ArticleBMC pregnancy and childbirth2019
Improvement of Quality of Antenatal Care (ANC) Service Provision at the Public Health Facilities in Lao PDR: Perspective and Experiences of Supply and Demand Sides.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
29 citing papers in PubMed, 55 citations in OpenAlex.
- Maternal, newborn, and child health continuum of care: completion and associated factors in Xiengkhuang and Huaphanh, Lao PDR.Tropical medicine and health · 2026Article
- Antenatal care in Meghalaya - An Uphill Battle: A Community-based Study of Drivers and Barriers of Antenatal Care Utilization.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- Why are some children under 24 months still undernourished in urban and peri-urban Vientiane? A mixed-methods study.PloS one · 2026Article
- Maternal mortality ratios in Southeast Asia (1990-2021): trends, disparities, and projections through 2050 based on the global burden of disease 2021, with reference to SDG 3.1.BMC pregnancy and childbirth · 2025Article
- Exploring barriers and facilitators to achieving quality antenatal care in Ethiopia: a qualitative study.BMC health services research · 2025Article
- Community engagement supports maternal health care attitudes and utilisation: mixed-method evaluation evidence from the CONNECT Initiative in Lao PDR.BMC health services research · 2025Article
- Study on regional disparities and influencing factors of public health service supply in China from the perspective of fairness.BMC health services research · 2025Article
- Unveiling the sociodemographic and socioeconomic determinants of antenatal care utilization in Bangladesh: insights from the 2017-18 BDHS.Journal of health, population, and nutrition · 2025Article
- Antenatal care visits and associated factors in Senegal: a multilevel poisson regression analysis of the 2023 DHS survey.Frontiers in global women's health · 2025Article
- Decentralizing and task sharing within the primary health system improved access and quality of ANC services in Amhara and Oromia regions: pre-post health facility data.BMC primary care · 2024Article
- Trends and inequalities in adequate antenatal care coverage among women in Sierra Leone, 2008-2019.Archives of public health = Archives belges de sante publique · 2024Article
- Community engagement for stakeholder and community trust in healthcare: Short-term evaluation findings from a nationwide initiative in Lao PDR.Social science & medicine (1982) · 2024Article
- Trust in healthcare: methodological and conceptual insights from mixed-method research in Lao People's Democratic Republic.BMJ global health · 2024Article
- Understanding Antenatal Care Service Quality for Malaria in Pregnancy through Supportive Supervision Data in Tanzania.The American journal of tropical medicine and hygiene · 2024Article
- Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis.SAGE open medicine · 2024Review
- Exploring a framework for demandable services from antenatal to postnatal care: a deep-dive dialogue with mothers, health workers and psychologists.BMC pregnancy and childbirth · 2023Article
- Perinatal outcomes in anemic pregnant women in public hospitals of eastern Ethiopia.International health · 2023Article
- Improving the maternal mortality rate in Lao PDR: 10 years after the publication of the Yang Ye paper in theNagoya journal of medical science · 2023Article
- Disparities in Antenatal Care Visits between Urban and Rural Ethiopian Women.Journal of pregnancy · 2023Article
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Corrections and comments
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Authors and funding
6 authors at 4 institutions in 4 countries.
Funding
Abstract
backgroundThe maternal mortality rate in Lao PDR (Laos) is still the highest in Southeast Asia, at 197 per 100,000 live births. Antenatal care (ANC) could contribute to maternal and child mortality reduction. The quality of ANC service remains inadequate and little information is available on the quality of health education and counseling services of health providers in Laos. This study aims to gain insight into the perceptions of stakeholders on both supply and demand sides of public ANC services in Laos and evidence for recommendations to improve the quality of ANC services.
methodsSemi-structured interviews were conducted with 50 participants from different stakeholder groups; on the demand side, couples with a currently pregnant woman and mothers with children under one year of age and a family member; and on the supply side, health providers, managers, policy makers of the Ministry of Health, and development partners. The interviews were voice recorded and transcribed verbatim for analysis by open and thematic coding, using the MAXQDA software program.
resultsAll respondents reported that the number of pregnant women who visit ANC services has increased. However, an analysis of the supply side identified issues related to the quality of ANC that need to be improved in the areas of facilities, human resources, privacy and confidentiality, providers' behavior, attitudes, and ineffective communication skills when it comes to providing health education and counseling to pregnant women and their family members. The analysis of the demand side mainly emphasized the issues of providers' behavior, attitude, communication and unequal treatment, and the lack of privacy. Both sides also suggested solutions to the problems, such as training, effective materials, rewarding good role models, and building a feedback system.
conclusionThe number of public ANC services has increased, but both supply and demand sides experienced challenges with the quality of ANC. All respondents proposed possible solutions to improve quality of ANC service in public health facilities in Laos.
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