17Jul 2017

S TO DETERMINE THE PROPORTION VISIT FOR ANC & SUBSEQUENCE VISITS OF 10 ARCS CLINICS AT NORTH REGION OF AFGHANISTAN.

  • Jodhpur School of Public Health, (JSPH) Maulana Azad University Jodhpur, India.
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Background: In developing countries a large number of women are dying due to factors related to pregnancy and child birth. Implementing and assuring utilization of maternal health care services is potentially one of the most effective health interventions for preventing maternal morbidity and mortality. However, in Afghanistan the utilization of maternal health care is low. Methods: A cross-sectional retrospective study was conducted from July to December 2016 in North region, Afghanistan, to assess to determine the proportion visit for ANC & subsequence visits of mentioned ARCS clinics. The data were collected through their monthly HMIS report and use as secondary data collection. Data were collected from a sample of 10 clinics Results: The study revealed that 82% of the women had at least one antenatal visit during their last pregnancy. Among the antenatal service users, 41% had less than four antenatal visits. More than half of the antenatal care (ANC) attendants made their first visit during their second and third trimester of pregnancy although WHO recommended ANC should be started at the first trimester of the pregnancy. Attitude towards pregnancy, knowledge on danger signs of pregnancy and presence of husband approval on ANC. The study also revealed that about 3.07% of the women had given birth in the health institutions. Parity, literacy status of women, average monthly family income, media exposure, decision where to give birth, perception of distance to health institutions (HI) and ANC attendance were found to be significantly associated with delivery care (DC) attendance. Conclusions: The utilization of ANC and DC service is inadequate in the catchment area. The utilization of ANC and DC were influenced by demographic, socio-economic and health related factors. Improving the status of women by expanding educational opportunities, strengthening promotion of antenatal and delivery care by enhancing community awareness about the importance of ANC and DC are recommended.

