ArticleBJOG : an international journal of obstetrics and gynaecology2019
Measuring quality of antenatal care: a secondary analysis of national survey data from India.
Article in BJOG : an international journal of obstetrics and gynaecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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42 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.
- Socioeconomic inequalities in access to maternal healthcare in South-Asian countries: A systematic review.PloS one · 2025Pooled it
- Quality of antenatal care provision in rural villages of Satna district, Madhya Pradesh, India: a quantitative formative study to help the development of an evidence-based contextualized complex health intervention of the CHAMPION2 cluster randomized trial.BMC pregnancy and childbirth · 2026Trial
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- Applying machine learning to predict quality ANC determinants in Bangladesh: a BDHS-2022 cross-sectional study.Scientific reports · 2025Article
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- Restoring antenatal health services in a war-affected hospital: a quality improvement project.BMJ open quality · 2025Article
- Quality assessment of routine antenatal care services provided at a primary healthcare facility in a rural area of Delhi, India: A record-based study.Journal of family medicine and primary care · 2025Article
- Decadal trends of maternal mortality and utilization of maternal health care services in India: Evidence from nationally representative data.Journal of family medicine and primary care · 2025Article
- Nurturing networks: Connecting the dots between social capital and antenatal care in south Karnataka, India.Journal of family medicine and primary care · 2025Article
- Quality of antenatal care services in Afghanistan: findings from the national survey 2022-2023.BMC pregnancy and childbirth · 2025Article
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- An assessment of adequate quality antenatal care and its determinants in India.BMC pregnancy and childbirth · 2024Article
- Poor coverage of quality-adjusted antenatal care services: a population-level assessment by visit and source of antenatal care services in Bihar state of India.The Lancet regional health. Southeast Asia · 2024Article
- Socioeconomic and geographic inequalities in antenatal and postnatal care components in India, 2016-2021.Scientific reports · 2024Article
- Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis.SAGE open medicine · 2024Review
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- Assessing universal maternal health service coverage and their determinants in India: A multicentric cross-sectional study.Journal of family medicine and primary care · 2023Article
- Dissecting antenatal care inequalities in western Nepal: insights from a community-based cohort study.BMC pregnancy and childbirth · 2023Article
- Factors associated with delayed initiation and non-exclusive breastfeeding among children in India: evidence from national family health survey 2019-21.International breastfeeding journal · 2023Article
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6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo assess the coverage and adequacy of antenatal care services (ANC) available to women and examine the socio-economic determinants affecting service utilisation.
designSecondary data analysis of a population-based national survey.
settingIndia, 2015/16. SAMPLE: In all, 190 898 women between 15 and 49 years of age who had a live birth during the 5 years preceding the survey.
methodsOrdinal logistic regression. MAIN OUTCOME VARIABLE: Adequacy of ANC services received was measured under four categories - delivery of services by skilled personnel, timely provision of services, sufficiency and appropriateness of content. Quality of care was categorised as adequate ANC, inadequate ANC and no ANC.
resultsOnly 23.5% (95% CI 23.1-23.9%) of all women received adequate ANC, while 58.8% (95% CI 58.4-59.2%) received inadequate and 17.7% (95% CI 17.4-18.0%) received no ANC services. Regression analysis revealed that women belonging to the adolescent age group, illiterate women, and those in the poorest wealth quintile and in rural areas were less likely to receive any ANC.
conclusionThere is a need to improve the quality of ANC services. Currently, <25% of women of all ages receive adequate ANC. Socio-economic conditions play a vital part in determining the quality of care that women receive. TWEETABLE ABSTRACT: Nearly one out of four women in India received adequate ANC, nearly three in every five women received inadequate ANC and 18% lacked ANC for their recent live birth.
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