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Factors associated with antenatal care utilization among rural women in Lao People's Democratic Republic
Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden.
Vientiane Capital Health Department, Ministry of Health, Vientiane Capital, Lao PDR.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
Division of Global Health (IHCAR), Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
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2011 (English)In: Maternal and Child Health Journal, ISSN 1092-7875, E-ISSN 1573-6628, Vol. 15, no 8, 1356-1362 p.Article in journal (Refereed) Published
Abstract [en]

This study aims at exploring factors related to the antenatal care (ANC) utilization in rural areas of Lao PDR. A quantitative, cross-sectional interview study was conducted in the Khammouane and Champasack provinces. The study population comprised all currently pregnant women 15-45 years of age with a gestational period beyond 32 weeks plus all women who had given birth during the last 12 months. With the informed consent of all eligible women, 460 respondents were included in the study and interviewed using a structured questionnaire. Multiple logistic regression analysis was applied to determine factors significantly related to ANC use. Fifty-one percent of the respondents had at least one ANC visit. Among the users, 63% had visited ANC three times or more but only 28% attended during the first trimester. After adjusting for other factors, using a 95% Confidence Interval (CI), statistically significant associations were found between ANC use and the following factors: women whose husbands were salaried employees (OR = 2.66, CI = 1.45-4.88); women younger than 18 years old at first pregnancy (OR 0.56, CI = 0.28-0.97); women perceiving ANC as somewhat useful (OR = 2.88, CI = 1.26-6.61) or very useful (OR = 7.45, CI = 3.59-15.46). Awareness of the usefulness of ANC was related to more frequent use and could be one focus of community intervention to increase utilization.

Place, publisher, year, edition, pages
Springer, 2011. Vol. 15, no 8, 1356-1362 p.
Keyword [en]
antenatal care, utilization, rural area, health centre, Lao PDR
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:umu:diva-37291DOI: 10.1007/s10995-010-0671-yISI: 000299001000028PubMedID: 20827503OAI: diva2:358879
Available from: 2010-10-25 Created: 2010-10-25 Last updated: 2015-06-22Bibliographically approved

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Edin, Kerstin
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