Health seeking behavior on maternal health care among adolescent mother of Northern Bangladesh
Year 2022,
Volume: 4 Issue: 6, 97 - 118, 01.04.2022
Rawnaq Ara Parvin
,
Md. Mithu Rana
,
Mst. Sharmin Akter
Abstract
Health knowledge is one of the key factors enabling adolescent women to be aware of their health status in order to seek appropriate health services. This study aims to assess the knowledge and attitude on maternal health care and the contributing factors to being knowledgeable among adolescent mother in Chapinawabganj district, the northern part of Bangladesh. A mixed-method study was conducted over 8 months, A total of 101 adolescent mothers were interviewed employing a predesignated and open-ended structured questionnaire after taking informed consent, using the Andersen-Newman model as a conceptual framework. The findings of the research shows that 35.6 of adolescent mother’s 1st marriages occurred belonging to their lower socioeconomic status. 42.6% adolescence mothers gave birth 1st babies unexpectedly (not in planned). Only 46.5 % had attended at antenatal care (ANC) and 26.7 % opined that ANC visits should be done within 3 months of pregnancy; whereas, 44.6 % didn’t know about postnatal care (PNC) visits. Only 32.7 % of adolescent mothers said that additional food intake is needed during pregnancy. 74.3 % (75 out of 101) expected normal delivery. A traditional birth attendant (TBA) still plays an influence in contemporary rural society, 36.6 % of mothers preferred to deliver from a TBA at home. The literacy and socioeconomic status of the adolescent mothers were observed as a major determinant in constructing knowledge and perception. They seldom seek skilled care to poor social networking and family restrictions that promote maternal complication. Maternal health education and accessible services are in demands for this population.
Supporting Institution
Varendra University
Thanks
Dr. Rashidul Haque, Honorable Pro-Vice Chancellor of Varendra University
References
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Health seeking behavior on maternal health care among adolescent mother of Northern Bangladesh
Year 2022,
Volume: 4 Issue: 6, 97 - 118, 01.04.2022
Rawnaq Ara Parvin
,
Md. Mithu Rana
,
Mst. Sharmin Akter
Abstract
Health knowledge is one of the key factors enabling adolescent women to be aware of their health status in order to seek appropriate health services. This study aims to assess the knowledge and attitude on maternal health care and the contributing factors to being knowledgeable among adolescent mother in Chapinawabganj district, the northern part of Bangladesh. A mixed-method study was conducted over 8 months, A total of 101 adolescent mothers were interviewed employing a predesignated and open-ended structured questionnaire after taking informed consent, using the Andersen-Newman model as a conceptual framework. The findings of the research shows that 35.6 of adolescent mother’s 1st marriages occurred belonging to their lower socioeconomic status. 42.6% adolescence mothers gave birth 1st babies unexpectedly (not in planned). Only 46.5 % had attended at antenatal care (ANC) and 26.7 % opined that ANC visits should be done within 3 months of pregnancy; whereas, 44.6 % didn’t know about postnatal care (PNC) visits. Only 32.7 % of adolescent mothers said that additional food intake is needed during pregnancy. 74.3 % (75 out of 101) expected normal delivery. A traditional birth attendant (TBA) still plays an influence in contemporary rural society, 36.6 % of mothers preferred to deliver from a TBA at home. The literacy and socioeconomic status of the adolescent mothers were observed as a major determinant in constructing knowledge and perception. They seldom seek skilled care to poor social networking and family restrictions that promote maternal complication. Maternal health education and accessible services are in demands for this population.
References
- Achia, T. N., &Mageto, L. E. (2015). Individual and contextual determinants of adequate maternal health care services in Kenya. Women & health, 55(2), 203-226.
- Alemayehu, T., Haider, J., &Habte, D. (2010).Determinants of adolescent fertility in Ethiopia. Ethiopian Journal of Health Development, 24(1).
- Ali, B., &Chauhan, S. (2020). Inequalities in the utilisation of maternal health care in rural India: Evidences from National Family Health Survey III & IV. BMC Public Health, 20(1), 1-13.
- Andersen and Newman Frame Work Health Services Utilization (1990) umanitoba.- ca/faculties/health.../units/.../Andersen_and_Newman_Framework.pdf
- Andersen and Newman Frame Work Health Services Utilization (1990) umanitoba.- ca/faculties/health.../units/.../Andersen_and_Newman_Framework.pdf
- Azevedo, W. F. D., Diniz, M. B., Fonseca, E. S. V. B. D., Azevedo, L. M. R. D., & Evangelista, C. B. (2015). Complications in adolescent pregnancy: systematic review of the literature. Einstein (São Paulo), 13(4), 618-626.
- Banerjee, B., Pandey, G. K., Dutt, D., Sengupta, B., Mondal, M., & Deb, S. (2009). Teenage pregnancy: a socially inflicted health hazard. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine, 34(3), 227.
