Chandni Joshi|Siranda Torvaldsen|Ray Hodgson|Andrew Hayen
Factors associated with the use and quality of antenatal care in Nepal: a population-based study using the demographic and health survey data
UNSW Sydney|UNSW Sydney|UNSW Sydney
good quality antenatal care anc reduces maternal neonatal mortality improves health outcomes particularly lowincome countries quality anc measured three dimensions number visits timing initiation care inclusion recommended components care although studies report predictors first two indicators studies third indicator measures quality anc received conducted nepal nepal follows world health organizations recommendations initiation anc within first four months pregnancy least four anc visits course uncomplicated pregnancy study aimed identify factors associated 1 attendance four anc visits 2 receipt good quality anc data nepal demographic health survey 2011 analysed 4079 mothers good quality anc defined included seven recommended components blood pressure measurement urine tests detecting bacteriuria proteinuria blood tests syphilis anaemia provision iron supplementation intestinal parasite drugs tetanus toxoid injections health education half women four anc visits 85 least one visit health education iron supplementation blood pressure measurement tetanus toxoid commonly received components anc older age higher parity higher levels education household economic status women predictors attendance four visits receipt good quality anc women smoke say decisionmaking whose husbands higher levels education involved occupations agriculture likely attend four visits predictors womens receipt good quality anc receiving anc skilled provider hospital living urban area exposed general media continued efforts improving access quality anc nepal required short term less educated women socioeconomically disadvantaged households require targeting longterm improvements require focus improving female education