Demographic, socio-economic and environmental determinants of utilisation of antenatal care in a rural setting of Sindh, Pakistan

Z Fatmi, Bilal Iqbal Avan

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

OBJECTIVE: Majority of the women in the developing countries are unable receive antenatal care for a variety of reasons. This study determines the factors affecting utilisation of antenatal care by women of a rural area in Sindh, Pakistan. METHODS: A cross-sectional study was conducted during August 1997, in Union Council Jhangara, Sindh, Pakistan. Married women, who had delivered at least one child, were included in the study from each household and systematically 222 eligible women were selected. The effects of demographic, socio-economic and environmental factors on the utilisation of antenatal care, by women during their most recent pregnancy were also studied. Multivariate logistic regression analysis was used to assess independent effect of individual factors. RESULTS: Among the study subjects, 29.3% (65) of the women utilised antenatal care during the last (most recent) pregnancy and out of them 72.3% (47) received it from the government health care provider. Presence of electricity in the house was strongly associated with the utilisation of antenatal care (AOR = 5.3; 95% CI 2.2-12.7). Women whose husbands were in white-collar occupation, were utilizing the antenatal care significantly more (AOR = 2.4; 95% CI 1.2-4.6) compared to women whose husbands were in blue-collar occupations. CONCLUSION: The study shows that social status and economic condition of a woman is an important determinant of utilisation of antenatal care. Therefore, improvement of socioeconomic status is required to increase utilization of antenatal and perinatal care.
Original languageEnglish
Pages (from-to)138-42
Number of pages5
JournalJPMA. The Journal of the Pakistan Medical Association
Volume52
Issue number4
Publication statusPublished - 1 Apr 2002

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Prenatal Care
Pakistan
Economics
Demography
Spouses
Occupations
Perinatal Care
Pregnancy
Electricity
Social Conditions
Social Class
Health Personnel
Developing Countries
Cross-Sectional Studies
Logistic Models
Regression Analysis

Keywords

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Demography
  • Developing Countries
  • Electricity
  • Female
  • Health Services Accessibility
  • Humans
  • Middle Aged
  • Pakistan
  • Pregnancy
  • Prenatal Care
  • Retrospective Studies
  • Rural Population
  • Socioeconomic Factors

Cite this

Demographic, socio-economic and environmental determinants of utilisation of antenatal care in a rural setting of Sindh, Pakistan. / Fatmi, Z; Iqbal Avan, Bilal.

In: JPMA. The Journal of the Pakistan Medical Association, Vol. 52, No. 4, 01.04.2002, p. 138-42.

Research output: Contribution to journalArticle

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AB - OBJECTIVE: Majority of the women in the developing countries are unable receive antenatal care for a variety of reasons. This study determines the factors affecting utilisation of antenatal care by women of a rural area in Sindh, Pakistan. METHODS: A cross-sectional study was conducted during August 1997, in Union Council Jhangara, Sindh, Pakistan. Married women, who had delivered at least one child, were included in the study from each household and systematically 222 eligible women were selected. The effects of demographic, socio-economic and environmental factors on the utilisation of antenatal care, by women during their most recent pregnancy were also studied. Multivariate logistic regression analysis was used to assess independent effect of individual factors. RESULTS: Among the study subjects, 29.3% (65) of the women utilised antenatal care during the last (most recent) pregnancy and out of them 72.3% (47) received it from the government health care provider. Presence of electricity in the house was strongly associated with the utilisation of antenatal care (AOR = 5.3; 95% CI 2.2-12.7). Women whose husbands were in white-collar occupation, were utilizing the antenatal care significantly more (AOR = 2.4; 95% CI 1.2-4.6) compared to women whose husbands were in blue-collar occupations. CONCLUSION: The study shows that social status and economic condition of a woman is an important determinant of utilisation of antenatal care. Therefore, improvement of socioeconomic status is required to increase utilization of antenatal and perinatal care.

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