Next Article in Journal
Factors Associated with Practice-Level Performance Indicators in Primary Health Care in Hungary: A Nationwide Cross-Sectional Study
Previous Article in Journal
Healthy or Unhealthy? The Cocktail of Health-Related Behavior Profiles in Spanish Adolescents
Open AccessArticle

Enablers and Barriers to the Utilization of Antenatal Care Services in India

1
Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith 2571, Australia
2
General Practice Unit, Prescot Specialist Medical Centre, Welfare Quarters, Makurdi 972261, Nigeria
3
School of Medicine|Diabetes Obesity and Metabolism Translational Research Unit (DOMTRU), Macarthur Clinical School, Parkside Crescent, Campbelltown 2560, Australia
4
Obstetrics and Gynaecology Unit, City Hospital, Emmanuel Mande Close, Makurdi 972261, Nigeria
5
School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney 2052, Australia
*
Author to whom correspondence should be addressed.
Joint second authors.
Joint senior authors.
Int. J. Environ. Res. Public Health 2019, 16(17), 3152; https://doi.org/10.3390/ijerph16173152
Received: 6 August 2019 / Revised: 19 August 2019 / Accepted: 20 August 2019 / Published: 29 August 2019
(This article belongs to the Section Women's Health)
Antenatal care (ANC) reduces adverse health outcomes for both mother and baby during pregnancy and childbirth. The present study investigated the enablers and barriers to ANC service use among Indian women. The study used data on 183,091 women from the 2015–2016 India Demographic and Health Survey. Multivariate multinomial logistic regression models (using generalised linear latent and mixed models (GLLAMM) with the mlogit link and binomial family) that adjusted for clustering and sampling weights were used to investigate the association between the study factors and frequency of ANC service use. More than half (51.7%, 95% confidence interval (95% CI): 51.1–52.2%) of Indian women had four or more ANC visits, 31.7% (95% CI: 31.3–32.2%) had between one and three ANC visits, and 16.6% (95% CI: 16.3–17.0%) had no ANC visit. Higher household wealth status and parental education, belonging to other tribes or castes, a woman’s autonomy to visit the health facility, residence in Southern India, and exposure to the media were enablers of the recommended ANC (≥4) visits. In contrast, lower household wealth, a lack of a woman’s autonomy, and residence in East and Central India were barriers to appropriate ANC service use. Our study suggests that barriers to the recommended ANC service use in India can be amended by socioeconomic and health policy interventions, including improvements in education and social services, as well as community health education on the importance of ANC. View Full-Text
Keywords: antenatal care; India; factors; Demographic and Health Survey; enablers; barriers antenatal care; India; factors; Demographic and Health Survey; enablers; barriers
Show Figures

Figure 1

MDPI and ACS Style

Ogbo, F.A.; Dhami, M.V.; Ude, E.M.; Senanayake, P.; Osuagwu, U.L.; Awosemo, A.O.; Ogeleka, P.; Akombi, B.J.; Ezeh, O.K.; Agho, K.E. Enablers and Barriers to the Utilization of Antenatal Care Services in India. Int. J. Environ. Res. Public Health 2019, 16, 3152. https://doi.org/10.3390/ijerph16173152

AMA Style

Ogbo FA, Dhami MV, Ude EM, Senanayake P, Osuagwu UL, Awosemo AO, Ogeleka P, Akombi BJ, Ezeh OK, Agho KE. Enablers and Barriers to the Utilization of Antenatal Care Services in India. International Journal of Environmental Research and Public Health. 2019; 16(17):3152. https://doi.org/10.3390/ijerph16173152

Chicago/Turabian Style

Ogbo, Felix A.; Dhami, Mansi V.; Ude, Ebere M.; Senanayake, Praween; Osuagwu, Uchechukwu L.; Awosemo, Akorede O.; Ogeleka, Pascal; Akombi, Blessing J.; Ezeh, Osita K.; Agho, Kingsley E. 2019. "Enablers and Barriers to the Utilization of Antenatal Care Services in India" Int. J. Environ. Res. Public Health 16, no. 17: 3152. https://doi.org/10.3390/ijerph16173152

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop