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dc.contributor.authorAkter, S
dc.contributor.authorRich, JL
dc.contributor.authorDavies, K
dc.contributor.authorInder, KJ
dc.date.accessioned2021-01-18T04:51:21Z
dc.date.available2021-01-18T04:51:21Z
dc.date.issued2020-12-29
dc.identifierpii: PONE-D-19-33547
dc.identifier.citationAkter, S., Rich, J. L., Davies, K. & Inder, K. J. (2020). Prevalence and factors associated with antenatal care service access among Indigenous women in the Chittagong Hill Tracts, Bangladesh: A cross-sectional study.. PLoS One, 15 (12), https://doi.org/10.1371/journal.pone.0244640.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11343/258741
dc.description.abstractBACKGROUND: Prevalence of accessing antenatal care (ANC) services among Indigenous women in the Chittagong Hill Tracts (CHT) is unknown. This study aims to estimate the prevalence of accessing ANC services by Indigenous women in the CHT and identify factors associated with knowledge of, and attendance at, ANC services. METHODS: Using a cross-sectional design three Indigenous groups in Khagrachari district, CHT, Bangladesh were surveyed between September 2017 and February 2018. Indigenous women within 36 months of delivery were asked about attending ANC services and the number who attended was used to estimate prevalence. Socio-demographic and obstetric characteristics were used to determine factors associated with knowledge and attendance using multivariable logistic regression techniques adjusted for clustering by village; results are presented as odds ratios (OR), adjusted OR, and 95% confidence intervals (CI). RESULTS: Of 494 indigenous women who met the inclusion criteria in two upazilas, 438 participated (89% response rate) in the study, 75% were aged 16-29 years. Sixty-nine percent were aware of ANC services and the prevalence of attending ANC services was 53% (n = 232, 95%CI 0.48-0.58). Half (52%; n = 121) attended private facilities. Independent factors associated with knowledge about ANC were age ≥30 years (OR 2.2, 95%CI 1.1-4.6), monthly household income greater than 20,000 Bangladeshi Taka (OR 3.4, 95%CI 1.4-8.6); knowledge of pregnancy-related complications (OR 3.6, 95%CI 1.6-8.1), knowledge about nearest health facilities (OR 4.3, 95%CI 2.1-8.8); and attending secondary school or above (OR 4.8, 95%CI 2.1-11). Independent factors associated with attending ANC services were having prior knowledge of ANC benefits (OR 7.7, 95%CI 3.6-16), Indigenous women residing in Khagrachhari Sadar subdistrict (OR 6.5, 95%CI 1.7-25); and monthly household income of 20,000 Bangladeshi Taka or above (OR 2.8, 95%CI 1.1-7.4). CONCLUSION: Approximately half of Indigenous women from Chittagong Hill Tracts Bangladesh attended ANC services at least once. Better awareness and education may improve ANC attendance for Indigenous women. Cultural factors influencing attendance need to be explored.
dc.languageeng
dc.publisherPLOS
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titlePrevalence and factors associated with antenatal care service access among Indigenous women in the Chittagong Hill Tracts, Bangladesh: A cross-sectional study.
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pone.0244640
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.source.titlePLoS One
melbourne.source.volume15
melbourne.source.issue12
melbourne.source.pagese0244640-
dc.rights.licenseCC BY
melbourne.elementsid1485215
melbourne.openaccess.pmchttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771700
melbourne.contributor.authorAkter, Shahinoor
dc.identifier.eissn1932-6203
melbourne.accessrightsOpen Access


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