Literature DB >> 34167514

Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia.

Ratna Dwi Wulandari1, Agung Dwi Laksono2, Nikmatur Rohmah3.   

Abstract

BACKGROUND: The government is obliged to guarantee equal access to antenatal care (ANC) between urban and rural areas. This study aimed to analyze urban-rural disparities in ≥4 ANC visits during pregnancy in the Philippines and Indonesia.
METHODS: The study processed data from the 2017 PDHS and the 2017 IDHS. The analysis unit was women aged 15-49 years old who had given birth in the last 5 years. The weighted sample size was 7992 respondents in the Philippines and 14,568 respondents in Indonesia. Apart from ANC as the dependent variable, other variables analyzed were residence, age, husband/partner, education, parity, and wealth. Determination of urban-rural disparities using binary logistic regression.
RESULTS: The results show that women in the urban Philippines are 0.932 times more likely than women in the rural Philippines to make ≥4 ANC visits. On the other side, women in urban Indonesia are more likely 1.255 times than women in rural Indonesia to make ≥4 ANC visits. Apart from the type of residence place (urban-rural), five other tested multivariate variables also proved significant contributions to ANC's use in both countries, i.e., age, have a husband/partner, education, parity, and wealth status.
CONCLUSIONS: The study concluded that disparities exist between urban and rural areas utilizing ANC in the Philippines and Indonesia. Pregnant women in the rural Philippines have a better chance of making ≥4 ANC visits. Meanwhile, pregnant women in urban Indonesia have a better chance of making ≥4 ANC visits.

Entities:  

Keywords:  Antenatal care; Disparity; Mother and child health; Southeast Asia; Urban-rural

Year:  2021        PMID: 34167514     DOI: 10.1186/s12889-021-11318-2

Source DB:  PubMed          Journal:  BMC Public Health        ISSN: 1471-2458            Impact factor:   3.295


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