Determinants of Time of Start of Prenatal Care and Number of Prenatal Care Visits During Pregnancy Among Nepalese Women
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This study is aimed at investigating the factors determining the timing of first prenatal care (PNC) visit and the number of PNC visits among a national representative sample of Nepali women. Data was drawn from the 2006 Nepal Demographic and Health Survey on women age 15–49 years old who had delivery within three years prior to the survey (N = 4,136). Multinomial logistic regression was used to study the association between socio-demographic variables and two outcome variables—the timing of first PNC and number of PNC visits. Most of the women (45%) started prenatal care after 3 months of pregnancy while 28% had no care. About 43% of women had 1–3 PNC visits, 29% had more than 3 visits. Age, education, parity and wealth were associated with both the timing of PNC and the number of PNC visits such that older women and those socioeconomically disadvantaged had late and fewer PNC visits compared to the younger ones and those with socioeconomic advantage, respectively. Women with higher parity and those in rural residencies were more likely to delay PNC, have fewer PNC or have no care at all. Majority of Nepali women do not attend prenatal care during the first trimester of pregnancy contrary to the WHO recommendation for women in developing countries. Programmes aimed at improving maternal health in general and participation in PNC in particular should target all Nepali women, especially those: in rural residencies, with no education, with high parity; older women and those from poor households.
KeywordsQuantity of prenatal care Maternal demographic factors Demographic Health Survey Nepal Timing of PNC
- 3.Nwaru, B. I., Wu, Z., Hemminki, E. (2010). Determinants of the use of prenatal care in rural China: The role of care content. Maternal Child Health Journal. doi:10.1007/s10995-010-0734-0.
- 4.World Health Organization, WHO. (2006). Report on maternal mortality. [http://www.who.int/making_pregnancy_safer/topics/maternal_mortality/en/].
- 5.World Health Organization, WHO. (2009). Women’s health fact sheet N 334 [http://www.who.int/mediacentre/factsheets/fs334/en/index.html].
- 9.World Health Organization, WHO. (1994). Antenatal care: Report of a Technical Working Group. Geneva, 31 October–4 November.Google Scholar
- 11.Kurth, F., Be′lard, S., Mombo-Ngoma, G., Schuster, K., Adegnika, A. A., et al. (2010). Adolescence as risk factor for adverse pregnancy outcome in Central Africa—a cross-sectional study. PLoS ONE 5(12), e14367. doi:10.1371/journal.pone.0014367.
- 17.Nepal Demographic and Health Survey (NDHS) Report. (2007). New ERA Kathmandu Nepal and Macro International Inc. USA: Ministry of Health and Population Government of Nepal.Google Scholar
- 18.Krueger, P. M., & Scholl, T. O. (2000). Adequacy of prenatal care and pregnancy outcome. Journal of American Osteopathic Association, 100, 485–492.Google Scholar
- 28.Bhatia, J. C., & Cleland, J. (1995). Determinants of maternal care in a region of South India. Health Transition Review, 5, 127–142.Google Scholar
- 32.Lodewyckx, K., Peeters, G., Spitz, B., Blot, S., Temmerman, M., Zhang, W., et al. (2008). Nationale richtlijn prenatale zorg: een basis voor een klinisch pad voor de opvolging van zwangerschappen. In KCE reports (Vol. 6A). Federaal Kenniscentrum voor de Gezondheidszorg, 26-11-2008.Google Scholar