  1. World Health Organization: Trends in maternal mortality: 1990?2010. 2012, http://www.who.int/reproductivehealth/publications/monitoring/9789241503631/en/.Google Scholar
  2. United Nations General Assembly: Report of the Office of the United Nations High Commissioner for Human Rights on preventable maternal mortality and morbidity and human rights. 2010, http://www2.ohchr.org/english/bodies/hrcouncil/docs/14session/A.HRC.1439.pdf.Google Scholar
  3. Kim YM, Zainulla P, Mungia J, Tappis H, Bartlett L, Zaka N: Availability and quality of emergency obstetric and neonatal services in Afghanistan. Int J Gynaecol Obstet. 2012, 116: 192-196. 10.1016/j.ijgo.2011.10.017.View ArticlePubMedGoogle Scholar
  4. Johns Hopkins Bloomberg School of Public Health and Indian Institute of Health Management Research: Afghanistan Health Survey (AHS) 2006. 2007, http://www.independentadvocate.org/downloads/afghanistan-health-survey-2006.pdf.Google Scholar
  5. Acerra J, Iskyal K, Qureshi ZA, Sharma RK: Rebuilding the health care system in Afghanistan.: an overview of primary care and emergency services. Int J Emerg Med. 2009, 2: 77-82. 10.1007/s12245-009-0106-y.View ArticlePubMedPubMed CentralGoogle Scholar
  6. Amowitz LL, Reis C, Iacopino V: Maternal mortality in Heart Province, Afghanistan, in 2002. An indicator of women?s human rights. JAMA. 2002, 288: 1284-1291. 10.1001/jama.288.10.1284.View ArticlePubMedGoogle Scholar
  7. Kaartinen L, Divan : Mother and child health care in Kabul, Afghanistan with focus on the mother: women?s own perspective. Acta Obstetr Gynecol Scand. 2002, 81: 491-501. 10.1034/j.1600-0412.2002.810604.x.View ArticleGoogle Scholar
  8. Williams JL, McCarthy B: Observations from a maternal and infant hospital in Kabul, Afghanistan ? 2003. J Midwifery Womens Health. 2005, 50: e31-e35. 10.1016/j.jmwh.2005.02.009.View ArticlePubMedGoogle Scholar
  9. Malterud K: Shared understanding of the qualitative research process: guidelines for the qualitative researcher. Fam Pract. 1993, 10: 201-216. 10.1093/fampra/10.2.201.View ArticlePubMedGoogle Scholar
  10. Malterud K: Qualitative research: standards, challenges, and guidelines. Lancet. 2001, 358: 483-488. 10.1016/S0140-6736(01)05627-6.View ArticlePubMedGoogle Scholar
  11. Reproductive Health Task Force, Ministry of Health, Islamic Republic of Afghanistan: National Reproductive Health Strategy 2006?2009. 2006, http://moph.gov.af/Content/Media/Documents/National-RH-Strategy-2006-0929122010164034259.pdf.Google Scholar
  12. Koblinsky M, Matthews Z, Hussein J, Mavalankar D, Mridha MK, Achadi E, Padmanabhan P, van Leberghe W, on behalf of The Lancet Maternal Survival Series steering group: Maternal Survival 3. Going to scale with professional skilled care. Lancet. 2006, 368: 1377-86. 10.1016/S0140-6736(06)69382-3.View ArticlePubMedGoogle Scholar
  13. D?Olivera A, Diniz SG, Schraiber LB: Violence against women in health-care institutions: an emerging problem. Lancet. 2002, 359: 1681-85. 10.1016/S0140-6736(02)08592-6.View ArticleGoogle Scholar
  14. Harvey S, Ayala GF, Bermeo PH: Reframing authoritative knowledge about childbirth in Ecuador. 104th annual meeting of the American Anthropological Association. 2005Google Scholar
  15. Kabakian-Khasholian T, Campbell O, Shediac-Rizkallah M: Women?s experiences of maternity care: satisfaction or passivity?. Soc Sci Med. 2000, 51: 103-13. 10.1016/S0277-9536(99)00443-8.View ArticlePubMedGoogle Scholar
  16. Malqvist M, Hoa DTP, Thomson S: Causes and determinants of inequity in maternal and child health care in Vietnam. BMC Public Health. 2012, 12: 641-10.1186/1471-2458-12-641.View ArticlePubMedPubMed CentralGoogle Scholar
  17. Cockcroft A, Khan A, Ansari N, Omer K, Hamel C, Andersson N: Does contracting of health care in Afghanistan work? Public and service-users? perceptions and experience. BMC Health Serv Res. 2011, 11 (Suppl 2): S11-10.1186/1472-6963-11-S2-S11.View ArticlePubMedPubMed CentralGoogle Scholar
  18. Sharma SP: Politics and corruption mar health care in Nepal. Lancet. 2010, 375: 2063-2064. 10.1016/S0140-6736(10)60945-2.View ArticlePubMedGoogle Scholar
  19. Mostert S, Sitaresmi MN, Njuguna F, van Beers E, Kaspers GJL: Effect of corruption on medical care in low-income countries. Pediatr Blood Cancer. 2012, 58: 325.326.View ArticlePubMedGoogle Scholar
  20. United Nations Office on drugs and crimes: Corruption in Afghanistan. 2010, http://www.unodc.org/documents/data-and-analysis/Afghanistan/Afghanistan-corruption-survey2010-Eng.pdf.Google Scholar
  21. World Health Organization and UNICEF: Countdown to 2015. Maternal, New Born and Child Survival. Building a future for Women and Children. 2012, http://www.countdown2015mnch.org/reports-and-articles/2012-report.Google Scholar
  22. Manandhar DS, Osrin D, Shrestha BP, (on behalf of the MIRA Makwanpur trial team): Effect of a participatory intervention with women?s groups on birth outcomes in Nepal. Lancet. 2004, 364: 970-79. 10.1016/S0140-6736(04)17021-9.View ArticlePubMedGoogle Scholar
  23. Murray S, Davies S, Phiri RK, Ahmed Y: Tools for monitoring the effectiveness of district maternity referral systems. Health Policy Plann. 2001, 16: 353-61. 10.1093/heapol/16.4.353.View ArticleGoogle Scholar
  24. Pfeiffer A, Noden BH, Walher ZA, Aarts R, Ferro J: General population and medical student perception of good and bad doctors in Mozambique. Educ Health. 2011, 24: 387.Google Scholar
  25. Dickson KE, Chopra M: Reducing neonatal mortality in resource poor settings. BMJ. 2012, 344: e2197-10.1136/bmj.e2197.View ArticlePubMedGoogle Scholar
  26. Sullivan T, Hirst J: Reducing maternal mortality: a review of progress and evidence-based strategies to achieve Millenium Goal 5. Health Care Women Int. 2011, 32: 901-916. 10.1080/07399332.2011.603867.View ArticlePubMedGoogle Scholar.

[Abdul Wahed Taher and Jahed Ahmad Nabil. (2017); S TO DETERMINE THE PROPORTION VISIT FOR ANC & SUBSEQUENCE VISITS OF 10 ARCS CLINICS AT NORTH REGION OF AFGHANISTAN. Int. J. of Adv. Res. 5 (Jul). 124-134] (ISSN 2320-5407). www.journalijar.com

Dr Abdul Wahed Taher MD, MPH
Maulana Azad School of public health ( JSPH)

DOI:

Article DOI: 10.21474/IJAR01/4702      
DOI URL: http://dx.doi.org/10.21474/IJAR01/4702

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