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Factors influencing the use of antenatal care in rural West Sumatra, Indonesia.doc

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Factors influencing the use of antenatal care in rural West Sumatra, Indonesia

AgusandHoriuchiBMCPregnancyandChildbirth2012,12:9 /1471-2393/12/9 RESEARCH ARTICLE OpenAccess Factorsinfluencingtheuseofantenatalcarein ruralWestSumatra,Indonesia YenitaAgus1,2?andShigekoHoriuchi1*? Abstract Background:Everyyear,nearlyhalfamillionwomenandgirlsneedlesslydieasaresultofcomplicationsduring pregnancy,childbirthorthe6weeksfollowingdelivery.Almostall(99%)ofthesedeathsoccurindeveloping countries.Thestudyaimwastodescribethefactorsrelatedtolowvisitsforantenatalcare(ANC)servicesamong pregnantwomeninIndonesia. Method:Atotalof145of200marriedwomenofreproductiveagewhowerepregnantorhadexperiencedbirth respondedtothequestionnaireabouttheirANCvisits.Wedevelopedaquestionnairecontaining35itemsand foursections.Sectiononeandtwoincludedthewomen’ssociodemographics,sectionthreeaboutbasic knowledgeofpregnancyandsectionfourcontainedtwosubsectionsaboutpreferencesaboutmidwivesand preferencesaboutTraditionalBirthAttendant(TBA)andthesecondsubsectionsweretraditionalbeliefs.Datawere collectedusingaconveniencesamplingstrategyduringJulyandAugust2010,from10villagesintheTanjung Emas.Multipleregressionanalysiswasusedforpreferencefortypesofproviders. Results:Three-quarterofrespondents(77.9%)receivedANCmorethanfourtimes.Theother22.1%receivedANC lessthanfourtimes.59.4%receivedANCvisitsduringpregnancy,whichwasstatisticallysignificantcomparedto multiparous(p=0.001).WomenwhowereencouragedbytheirfamilytoreceiveANChadstatisticallysignificant highertraditionalbeliefscorescomparedtothosewhoencouragedthemselves(p=0.003).PreferenceforTBAs wasmoststronglyaffectedbytraditionalbeliefs(p0.001).Onthecontrary,preferenceformidwiveswas negativelycorrelatedwithtraditionalbeliefs(p0.001). Conclusions:Paritywasthefactorinfluencingwomen’sreceivinglessthantherecommendedfourANCvisits duringpregnancy.WomenwhowereencouragedbytheirfamilytogetANCserviceshadhighertraditionalbeliefs scorethanwomenwhoencouragedthemselves.Moreover,traditionalbeliefsfollowedbylowerincomefamilies hadthegreaterinfluenceoverpreferringTBA