Evidence map›Paper›PMID 32891116›Full record

ArticleBMC pregnancy and childbirth2020

Sociodemographic correlates of antenatal care visits in Nepal: results from Nepal Demographic and Health Survey 2016.

Mukesh Adhikari, Binaya Chalise, Bihungum Bista, Achyut Raj Pandey, Dipak Prasad Upadhyaya

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Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

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24citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Child Marriage in South Asia: A Systematic Review.International journal of environmental research and public health · 2022
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  20. Congenital Limb Deficiency: A Case Report.JNMA; journal of the Nepal Medical Association · 2022
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Mukesh AdhikariDepartment of Health Services, Ministry of Health and Population, Kathmandu, Nepal. adhmukesh@gmail.com.
Binaya ChaliseGraduate School for International Development and Cooperation, Hiroshima University, Hiroshima, Japan.
Bihungum BistaNepal Health Research Council, Kathmandu, Nepal.
Achyut Raj PandeyNepal Health Sector Program 3/Monitoring Evaluation and Operational Research, Abt Associates, Kathmandu, Nepal.
Dipak Prasad UpadhyayaCentral Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundGood quality antenatal care visits are crucial to reduce maternal mortality and improve overall maternal and neonatal health outcomes. A previous study on antenatal care visits analyzed the nationally representative data of 2011; however, no studies have been conducted recently in Nepal. Therefore, we analyzed the sociodemographic correlates of the frequency and quality of antenatal care among Nepalese women from the nationally representative data of 2016.

methodsWe analyzed data obtained from the Nepal Demography Health Survey (2016) on antenatal care for 2761 women who had one or more births in the past three years. Our study defined 'good quality antenatal care' as at least a 75% score on a composite metric which was obtained by adding the weighted scores assigned to the twelve recommended components of antenatal care. We analyzed the factors associated with the frequency and quality of antenatal care by using multiple Poisson regression and multiple logistic regression.

resultsWhile 70% of the Nepalese women surveyed had at least four antenatal care visits, only 21% of these women received good-quality antenatal care. We found that the educated women (APR: 1.12; CI: 1.05-1.19) and the women of rich wealth index (APR: 1.27; CI: 1.18-1.37) were more likely to receive a higher number of antenatal visits. In contrast, women living in rural areas (APR: 0.92; CI: 0.87-0.98), and those who had more than two children (APR: 0.88; CI: 0.83-0.93) were less likely to receive a higher number of antenatal visits. Regarding the quality of antenatal care, educated women (AOR: 1.51; CI: 1.09-2.08), women who had educated husbands (AOR: 2.11; CI: 1.38-3.22), women of rich wealth index (AOR: 1.58; CI: 1.13-2.20) and women who had intended pregnancy (APR: 1.69; CI: 1.23-2.34), were more likely to receive good-quality antenatal care.

conclusionsObserving a wide variation in the coverage of different components of antenatal care, concerned stakeholders could tailor the interventions by focusing on components with lower use. Because we found an association of myriad sociodemographic factors with the frequency and quality of antenatal care, targeted interventions are necessary.

Indexed as

Quality of Health CareAdolescentAdultCorrelation of DataDemographyFemaleHealth SurveysHumansMiddle AgedNepalPatient Acceptance of Health CarePregnancyPrenatal CareSocial FactorsYoung Adultantenatal careNepalPregnancyquality

Identifiers

PMID32891116
PMCPMC7487925

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.