Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature

Journal of Advanced Nursing - Tập 61 Số 3 - Trang 244-260 - 2008
Bibha Simkhada1, Edwin van Teijlingen2, Maureen Porter3, Padam Simkhada4
1Public Health Department and Dugald Baird Centre, University of Aberdeen, UK.
2Edwin R. van Teijlingen MA MEd PhD Reader in Public HealthPublic Health and Dugald Baird Centre, University of Aberdeen, UK
3Maureen Porter BSc MSc PhD ECoSSE Project Co-ordinatorDepartment of Obstetrics and Gynaecology, University of Aberdeen, UK
4Padam Simkhada MSc PhD 
Research Fellow in International Health
Department of Public Health, University of Aberdeen, UK

Tóm tắt

Abstract

Title.  Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature.

Aim.  This paper is a report of a systematic review to identify and analyse the main factors affecting the utilization of antenatal care in developing countries.

Background.  Antenatal care is a key strategy for reducing maternal mortality, but millions of women in developing countries do not receive it.

Data sources.  A range of electronic databases was searched for studies conducted in developing countries and published between 1990 and 2006. English‐language publications were searched using relevant keywords, and reference lists were hand‐searched.

Review methods.  A systematic review was carried out and both quantitative and qualitative studies were included.

Results.  Twenty‐eight papers were included in the review. Studies most commonly identified the following factors affecting antenatal care uptake: maternal education, husband’s education, marital status, availability, cost, household income, women’s employment, media exposure and having a history of obstetric complications. Cultural beliefs and ideas about pregnancy also had an influence on antenatal care use. Parity had a statistically significant negative effect on adequate attendance. Whilst women of higher parity tend to use antenatal care less, there is interaction with women’s age and religion. Only one study examined the effect of the quality of antenatal services on utilization. None identified an association between the utilization of such services and satisfaction with them.

Conclusion.  More qualitative research is required to explore the effect of women’s satisfaction, autonomy and gender role in the decision‐making process. Adequate utilization of antenatal care cannot be achieved merely by establishing health centres; women’s overall (social, political and economic) status needs to be considered.

Từ khóa


Tài liệu tham khảo

10.1080/0144361021000020349

Alam Y.A., 2004, Factors affecting utilisation of antenatal care among women in Urban slum areas of Islamabad, Rawal Medical Journal, 29, 71

Alam A.Y., 2005, Comparative study of knowledge, attitude and practices among antenatal care facilities utilizing and non‐utilizing women, JPMA – Journal of the Pakistan Medical Association, 55, 53

Aldana J.M., 2001, Client satisfaction and quality of health care in rural Bangladesh, Bulletin of the World Health Organization, 79, 512

10.1016/0277-9536(89)90234-7

Bedics B.C., 1994, Non‐use of Prenatal Care: Implications for Social Work Involvement, Health & Social Work, 19, 84

Bhattia J.C., 1995, Determinant of maternal care in a region of south India, Health Transition Review, 5, 127

10.1093/heapol/14.1.38

10.1353/dem.2001.0001

10.1080/07399339409516102

10.1016/S0277-9536(99)00418-9

10.1046/j.1365-2524.2002.00389.x

Chowdhury A.M.R., 2003, Skilled Attendance at Delivery in Bangladesh: An Ethnographic Study

10.1093/intqhc/mzi076

Deeks J., 2001, Undertaking Systematic Reviews of Research on Effectiveness: CRD’s Guidance for Those Carrying Out or Commissioning Reviews, 1

10.1177/135581960501000110

10.1111/j.1547-5069.2003.00269.x

10.1783/0000000052972825

10.1016/S0277-9536(03)00140-0

10.1017/S002193200100339X

10.1016/0277-9536(94)00134-F

Holland K., 2001, Cultural Awareness in Nursing & Health Care

10.2307/3583288

Joffe H., 2004, Research methods for clinical & health psychology, 56

10.1258/0049475054036814

Khan S.K., 2001, Undertaking Systematic Reviews of Research on Effectiveness: CRD’s Guidance for Those Carrying Out or Commissioning Reviews, 1

