ArticleInternational journal of environmental research and public health2019
Enablers and Barriers to the Utilization of Antenatal Care Services in India.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 2 of them syntheses that pooled it.
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Who cites it
64 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers to timely and adequate antenatal care: a systematic review of socioeconomic, cultural, psychosocial, and health-system factors across high and low resource settings.BMC pregnancy and childbirth · 2025Pooled it
- Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review.BMC pregnancy and childbirth · 2024Pooled it
- Exploring the interplay of maternal anemia and BMI in determining low birth weight among rural Indian children: evidence from NFHS-5.Journal of health, population, and nutrition · 2026Article
- Time to initiation of antenatal care and its predictors among pregnant women across 35 sub-Saharan African countries (2011-2024): A multilevel mixed-effects acceleration failure time model of multination population survey data.Reproductive health · 2026Article
- Antenatal care utilisation in Tanzania: A Poisson regression analysis of the Tanzania Demographic Health Survey 2022.Journal of public health research · 2026Article
- Prevalence and factors associated with early antenatal care visit in Ghana: recent evidence from the 2022 Ghana Demographic and Health Survey.AJOG global reports · 2026Article
- Determinants of counseling on neonatal danger signs among women in Somalia: a multilevel mixed-effects logistic regression analysis of the 2020 SDHS.Frontiers in pediatrics · 2026Article
- Article
- Effect of multidisciplinary interventions using the Enabling Inclusion® program on gross motor function and functional independence in children with disabilities in rural South India.BMC pediatrics · 2025Article
- Review
- Factors Associated with Acute Respiratory Infection among Children Under 5 Years in India: Results from 2019 to 2021 National Family Health Survey.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Article
- Assessment of antenatal care received and its association with different factors among the postnatal mothers: A cross-sectional study.Journal of family medicine and primary care · 2025Article
- A Bottleneck Analysis of Iron and Folic Acid Supplementation Program in Pakistan.Maternal & child nutrition · 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
- Inequalities in antenatal care service utilization in Nepal: evidence from nationally representative Nepal multiple indictor cluster surveys 2014 and 2019.BMC public health · 2025Article
- Trends in socioeconomic inequality in mortality during childhood between 1993 and 2021 in India.BMJ global health · 2025Article
- Women's healthcare access: assessing the household, logistic and facility-level barriers in India.BMC health services research · 2025Article
- Nurturing networks: Connecting the dots between social capital and antenatal care in south Karnataka, India.Journal of family medicine and primary care · 2025Article
- Article
- An assessment of adequate quality antenatal care and its determinants in India.BMC pregnancy and childbirth · 2024Article
4 more citing papers are in PubMed but not listed here.
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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