ArticleBMC pregnancy and childbirth2015
Under-utilization of antenatal care services in Timor-Leste: results from Demographic and Health Survey 2009-2010.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- Predictors of antenatal care utilization among the Rohingya population in the refugee camps of Cox's Bazar, Bangladesh.Conflict and health · 2025Article
- Variations in initiation of first antenatal care among women of reproductive age in sub-Saharan Africa: an event history analysis approach.Reproductive health · 2025Article
- Article
- Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia.International journal of environmental research and public health · 2022Article
- Factors impacting antenatal care utilization: a systematic review of 37 fragile and conflict-affected situations.Conflict and health · 2022Review
- Women's empowerment and fertility preferences of married women: analysis of demographic and health survey'2016 in Timor-Leste.AIMS public health · 2022Article
- Factors Affecting Quality of Care in Maternal and Child Health in Timor-Leste: A Scoping Review.Health services insights · 2022Article
- Article
- Utilizing a Minimum of Four Antenatal Care Visits and Associated Factors in Debre Berhan Town, North Shewa, Amhara, Ethiopia, 2020.Risk management and healthcare policy · 2020Article
- Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania.Tropical medicine and health · 2020Article
- Home childbirth among young mothers aged 15-24 years in Nigeria: a national population-based cross-sectional study.BMJ open · 2019Article
- The role of women's empowerment and male engagement in pregnancy healthcare seeking behaviors in western Kenya.Women & health · 2019Article
- Factors associated with unsafe abortion practices in Nepal: Pooled analysis of the 2011 and 2016 Nepal Demographic and Health Surveys.PloS one · 2019Article
- Article
- Prediction of Adequate Prenatal Care Utilization Based on the Extended Parallel Process Model.International journal of community based nursing and midwifery · 2017Article
- Family health strategy and equity in prenatal care: a population based cross-sectional study in Minas Gerais, Brazil.International journal for equity in health · 2017Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTimor-Leste is a young country in the Asia-Pacific region with a high maternal mortality rate of 557 per 100,000 live births. As most maternal deaths can be prevented by providing quality antenatal care (ANC) and skilled assistance during childbirth, understanding the barriers to the utilization of ANC services can enhance program implementation. This study aimed to investigate the prevalence and factors associated with the under-utilization of ANC services in Timor-Leste.
methodsTimor-Leste Demographic and Health Survey (TDHS) 2009-2010 was a nationally representative multi-stage cross-sectional study involving 11,463 households and 9,828 childbirths. Information on last born child was recorded for 5,895 mother-child pairs. Factors influencing under-utilization of ANC were assessed using hierarchical logistic regression analysis.
resultsOnly 3311 (55.2, 95% confidence interval (CI) 53.1 to 57.3%) made the recommended four ANC visits, while 2584 (44.8; 95% CI 42.7 to 46.9%) of them reported attending three or less ANC services. Significant factors positively associated with the under-utilization of ANC were low wealth status (odds ratio (OR) 2.09; 95% CI 1.68 to 2.60), no maternal education (OR 1.54; 95% CI 1.30 to 1.82) or primary maternal education (OR 1.21; 95% CI 1.04 to 1.41), no paternal education (OR 1.34; 95% CI 1.13 to 1.60), and having a big problem in permission to visit health facility (OR 1.65; 95% CI 1.39 to 1.96).
conclusionsDespite the apparently good progress made in re-establishing the healthcare infrastructure, 45 % of mothers remained in need of a focused intervention to increase their use of ANC services. Further prenatal care program should pay attention to women with low wealth status and those and their partners who are uneducated. Moreover, women should be encouraged to make decision on their own health.
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