American Journal of Applied Mathematics and Statistics
ISSN (Print): 2328-7306 ISSN (Online): 2328-7292 Website: Editor-in-chief: Mohamed Seddeek
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American Journal of Applied Mathematics and Statistics. 2018, 6(4), 149-157
DOI: 10.12691/ajams-6-4-5
Open AccessArticle

Antenatal Care Practices with Associated Factors among Tribal Women of Bangladesh

A.N.M. Rezaul Karim1, , S.M. Mostafa Kamal2 and Md. Rashedul Islam1

1Department of Computer Science & Engineering, International Islamic University Chittagong, Bangladesh

2Department of Mathematics, Islamic University, Kushtia, Bangladesh

Pub. Date: August 13, 2018

Cite this paper:
A.N.M. Rezaul Karim, S.M. Mostafa Kamal and Md. Rashedul Islam. Antenatal Care Practices with Associated Factors among Tribal Women of Bangladesh. American Journal of Applied Mathematics and Statistics. 2018; 6(4):149-157. doi: 10.12691/ajams-6-4-5


Objectives: Since the maternal health of the tribal women is a world concern, it involves our attention more to them as they are underprivileged people all over the globe. This issue sounds true in the Bangladesh perspective as well. Antenatal care (ANC) is the first flight of stairs to reach the peak of success for safe-motherhood. It represents a series of evaluations over time, which is not implemented appropriately due to different types of limitation and problems. The study aimed to delve into ANC practices and the factors associated with this practices among tribal women dwelling in the Chittagong Hill Tracts (CHT) of Bangladesh. Materials and Methods: The descriptive statistic was used to analyze frequency, percentage. Associations were evaluated through Chi-square tests, and a binary logistic regression model was used to explore factors related to the use of ANC services. This paper is based on a quantitative study. Result: The study exposes that one-third (29.9%) of the pregnant women wanted ANC from a trained doctor of which 13.5% of women met adequate antenatal care attendance and 16.4% initiated attendance within three months of the pregnancy. Multivariable logistic regression analyses indicate that socio-economic status, place of residence, women's education, distance to health facilities, family planning were considered as the main determinant to seek ANC. The level of significance was set at 10% level of significance. Conclusion: The findings of the study suggest that specific efforts are needed to advance socio-economic status of tribal people, increasing the educational level of women and their husbands, reducing the distance from a health center, and strengthening family planning program are needed.

