Factors associated with utilization of antenatal care services in Cambodia

被引:12
作者
Prusty R.K. [1 ]
Buoy S. [2 ]
Kumar P. [1 ]
Pradhan M.R. [1 ,3 ]
机构
[1] International Institute for Population Sciences, Govandi Station Road, Deonar, 400088, Mumbai
[2] National Institute of Statistics, Ministry of Planning, Royal Preah Monivong Blvd, Boeung Keng Kong 1, Chamkarmorn, Phnom Penh
[3] Department of Fertility Studies, International Institute for Population Sciences, Govandi Station Road, Deonar, 400088, Mumbai
关键词
Antenatal care; Cambodia; Factors; Utilization;
D O I
10.1007/s10389-015-0680-9
中图分类号
学科分类号
摘要
Aim: This study aims to understand the levels and trends of the utilization of antenatal care services and its determinants in Cambodia. Subject and methods: The study used the data of most recent rounds of nationally representative Cambodian Demographic Health Surveys (CDHS) during 2000–2010. The data was analysed using IBM SPSS 21.0 software and the analytical approach includes both bivariate and multivariate analyses. Arc GIS 10.1 software was used to show the geographic variation in utilization of the antenatal care services. Results: The utilization of antenatal care services was found to be low along with wide variation according to socio-economic and regional characteristics. Higher education, exposure to mass media and economic condition of the household were the significant enablers, while higher birth order, bigger household size and rural residence were the major barriers to utilization of the antenatal care services. The majority of the women (79 %) had received antenatal care services from midwives. Women in coastal regions (AOR = 0.58, p <.01) and plateau and mountain regions (AOR =.0.41, p <.01) were significantly less likely to get antenatal care by skilled health providers as compared to those in the plains region. Conclusion: Tailor-made region-specific programs, in addition to accessible antenatal care services with intensive information for the economically backward and less educated women would enhance the utilization, thereby ensuring better antenatal health in Cambodia. © 2015, Springer-Verlag Berlin Heidelberg.
引用
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页码:297 / 310
页数:13
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