ArticleBMJ open2022
Assessment of quality of antenatal care services in public sector facilities in India.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- 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
- Factors Influencing Timing of First Antenatal Care Visit Among Bangladeshi Women: Application of Accelerated Failure Time Models Using Demographic Health Survey 2022.Health science reports · 2026Article
- Measuring antenatal care timing and content across 131 low-income and middle-income countries, 1995-2023: a systematic analysis of trends.The Lancet. Global health · 2026Article
- Article
- Insights into Public-Private Sector Variations in Maternal Health Care Utilization in an Urban Slum in Mumbai.Cureus · 2026Article
- Birth preparedness & complication readiness of pregnant women in Meghalaya, India.The Indian journal of medical research · 2025Article
- Asset-based wealth inequalities in maternal anaemia prevalence across Indian states: A decomposition analysis of nationally representative data.Journal of health, population, and nutrition · 2025Article
- Quality Assessment of Antenatal Care in Public Health Facilities of Nepal's Hilly District: An Observational Study.JNMA; journal of the Nepal Medical Association · 2025Observational
- Strengthening the first antenatal visit to improve maternal health: results from a cross-sectional study in Bantul, Indonesia.BMC pregnancy and childbirth · 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
- Quality of antenatal care services in Afghanistan: findings from the national survey 2022-2023.BMC pregnancy and childbirth · 2025Article
- Deep learning for causal inference using low birth weight in midwife-led continuity care intervention in north Shoa zone, Ethiopia.Frontiers in artificial intelligence · 2025Article
- Assessing anemia burden and multifactorial contributors among pregnant women in Gujarat: a cross-sectional study integrating biochemical, nutritional, and geographic disparities.Frontiers in global women's health · 2025Article
- An assessment of adequate quality antenatal care and its determinants in India.BMC pregnancy and childbirth · 2024Article
- Maternal and Foetal Outcomes of Newly Diagnosed Chronic Myeloid Leukemia During Pregnancy and its Long-Term Impact.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024Article
- Quality of antenatal care services received by women of reproductive age prior to delivery in selected public health facilities in the northern zone of Ghana.BMC health services research · 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
- Prevalence of neural tube defect and its identification during antenatal period: a cross-sectional study in eastern Indian state.BMJ open · 2024Article
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Authors and funding
7 authors.
Funding
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Abstract
objectivesWe undertook assessment of quality of antenatal care (ANC) services in public sector facilities in the Indian state of Bihar state delivered under the national ANC programme (Pradhan Mantri Surakshit Matritva Abhiyan, PMSMA).
settingThree community health centres and one subdistrict hospital each in two randomly selected districts of Bihar.
participantsPregnant women who sought ANC services under PMSMA irrespective of the pregnancy trimester. PRIMARY AND SECONDARY MEASURES: Quality ANC services were considered if a woman received all of these services in that visit-weight, blood pressure and abdomen check, urine and blood sample taken, and were given iron and folic acid and calcium tablets. The process of ANC service provision was documented.
resultsEight hundred and fourteen (94.5% participation) women participated. Coverage of quality ANC services was 30.4% (95% CI 27.3% to 33.7%) irrespective of pregnancy trimester, and was similar in both districts and ranged 3%-83.1% across the facilities. Quality ANC service coverage was significantly lower for women in the first trimester of pregnancy (6.8%, 95% CI 3.3% to 13.6%) as compared with those in the second (34.4%, 95% CI 29.9% to 39.1%) and third (32.9%, 95% CI 27.9% to 38.3%) trimester of pregnancy. Individually, the coverage of weight and blood pressure check-up, receipt of iron folic acid (IFA) and calcium tablets, and blood sample collection was >85%. The coverage of urine sample collection was 46.3% (95% CI 42.9% to 49.7%) and of abdomen check-up was 62% (95% CI 58.6% to 65.3%). Poor information sharing post check-up was done with the pregnant women. Varied implementation of ANC service provision was seen in the facilities as compared with the PMSMA guidelines, in particular with laboratory diagnostics and doctor consultation. Task shifting from doctors to ANMs was observed in all facilities.
conclusionsGrossly inadequate quality ANC services under the PMSMA needs urgent attention to improve maternal and neonatal health outcomes.
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