antenatal care adequacy for ANC CHT delay ANC maternal mortality tribal women

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[1]  Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group.. Lancet. 2016; 387 (10017): 462-74.
[2]  United Nations Children's Fund, World Health Organization, World Bank. United Nations- -DESA Population Division. Levels and Trends in Child Mortality 2015. Geneva, Switzerland: World Health Organization. on 03/04/2017
[3]  National Institute of Population Research and Training (NIPORT). Mitra and Associates, and ICF International. 2016. Bangladesh Demographic and Health Survey 2014. Dhaka, Bangladesh.
[4]  Central Statistics Organization (CSO), Ministry of Public Health (MoPH), and ICF. 2017. Afghanistan Demographic and Health Survey 2015. Kabul, Afghanistan: Central Statistics Organization.
[5]  Central Statistical Agency [Ethiopia]. 2014. Ethiopia Mini Demographic and Health Survey 2014. Addis Ababa, Ethiopia.
[6]  Central Bureau of Statistics, 2015. Nepal Multiple Indicator Cluster Survey 2014, Final Report. kathmandu, Nepal: Central Bureau of Statistics and UNICEF Nepal.
[7]  Walker, J.R., L. McCully, & V. Vest. Evidenced based prenatal-care visits: when less is more. Journal of Midwifery and Women Health 46(3): 146-151 (2001).
[8]  Deb, A. & S.G. Sosa-Rubi. Does onset or quality of prenatal care matter more for infant health?. Health Econometrics and Data Group, Working Paper No. 05/11. Heslington: The University of York (2005).
[9]  World Health Organization. The World Health Report 2003: Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice. Geneva, Switzerland: World Health Organization; 2003.
[10]  World Health Organization. The World Health Report 2002: WHO Antenatal Care Randomized Controlled Trial: Manual for implementation of the New Model. Geneva, Switzerland: World Health Organization.2002
[11]  World Health Organization. The World Health Report 2006: Provision of effective antenatal care. Geneva, Switzerland: World Health Organization; 2006.
[12]  Heaman MI, Newburn-Cook CV, Green CG, Elliott LJ, Helewa ME. Inadequate prenatal care and its association with adverse pregnancy outcomes: a comparison of indices, BMC Pregnancy Childbirth.2008; 8:15.
[13]  Bbaale E . Factors influencing the utilization of antenatal care content in Uganda, Aust Med J.. 2011; 4(9): 516-26.
[14]  Beeckman K, Louckx F, Putman K .Determinants of the number of antenatal visits in a metropolitan region, BMC Public Health .2010;10:527.
[15]  Carroli G, Rooney C, Villar J . How effectiveness is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence, Paediatr Perinat Epidemiol. 2001; 15(suppl 1): s1-s42.).
[16]  Kamal SMM, Hassan CH, Islam MD. Factors associated with the timing of antenatal care seeking in Bangladesh. Asia-Pacific Journal of Public Health. 2013; 27(2): 1467-80.
[17]  Islam MR, Odland JO. Determinants of antenatal and postnatal care visits among Indigenous people in Bangladesh: a study of the Mru Community.Rural and Remote Health, 2009; 11, 1-13.
[18]  Islam MR, Islam MN, Rahman MM. Trends and Patterns of Reproductivity Decline in Bangladesh: 1956-1998. Man in India. 2004; 84(1 & 2), 85-97.
[19]  Pervin J, Moran A, Rahman M, Razzaque A, Sibley L, Streatfield PK, Reichenbach LJ, Koblinsky M, Hruschka D, Rahman A, Association of antenatal care with facility delivery and perinatal survival – a population-based study in Bangladesh, BMC Pregnancy and Childbirth. 2012;12, 1-12.
[20]  Md. Shahjahan, Hasina Akhter Chowdhury, Jesmin Akter, Afsana Afroz, M Mizanur Rahman, MA Hafez, Factors associated with use of antenatal care services in a rural area of Bangladesh. 2012; 2(2), 61-66.
[21]  Silwal M. Maternal Health Care Practices among Indigenous People of Nepal: A Case Study of the Raute Community. Master’s Thesis (Masters of Philosophy in Indigenous Studies 09), Faculty of Social Sciences University of Tromsø, Norway.2011.
[22]  Roy J, Saha KB, Abbad A. Some Aspects of Maternal and Child Health Care among Khairwars of Madhya Pradesh, Kamla-Raj. Ethno Med. 2010; 4: 107-109.
[23]  Sharma RK. Newborn care among tribes of Central India experiences from micro level studies. Social Change. 2010; 40: 117-137.
[24]  Kamal, SMM .Factors Affecting Utilization of Skilled Maternity Care Services among Married Adolescents in Bangladesh, Asian Population Studies. 2009; 5 (2): 153-170
[25]  Chakraborty N, Islam MA, Chowdhury RI, Wasimul Bari W, Akhter HH . Determinants of the use of maternal health services in rural Bangladesh, Health Promotion International, 2003; 18(4): 327-337.
[26]  Magadi, Monica Akinyi, Nyovani Janet Madise, and Roberto Nascimento Rodrigues, Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities, Social Science & Medicine. 2000; 51(4): 551-561.
[27]  Mesko N, Osrin, D, Tamang S, Shrestha BP, Manandhar DS, Manandhar M, Standing H, Costello AM. Care for perinatal illness in rural Nepal: A descriptive study with cross-sectional and qualitative components. BMC Int Health Hum Rights. 2003.
[28]  Myer L and Harrison A. Why do women seek antenatal care late? Perspectives from rural South Africa. J Midwifery Womens Health. 2003; 48: 268-272.
[29]  McCaw-Binns, A., La Grenade, J., & Ashley, D. .Under-users of antenatal care: A comparison of non-attenders and late attenders for antenatal care with early attenders. Social Science and Medicine. 2007; 40: 1003-1012.
[30]  Edward B. Factors influencing the utilization of antenatal care content in Uganda. Aust Med J. 2011; 4(9): 516.