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Original Articles
- Institutional Delivery in the Philippines: Does a Minimum of 8 Antenatal Care Visits Matter?
- Felly Philipus Senewe, Agung Dwi Laksono, Roy Glenn Albert Massie, Leny Latifah, Syarifah Nuraini, Rozana Ika Agustiya, Jane Kartika Propiana, Wahyu Pudji Nugraheni
- J Prev Med Public Health. 2025;58(1):44-51. Published online October 22, 2024
- DOI: https://doi.org/10.3961/jpmph.24.245
- 1,291 View
- 152 Download
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Abstract
Summary
PDF - Objectives
This cross-sectional study investigated the association between the utilization of 8 antenatal care (ANC) visits and delivery in a healthcare institution in the Philippines, using data from the 2022 National Demographic and Health Survey.
Methods
A sample of women who had given birth within the past 3 years was selected for analysis (n=4452). The association between ANC utilization and institutional delivery was assessed using logistic regression models, covariates by relevant socio-demographic factors, and childbirth history.
Results
We found that 97.2% of respondents who completed ANC opted for institutional delivery. A higher proportion of rural residents did not undergo institutional delivery than urban residents (12.9 vs. 6.9%). The group aged 20-24 years had the highest coverage (92.8%), and the group aged 40-44 years had the lowest. Higher education levels, employment, and greater wealth were associated with higher institutional delivery rates. Divorced or widowed mothers (85.1%) and grand multiparous mothers had lower rates than other groups. Multivariable logistic regression analysis showed a significant positive association between ANC utilization and institutional deliveries after adjusting for covariates (adjusted odds ratio, 2.486; 95% confidence interval, 2.485 to 2.487; p<0.001).
Conclusions
ANC visits were associated with deliveries in institutions in the Philippines. Policymakers should promote ANC by ensuring 8 World Health Organization-recommended visits, strengthening programs, conducting community outreach, addressing access barriers, and integrating maternal health services to increase institutional births and improve maternal and infant health. -
SummaryKey Message
This study examines the determinants of institutional delivery in the Philippines, with a focus on compliance with the WHO-recommended eight antenatal care (ANC) visits. Analysis of data from the 2022 National Demographic and Health Survey reveals a strong positive correlation between completing the recommended ANC visits and choosing institutional delivery, alongside significant influences from maternal age, education, marital status, employment, socioeconomic status, and parity. Findings underscore the importance of expanding ANC access and targeted interventions, particularly in underserved areas, to increase institutional delivery rates and improve maternal and neonatal health outcomes.TOP- Antenatal Care Services and Incidence of Low Birth Weight: A Comparison of Demographic and Health Surveys in 4 ASEAN Countries
- Miftahul Arsyi, Besral Besral, Milla Herdayati, Revati Phalkey
- J Prev Med Public Health. 2022;55(6):559-567. Published online November 13, 2022
- DOI: https://doi.org/10.3961/jpmph.22.316
- 5,309 View
- 213 Download
- 4 Web of Science
- 5 Crossref
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Abstract
PDF
Supplementary Material - Objectives
This study aimed to assess the effect of complete coverage and content of available antenatal care (ANC) on the incidence of low birth weight (LBW) in 4 countries belonging to the Association of Southeast Asian Nations (ASEAN).
Methods
Measures of complete coverage and content of ANC services included the frequency of ANC visits and the seven service components (blood pressure measurement, iron supplementation, tetanus toxoid immunization, explanations of pregnancy complications, urine sample test, blood sample test, and weight measurement). The complete coverage and content of ANC services were assessed as high if more than 4 ANC visits and all seven components were delivered. Multivariable logistic regression with complex survey designs was conducted using Demographic Health Survey data from the 4 ASEAN countries in question from 2014 to 2017.
Results
The proportion of LBW infants was higher in the Philippines (13.8%) than in Indonesia (6.7%), Cambodia (6.7%), or Myanmar (7.5%). Poor ANC services were associated with a 1.30 times higher incidence of LBW than a high level of complete coverage and content of ANC services (adjusted odds ratio [aOR], 1.30; 95% confidence interval [CI], 1.11 to 1.52). In addition, the risk of LBW was higher in the Philippines than in other countries (aOR, 2.25; 95% CI, 2.01 to 2.51) after adjusting for mothers’ demographic/socioeconomic factors, health behaviors, and other factors.
