Poster: Factors affecting the utilization of antenatal care services among pregnant women—Ashgabat, Turkmenistan, 2010
Antenatal care (ANC) plays an important role in improving pregnancy outcomes and in preventing maternal and fetal mortality and morbidity. According to public health law in Turkmenistan, ANC services are totally free and are offered to all pregnant women; the scope of services is in accordance with the national recommendations. The purpose of this study is to estimate the rate of and factors affecting utilization of ANC in Ashgabat, the capital city of Turkmenistan.
We used systematic sampling to enroll in a cross-sectional study 1000 women who delivered babies in 2010 in any of the city’s six maternity hospitals. We defined no utilization as not visiting ANC centers while pregnant. Through interviews, we collected information on the women’s demographics, socio-economic, behavioral, and other relevant ANC factors. Information on utilization of ANC was obtained from medical records. In multivariate analysis, a logistic regression model was fitted to estimate adjusted odds ratios for ANC determinants.
Of the 1,000 women enrolled in the study, 78 (8%) never received antenatal care (95% CI 6.1%-9.4%), 404 (40%) were primipara and 663 (67%) were from low-income families.