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Barriers to Utilization of Antenatal Care Services in Eastern Nepal

Overview of attention for article published in Frontiers in Public Health, August 2015
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Title
Barriers to Utilization of Antenatal Care Services in Eastern Nepal
Published in
Frontiers in Public Health, August 2015
DOI 10.3389/fpubh.2015.00197
Pubmed ID
Authors

Krishna Kumar Deo, Yuba Raj Paudel, Resham Bahadur Khatri, Ravi Kumar Bhaskar, Rajan Paudel, Suresh Mehata, Rajendra Raj Wagle

Abstract

World Health Organization recommends at least four pregnancy check-ups for normal pregnancies. Ministry of Health and Population Nepal has introduced various strategies to promote prenatal care and institutional delivery to reduce maternal and child deaths. However, maternal health service utilization is low in some selected socio-economic and ethnic groups. Hence, this study aims to assess barriers to the recommended four antenatal care (4ANC) visits in eastern Nepal. A cross-sectional quantitative study was conducted in Sunsari district. A total of 372 randomly selected women who delivered in the last year preceding the survey were interviewed using a semi-structured questionnaire. Bivariate and multivariate logistic regression analysis was carried out to identify barriers associated with 4ANC visits. More than two-third women (69%) attended at least 4ANC visits. The study revealed that women exposed to media had higher chance of receiving four or more ANC visits with an adjusted odds ratio (aOR = 3.5, 95% CI: 1.2-10.1) in comparison to women who did not. Women from an advantaged ethnic group had more chance of having 4ANC visits than respondents from a disadvantaged ethnic group (aOR = 2.4, 95% CI: 2.1-6.9). Similarly, women having a higher level of autonomy were nearly three times more likely (aOR = 2.9, 95% CI: 1.5-5.6) and richer women were twice (aOR = 2.3, 95% CI: 1.1-5.3) as likely to have at least 4ANC visits compared to women who had a lower level of autonomy and were economically poor. Being from disadvantaged ethnicity, lower women's autonomy, poor knowledge of maternal health service and incentive upon completion of ANC, less media exposure related to maternal health service, and lower wealth rank were significantly associated with fewer than the recommended 4ANC visits. Thus, maternal health programs need to address such socio-cultural barriers for effective health care utilization.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 233 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 233 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 49 21%
Student > Bachelor 30 13%
Researcher 17 7%
Student > Postgraduate 17 7%
Student > Doctoral Student 12 5%
Other 28 12%
Unknown 80 34%
Readers by discipline Count As %
Nursing and Health Professions 61 26%
Medicine and Dentistry 38 16%
Social Sciences 27 12%
Unspecified 4 2%
Business, Management and Accounting 2 <1%
Other 14 6%
Unknown 87 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 August 2015.
All research outputs
#18,422,065
of 22,821,814 outputs
Outputs from Frontiers in Public Health
#5,679
of 9,848 outputs
Outputs of similar age
#190,614
of 264,379 outputs
Outputs of similar age from Frontiers in Public Health
#35
of 51 outputs
Altmetric has tracked 22,821,814 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 9,848 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 10.0. This one is in the 23rd percentile – i.e., 23% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 264,379 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 51 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.