Conclusions
In sum, complete coverage and content of ANC services were significantly associated with the incidence of LBW in Indonesia, Cambodia, and Myanmar. The Philippines did not show statistically significant results for this relationship, but had a higher risk of LBW with poor ANC. -
Summary
Citations
Citations to this article as recorded by
- Synergistic associations of antenatal care visits and iron-folic acid supplementation with low birth weight: a pooled analysis of national surveys from six south Asian countries
Vishnu Khanal, Sangita Bista, Shiva Raj Mishra
BMC Public Health.2024;[Epub] CrossRef - The association of Chinese and American antenatal care utilization indices with birth outcomes
Haibo Zhou, Yi Yang, Peihan Chi, Haoyue Cheng, Xialidan Alifu, Yiwen Qiu, Ye Huang, Libi Zhang, Diliyaer Ainiwan, Yan Zhuang, Hui Liu, Zhi Chen, Yunxian Yu
Frontiers in Public Health.2024;[Epub] CrossRef - Relationship of sociodemographic factors and low birth weight in toddlers
Nikmatur Rohmah, Indah Wulandari, Agil Khoironi Firdaus, Nabilah Auliya, Novannisa Imanda, Dwi Ningtyas Anggraini
Frontiers of Nursing.2024; 11(4): 479. CrossRef - Effect of the enhancing nutrition and antenatal infection treatment (ENAT) intervention on birth weight in Ethiopia: a cluster randomized controlled trial
Y Mekonnen, E Wolde, A Bekele, Z Mehari, S Abebe, T Hagos, Y Tadesse, T Taye, G Asire, T Nigatu, S Kumar, S Girma, M Salasibew
BMC Pregnancy and Childbirth.2023;[Epub] CrossRef - Compliance with the World Health Organization’s 2016 prenatal care contact recommendation reduces the incidence rate of adverse birth outcomes among pregnant women in northern Ghana
Leticia Achangebe Akum, Eunice Amina Offei, Mary Rachael Kpordoxah, Daudi Yeboah, Abdul-Nasir Issah, Michael Boah, Sanjoy Kumer Dey
PLOS ONE.2023; 18(6): e0285621. CrossRef
Perspective- Group Antenatal Care: A Paradigm Shift to Explore for Positive Impacts in Resource-poor Settings
- Bhanu Pratap Singh Gaur, Jyothi Vasudevan, Bhabani Pegu
- J Prev Med Public Health. 2021;54(1):81-84. Published online December 8, 2020
- DOI: https://doi.org/10.3961/jpmph.20.349
- 5,256 View
- 153 Download
- 6 Web of Science
- 8 Crossref
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Abstract
PDF
- The delivery of high-quality antenatal care is a perennial global concern for improving maternal and neonatal outcomes. Antenatal care is currently provided mainly on a one-to-one basis, but growing evidence has emerged to support the effectiveness of group antenatal care. Providing care in a small group gives expectant mothers the opportunity to have discussions with their peers about certain issues and concerns that are unique to them and to form a support system that will improve the quality and utilization of antenatal care services. The aim of this article is to promote group antenatal care as a means to increase utilization of healthcare.
