Status of the WHO recommended timing and frequency of antenatal care visits in Northern Bangladesh

• DOI: 10.1371/journal.pone.0241185
• Publication Date: 2020-11-05T18:46:41Z
• Authors: Bidhan Krishna Sa...; Musfikur Rahman; Tanjina Rahman; Tawhidur Rahman; Jubaida Jahan Khalil; Mehedi Hasan; Fariya Rahman; Anisuddin Ahmed; Dipak Kumar Mitra; Malay Kanti Mridha; Anisur Rahman
• Keywords: Guideline; Cross-sectional study

Objective There is dearth of information on the timeliness antenatal care (ANC) uptake. This study aimed to determine timely ANC uptake by a medically trained provider (MTP) as per World Health Organization (WHO) recommendations and country guideline. Methods Cross-sectional survey was done with 2,731 women having livebirth outcome in last one year Dinajpur, Nilphamari Rajshahi districts, Bangladesh from August-November,2016. Results About 82%(2,232) received at least MTP. Overall, 78%(2,142) 4 or more ANCs any 43%(1168) Only 14%(378) their first 1 st trimester As schedule visits WHO FANC model guideline 8%(203) 20%(543) respectively 2 MTP; where only 1%(32) 3%(72) 3 0.6%(17) 1%(29) all four visits. Factors significantly associated two are: 10 above years schooling [adj. OR 2.13 (CI: 1.05, 4.30)] husbands 2.40 1.31, 4.38)], women’s employment 2.32 1.43, 3.76)], urban residential status 3.49 2.46, 4.95)] exposure mass media 1.58 1.07, 2.34)] 95% confidence interval. According 2016 model, 1.5%(40) could comply contacts MTP no 8 contacts. Conclusion Despite high coverage utilization, visit low both For better understanding, further studies are required design feasible intervention for improving maternal child health.