographic, reproductive, and antenatal care- (ANC-) related characteristics were administered. Data were analyzed using SPSS 21.00 statistical software. We used descriptive statistics such as frequency and percentages to present the data. Determinants of antenatal care services’ utilization were determined using a multivariable logistic regression model. Results. Among all study participants, 589 (69.3%, 95% confidence interval (CI) = 66.0%–72.4%) of study participants utilized antenatal care services at least once. However, only 22% of the women were utilizing the recommended ≥4 ANC visits. Factors that remained significantly associated with antenatal care services’ utilization in multivariable analysis included women’s educational status (adjusted odds ratio (AOR) = 2.0, 95% CI: 1.0–4.3), pregnancy intention (AOR = 2.1, 95% CI: 1.1–3.4), and place of residence (AOR = 1.7, 95% CI: 1.1–2.6). Conclusion. This study has found high rates (vs. the national level) of antenatal care services’ utilization among women who had at least one delivery in the last 2 years. However, the rate of recommended ≥4 ANC visits was low. Factors determining antenatal care utilization such as educational status of the mother, pregnancy intention, and place of residence hold the key to address the issue of ANC services lower utilization and consequently improve maternal and fetal health. |
| format | Article |
| id | doaj-art-165057a120ef4c53a4fbf4a7e7055ca5 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-165057a120ef4c53a4fbf4a7e7055ca52025-02-03T01:00:48ZengWileyObstetrics and Gynecology International1687-95891687-95972021-01-01202110.1155/2021/52016825201682Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, AfghanistanMuhammad Haroon Stanikzai0Mohammad Hashim Wafa1Abdul Wahed Wasiq2Hadia Sayam3Public Health Department, Faculty of Medicine, Kandahar University, Kandahar, AfghanistanNeuropsychiatric and Behavioral Science Department, Faculty of Medicine, Kandahar University, Kandahar, AfghanistanInternal Medicine Department, Faculty of Medicine, Kandahar University, Kandahar, AfghanistanPara-Clinic Department, Faculty of Medicine, Malalay Institute of Higher Education, Kandahar, AfghanistanBackground. Women’s and children’s health is a crucial public health concern that epitomizes the universal platform for Sustainable Development Goals (SDGs). Appropriate and timely care during pregnancy can improve maternal and child health. Objectives. The present study aimed at determining the magnitude and determinants of antenatal care services’ utilization in Kandahar city. Methods. A community-based cross-sectional study involving 850 women with at least one delivery in the last 2 years was carried out in Kandahar city from January to February 2021. Questionnaires to record information on sociodemographic, reproductive, and antenatal care- (ANC-) related characteristics were administered. Data were analyzed using SPSS 21.00 statistical software. We used descriptive statistics such as frequency and percentages to present the data. Determinants of antenatal care services’ utilization were determined using a multivariable logistic regression model. Results. Among all study participants, 589 (69.3%, 95% confidence interval (CI) = 66.0%–72.4%) of study participants utilized antenatal care services at least once. However, only 22% of the women were utilizing the recommended ≥4 ANC visits. Factors that remained significantly associated with antenatal care services’ utilization in multivariable analysis included women’s educational status (adjusted odds ratio (AOR) = 2.0, 95% CI: 1.0–4.3), pregnancy intention (AOR = 2.1, 95% CI: 1.1–3.4), and place of residence (AOR = 1.7, 95% CI: 1.1–2.6). Conclusion. This study has found high rates (vs. the national level) of antenatal care services’ utilization among women who had at least one delivery in the last 2 years. However, the rate of recommended ≥4 ANC visits was low. Factors determining antenatal care utilization such as educational status of the mother, pregnancy intention, and place of residence hold the key to address the issue of ANC services lower utilization and consequently improve maternal and fetal health.http://dx.doi.org/10.1155/2021/5201682 |
| spellingShingle | Muhammad Haroon Stanikzai Mohammad Hashim Wafa Abdul Wahed Wasiq Hadia Sayam Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, Afghanistan Obstetrics and Gynecology International |
| title | Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, Afghanistan |
| title_full | Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, Afghanistan |
| title_fullStr | Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, Afghanistan |
| title_full_unstemmed | Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, Afghanistan |
| title_short | Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, Afghanistan |
| title_sort | magnitude and determinants of antenatal care utilization in kandahar city afghanistan |
| url | http://dx.doi.org/10.1155/2021/5201682 |
| work_keys_str_mv | AT muhammadharoonstanikzai magnitudeanddeterminantsofantenatalcareutilizationinkandaharcityafghanistan AT mohammadhashimwafa magnitudeanddeterminantsofantenatalcareutilizationinkandaharcityafghanistan AT abdulwahedwasiq magnitudeanddeterminantsofantenatalcareutilizationinkandaharcityafghanistan AT hadiasayam magnitudeanddeterminantsofantenatalcareutilizationinkandaharcityafghanistan |