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Summary
Citations
Citations to this article as recorded by- Qualitative evaluation of a package of implementation strategies codesigned to support the introduction of multiple micronutrient supplementation (MMS) for pregnant women in Bamako, Mali
Aissata Ba, Monica J. Fox, Adama Mamby Keita, Kristen M. Hurley, Shannon E. King, Samba Sow, Kounandji Diarra, Mahamane Djiteye, Baba Seydou Kanté, Moussa Coulibaly, Ousmane Dembele, Lisa M. Noguchi, Pooja Sripad, Peter J. Winch
Maternal & Child Nutrition.2025;[Epub] CrossRef - Belonging: a meta-theme analysis of women’s community-making in group antenatal and postnatal care
Anna Horn, Marsha Orgill, Deborah L. Billings, Wiedaad Slemming, Astrid Van Damme, Mathilde Crone, Malibongwe Gwele, Nathalie Leister, Ashna D. Hindori-Mohangoo, Katrien Beeckman, Susan Bradley, Manodj P. Hindori, Jedidia Abanga, Julia Ryan, Hana Bucinca,
Frontiers in Public Health.2025;[Epub] CrossRef - Improving health literacy through group antenatal care: results from a cluster randomized controlled trial in Ghana
Jody R. Lori, Vida Ami Kukula, Liya Liu, Veronica E.A. Apetorgbor, Bidisha Ghosh, Elizabeth Awini, Nancy Lockhart, Georgina Amankwah, Ruth Zielinski, Cheryl A. Moyer, John Williams
BMC Pregnancy and Childbirth.2024;[Epub] CrossRef - Magnitude, disparity, and predictors of poor-quality antenatal care service: A systematic review and meta-analysis
Dereje Bayissa Demissie, Gebeyaw Molla, Firew Tiruneh Tiyare, Abebe Sorsa Badacho, Ashenif Tadele
SAGE Open Medicine.2024;[Epub] CrossRef - WHO antenatal care policy and prevention of malaria in pregnancy in sub-Saharan Africa
Bolanle Olapeju, Michael Bride, Julie R. Gutman, Katherine Wolf, Scolastica Wabwire, Deborah Atobrah, Felicia Babanawo, Otubea Owusu Akrofi, Christian Atta-Obeng, Benjamin Katienefohoua Soro, Fady Touré, Emmanuel Shekarau, Zoé M. Hendrickson
Malaria Journal.2024;[Epub] CrossRef - Effect of group antenatal care versus individualized antenatal care on birth preparedness and complication readiness: a cluster randomized controlled study among pregnant women in Eastern Region of Ghana
Vida A. Kukula, Elizabeth Awini, Bidisha Ghosh, Veronica Apetorgbor, Ruth Zielinski, Georgina Amankwah, Winfred K. Ofosu, Katherine James, John E. O. Williams, Jody R. Lori, Cheryl A. Moyer
BMC Pregnancy and Childbirth.2024;[Epub] CrossRef - Group Antenatal Care Start-Up in the Indian Private Sector: An Implementation Journey to Improve Quality of Care
Tara Danielle Kinra, Vanisree Ramanathan, Chinmay Pramod Umarji, Peg Dublin, Sharon Schindler Rising
Global Journal on Quality and Safety in Healthcare.2024; 7(4): 191. CrossRef - Adolescents’ experiences with group antenatal care: Insights from a mixed‐methods study in Senegal
Ashley Vandermorris, Britt McKinnon, Mohamadou Sall, Adrian Witol, Mahamadou Traoré, Fatma Lamesse‐Diedhiou, Diego G. Bassani
Tropical Medicine & International Health.2021; 26(12): 1700. CrossRef
Original Article- Prenatal care utilization pattern and its determinants in rural Korea.
- Jang Rak Kim, Jung Han Park, Jae Kyong Lee, Sang Hong Seo, Joon Yong Bang
- Korean J Prev Med. 1993;26(4):599-613.
- 2,308 View
- 25 Download
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Abstract
PDF
- To study the pattern of prenatal care utilization and its determinants in rural Korea, 976 mothers(65.5%) out of 1,489 living mothers in Chinyang, Sachon and Hapchon Counties in Kyongsangnam Province who had delivered a baby between July 1, 1990 and June 30, 1991 were interviewed by the Myon health workers from January 3 through February 15, 1992. The Andersen's behavioral model for health service utilization was applied to develop the frames for analysis. The dependent variable was a number of prenatal care visits. And the independent variables included in the model were the variables pertaining to the predisposing, enabling, medical need and other components. The proportion of mother who had ever received the prenatal care service for the index pregnancy was 97.3%. However, the proportion of mothers who had made more than 10 visits was only 20.6%, which indicated that majority of mothers had paid far less visits than recommended 10~12 visits for each normal pregnancy. The low utilization of prenatal care services(none or less than 4 visits) was related to mother's low educational level, the high birth order, beneficiary of the medical aid, the absence of clinic in the community, no diagnosed disease of mother during pregnancy, and mothers engaged in farming. Inequity of access seemed to exist because social structure variables and the variables of enabling component were important predictors. And there seemed to be high mutability in equalizing the distribution of prenatal care services because the variables of enabling component such as type of medical security and whether there was a clinic or not in the community were substantially important.
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