Khan K.S., 2001, Undertaking Systematic Reviews of Research on Effectiveness: CRD’s Guidance for Those Carrying Out or Commissioning Reviews, 1

10.1016/S0277-9536(99)00495-5

Manocha S., 1992, Cultural beliefs and practices affecting the utilisation of health services during pregnancy, Journal of the Indian Anthropological Society, 27, 181

10.1016/j.midw.2003.10.003

Matsumura M., 2001, Women’s status household structure and the utilisation of maternal health services in Nepal, Asia-Pacific Population Journal, 16, 23, 10.18356/e8a4c9ed-en

Matthews Z., 2001, Antenatal care, care‐seeking and morbidityin rural Karnataka, India: results of a prospective study, Asia-Pacific Population Journal, 16, 11, 10.18356/68e88093-en

10.1258/1355819054308576

10.1016/0277-9536(94)00175-S

Mekonnen Y., 2003, Factors influencing the use of maternal healthcare services in Ethiopia, Journal of Health, Population, & Nutrition, 21, 374

10.2307/172182

Mishra V., 2004, Muslim/Non‐Muslim Differentials in Fertility and Family Planning in India

Mishra U.S., 1998, Antenatal care and contraceptive behaviour in India: some evidence from the national family health survey, Journal of Family Welfare, 44, 1

Mondal S.K., 1997, Utilisation of antenatal care services in Rajasthan: observations from the NFHS, The Journal of Family Welfare, 43, 28

MullickS. KuneneB.&WanjiruM.(2005)Involving men in maternity care: health service delivery issues. Agenda Special Focus. Retrieved from:http://www.popcouncil.org/pdfs/frontiers/journals/Agenda_Mullick05.pdfon 5 December 2006.

10.1016/j.socscimed.2004.08.019

10.4314/eamj.v79i4.8875

10.1016/S1526-9523(02)00421-X

10.1016/S0277-9536(01)00313-6

NHS Centre for Reviews & Disseminations, 2001, Undertaking Systematic Reviews of Research on Effectiveness: CRD’s Guidance for Those Carrying Out or Commissioning Reviews

10.1046/j.1365-2524.2001.00310.x

Nisar N., 2003, Factors affecting utilization of antenatal care among reproductive age group women (15–49 years) in an urban squatter settlement of Karachi, JPMA – Journal of the Pakistan Medical Association, 53, 47

10.1177/101053950501700102

10.2307/1966644

10.1093/jae/ejh008

10.1016/j.socscimed.2003.11.045

10.1016/j.ijgo.2004.09.024

10.1016/j.socscimed.2005.10.030

10.1016/0277-9536(95)00411-4

10.1016/S0140-6736(02)11560-1

Sharma B., 2004, Utilisation of antenatal care services in Nepal, Nepal Population Journal, 11, 79

10.1016/j.jmwh.2004.03.009

Simkhada B.D., 2006, Major problems and key issues in maternal health in Nepal, Kathmandu University Medical Journal, 4, 258

10.2307/2950812

10.1111/j.1728-4465.2002.00309.x

10.1136/bmj.328.7446.1010

10.1046/j.1523-536X.2003.00224.x

10.1016/S0140-6736(00)04722-X

WHO, 1998, Gender Inequalities in Health Care. Gender and Health: Technical Paper

WHO, 2005, The World Health Report: Make Every Mother and Child Count

WHO, 2006, The Global Shortage of Health Workers and its Impact

WHO & UNICEF, 2003, Antenatal Care in Developing Countries: Promises, Achievements and Missed Opportunities: An Analysis of Trends, Levels, and Differentials: 1990–2001

WHO, UNICEF & UNFPA, 2004, Maternal Mortality in 2000: Estimates Developed by WHO and UNICEF, UNFPA

Thông tin
Thông tin xuất bản

Journal of Advanced Nursing

Tập 61 Số 3

244-260

Thông tin tác giả