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Socioeconomic Disparities, Pregnancy Factors and Inadequate Antenatal Care Utilization in Rural Cambodia
Authors: Keopanha Soeung, Wongsa Loahasiriwong, and Kittipong Sornlom
Source: Indian Journal of Public Health Research & Development, 11(7); DOI: 10.37506/ijphrd.v11i7.10311
Topic(s): Antenatal care
Health care utilization
Maternal health
Country: Asia
Published: JUL 2020
Abstract: Background: Antenatal care (ANC) is widely known as the most efficient measures for reducing maternal mortality. This research aimed to describe ANC utilization pattern and identify the relationships of socioeconomic disparities, pregnancy factors and inadequate ANC among pregnant women in rural Cambodia. Method: This cross-sectional study used the data from the Cambodia Demographic Health Survey (CDHS). The CDHS collected the data from 3,764 women who gave birth in the preceding five-year period using a structured questionnaire. The generalized linear mixed model (GLMM) was used to identify the association of socioeconomic, pregnancy factors and inadequate ANC utilization when controlling the effects of other co-variates presenting adjusted OR and 95% confidence interval. Results: Among the total of 3,764 respondents. Almost one-third had inadequate ANC (31.59%;95%CI: 30.10-33.07%). Factors that were statistically associated with inadequate ANC were taking ANC in private sectors (adj OR. = 2.10, 95%CI: 1.47– 2.99), unwanted pregnancy (adj OR. =1.70, 95%CI: 1.44– 2.01), multiparity of three babies or higher (adj OR. = 1.66, 95%CI: 1.42– 1.94), illiteracy (adj OR. = 2.08, 95%CI: 1.41– 1.92), had spouse finished only primary education (adj OR. = 2.13, 95%CI: 1.45– 1.92) when controlling other factors including age, education, occupation, husband’s age, occupation, financial status, accessing health facility. Conclusion: Almost one-third of pregnant women in rural Cambodia had inadequate ANC. Both socioeconomic and pregnancy factors had influence on having inadequate ANC.