- Bangladesh Maternal Mortality and Health Care Survey (BMMS), (2010). NIPORT, International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) and Calverton, MD, USA: ORC Macro
- Barman, B., Saha, J., &Chouhan, P. (2020). Impact of education on the utilization of maternal health care services: An investigation from National Family Health Survey (2015–16) in India. Children and Youth Services Review, 108, 104642.
- Begum, H. (2019, March 31). Adolescent pregnancy: Effects and remedies. The Daily Star. https://www.thedailystar.net/health/effects-of-teenage-pregnancy-and-solutions-1722604
- Cavazos-Rehg, P. A., Krauss, M. J., Spitznagel, E. L., Bommarito, K., Madden, T., Olsen, M. A., ... &Bierut, L. J. (2015). Maternal age and risk of labor and delivery complications. Maternal and child health journal, 19(6), 1202-1211.
- Dean, S. V., Mason, E. M., Howson, C. P., Lassi, Z. S., Imam, A. M., &Bhutta, Z. A. (2013). Born too soon: care before and between pregnancy to prevent preterm births: from evidence to action. Reproductive health, 10(1), 1-16.
- Dekker, G., &Sibai, B. (2001).Primary, secondary, and tertiary prevention of pre-eclampsia. The Lancet, 357(9251), 209-215
- Dingle, A., Powell-Jackson, T., & Goodman, C. (2013). A decade of improvements in equity of access to reproductive and maternal health services in Cambodia, 2000–2010. International journal for equity in health, 12(1), 1-12.
- Doddihal, C. R., Katti, S. M., &Mallapur, M. D. (2015). Teenage pregnancy outcomes in a rural area of South India: A prospective study. International Journal of Medicine and Public Health, 5(3).
- Dulitha, F., Nalika, G., Upul, S., Chrishantha, W. M., De Alwis, S. R., &Hemantha, S. (2013). Risk factors for teenage pregnancies in Sri Lanka: perspective of a community based study. Health Science Journal, 7(3), 269.
- Ergen, E. B., Yayla, C. A., Sanverdi, I., Ozkaya, E., Kilicci, C., &Kocakusak, C. K. (2017). Maternal-fetal outcome associated with adolescent pregnancy in a tertiary referral center: a cross-sectional study. Ginekologiapolska, 88(12), 674-678.
- Fayokun, K. O. (2015). Legality of child marriage in Nigeria and inhibitions against realisation of education rights. US-China L. Rev., 12, 812.
- Fraser, A. M., Brockert, J. E., & Ward, R. H. (1995).Association of young maternal age with adverse reproductive outcomes. New England journal of medicine, 332(17), 1113-1118.
- Ganchimeg, T., Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J., ...& WHO Multicountry Survey on Maternal Newborn Health Research Network. (2014). Pregnancy and childbirth outcomes among adolescent mothers: a W orld H ealth O rganizationmulticountry study. BJOG: An International Journal of Obstetrics &Gynaecology, 121, 40-48.
- Government of Bangladesh. (2012).Bangladesh Population Policy-2012. Dhaka: Ministry of Health and Family Welfare. [Google Scholar]
- Haruna, U., Dandeebo, G., &Galaa, S. Z. (2019).Improving access and utilization of maternal healthcare services through focused antenatal care in rural Ghana: a qualitative study. Advances in Public Health, 2019.
- Henry, E. G., Lehnertz, N. B., Alam, A., Ali, N. A., Williams, E. K., Rahman, S. M., ... & Winch, P. J. (2015). Sociocultural factors perpetuating the practices of early marriage and childbirth in Sylhet District, Bangladesh. International health, 7(3), 212-217.
- Islam, M. M., Islam, M. K., Hasan, M. S., &Hossain, M. B. (2017). Adolescent motherhood in Bangladesh: Trends and determinants. PloS one, 12(11), e0188294.
- Islam, M. M., Islam, M. K., Hasan, M. S., &Hossain, M. B. (2017). Adolescent motherhood in Bangladesh: Trends and determinants. PloS one, 12(11), e0188294.
- Islam, M. M., Islam, M. K., Hasan, M. S., &Hossain, M. B. (2017). Adolescent motherhood in Bangladesh: Trends and determinants. PloS one, 12(11), e0188294.
- Kamal, S. M. (2009).Factors affecting utilization of skilled maternity care services among married adolescents in Bangladesh. Asian Population Studies, 5(2), 153-170
- Khanum, S. M. (2002). Expanding Access to Health Services for Rural Women in Bangladesh: Lessons from the National Health Services, J. Asiat. Soc. 47 (1): 127-148.
- Kiani, M. A., Ghazanfarpour, M., &Saeidi, M. (2019). Adolescent pregnancy: a health challenge. International Journal of Pediatrics, 7(7), 9749-9752.
- Kim, S., & Kim, S. Y. (2019). Exploring factors associated with maternal health care utilization in Chad. Journal of Global Health Science, 1(1).
