Impact of Migration on the Utilization of Antenatal Care Services among Women of Urban Slums in Bangladesh

Ummay Nayeema Islam, Farzana Afroz
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Abstract

Mothers living in urban slums in Bangladesh get far less access to maternal and child health care services which may lead to mortality or serious morbidity to mothers as well as newborns. Lack of antennal care (ANC) is closely linked to poor pregnancy outcomes including low birth weight, preterm births or infant mortality. However, exposure to migration makes the situation worse in terms of attending urban community health care facilities among women in slums. Since the effect of migration on the usage of antenatal care services in slums has remained an under studied area, this paper aims to examine the adjusted effect of migration on perceiving adequate ANC. Data from the second round of Bangladesh Urban Health Survey conducted in 2013 have been used for this study. A well fitted binary logistic model resulted in lower odds of receiving complete ANC among recently migrated women in slums (AOR=0.602, 95% CI=0.43-0.85). Therefore, further emphasis should be given to increase awareness about antenatal care services among women who are recently migrated to urban slums in Bangladesh. Dhaka Univ. J. Sci. 70(2): 8-14, 2022 (July)
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移民对孟加拉国城市贫民窟妇女利用产前保健服务的影响
生活在孟加拉国城市贫民窟的母亲获得妇幼保健服务的机会要少得多,这可能导致母亲和新生儿死亡或严重发病。缺乏产前护理与不良妊娠结局(包括低出生体重、早产或婴儿死亡)密切相关。然而,由于受到移徙的影响,贫民窟妇女在城市社区保健设施就诊的情况更糟。由于移民对贫民窟产前保健服务使用的影响仍然是一个研究不足的领域,本文旨在研究移民对感知适当ANC的调整影响。本研究使用了2013年进行的第二轮孟加拉国城市健康调查的数据。拟合良好的二元logistic模型显示,最近移民的贫民窟妇女接受完全ANC的几率较低(AOR=0.602, 95% CI=0.43-0.85)。因此,应进一步强调提高最近移徙到孟加拉国城市贫民窟的妇女对产前保健服务的认识。达卡大学学报(自然科学版),70(2):8- 14,2022 (7)
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