- Kirchengast, S. (2016). Teenage pregnancies: a worldwide social and medical problem. An Analysis of Contemporary Social Welfare Issues, 13.
- Li, J., Imam, S. Z., Jing, Z., Wang, Y., & Zhou, C. (2021). Suicide attempt and its associated factors amongst women who were pregnant as adolescents in Bangladesh: a cross-sectional study. Reproductive health, 18(1), 1-9.
- Loaiza, E., & Liang, M. (2013). Adolescent pregnancy: a review of the evidence. Unfpa.
Macedo, T. C., Montagna, E., Trevisan, C. M., Zaia, V., de Oliveira, R., Barbosa, C. P., ...&Bianco, B. (2020). Prevalence of preeclampsia and eclampsia in adolescent pregnancy: A systematic review and meta-analysis of 291,247 adolescents worldwide since 1969. European Journal of Obstetrics & Gynecology and Reproductive Biology, 248, 177-186.
- Malhotra, A., Warner, A., McGonagle, A., & Lee-Rife, S. (2011). Solutions to end child marriage. Washington, DC: International Center for Research on Women.
- McDonagh, M. (1996). Is antenatal care effective in reducing maternal morbidity and mortality?. Health policy and planning, 11(1), 1-15.
- Mehari, K., &Wencheko, E. (2013). Factors affecting maternal health care services utilization in rural Ethiopia: a study based on the 2011 EDHS data. Ethiopian Journal of Health Development, 27(1), 16-24.
- Mehra, D., Sarkar, A., Sreenath, P., Behera, J., &Mehra, S. (2018). Effectiveness of a community based intervention to delay early marriage, early pregnancy and improve school retention among adolescents in India. BMC Public Health, 18(1), 1-13.
- Mohr, R., Carbajal, J., & Sharma, B. B. (2019). The influence of educational attainment on teenage pregnancy in low-income countries: A systematic literature review. Journal of Social Work in the Global Community, 4(1), 2.
- Mrisho, M., Obrist, B., Schellenberg, J. A., Haws, R. A., Mushi, A. K., Mshinda, H., ... &Schellenberg, D. (2009). The use of antenatal and postnatal care: perspectives and experiences of women and health care providers in rural southern Tanzania. BMC pregnancy and childbirth, 9(1), 1-12.
- Nadeau, H. C., Subramaniam, A., & Andrews, W. W. (2016, April).Infection and preterm birth.In Seminars in Fetal and Neonatal Medicine (Vol. 21, No. 2, pp. 100-105). WB Saunders.
- Nasrin, S. O., & Rahman, K. M. (2012). Factors affecting early marriage and early conception of women: A case of slum areas in Rajshahi City, Bangladesh. International Journal of Sociology and Anthropology, 4(2), 54-62.
- NIPORT, 2015 National Institute of Population Research and Training (NIPORT), Mitra and Associates and II.Bangladesh.Demographic and Health Survey 2014: Key Indicators. Dhaka, Bangladesh, and Rockville, Maryland,USA; 2015.
Papri, F. S., Khanam, Z., Ara, S., &Panna, M. B. (2016). Adolescent pregnancy: risk factors, outcome and prevention. ChattagramMaa-O-Shishu Hospital Medical College Journal, 15(1), 53-56.
- Pathak, K. B., & Ram, F. (1993).Pathak, KB; Ram, F.: Adolescent Motherhood: Problems and Consequences. The Journal of Family Welfare. March 1993. 39 (1). p. 17-23. The Journal of Family Welfare, 39(1), 17-23.
- Pathak, P. K., Singh, A., & Subramanian, S. V. (2010). Economic inequalities in maternal health care: prenatal care and skilled birth attendance in India, 1992–2006. PloS one, 5(10), e13593.
- Patra, S. (2016). Motherhood in childhood: addressing reproductive health hazards among adolescent married women in India. Reproductive health, 13(1), 1-9.
- Plionis, B. M. (1975). Adolescent pregnancy: Review of the literature. Social Work, 20(4), 302-307.
- Rahman, M. M., Rahman, M. M., Tareque, M. I., Ferdos, J., & Jesmin, S. S. (2016). Maternal pregnancy intention and professional antenatal care utilization in Bangladesh: a nationwide population-based survey. PloS one, 11(6), e0157760.
- Rahman, M., Haque, S. E., Zahan, S., & Islam, O. (2011). Noninstitutional births and newborn care practices among adolescent mothers in Bangladesh. Journal of Obstetric, Gynecologic & Neonatal Nursing, 40(3), 262-273.
- Raine, T. R., Foster-Rosales, A., Upadhyay, U. D., Boyer, C. B., Brown, B. A., Sokoloff, A., & Harper, C. C. (2011). One-year contraceptive continuation and pregnancy in adolescent girls and women initiating hormonal contraceptives. Obstetrics and gynecology, 117(2 Pt 1), 363.
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