Abstract

Uptake of Antenatal Care, and its Relationship with Participation in Health Services and Behaviors: An Analysis of the Poorest Regions of Four Mesoamerican Countries

Highlights

  • Antenatal care (ANC) is intended to identify high risk pregnancies, bring women into the health system, and educate them about when to return

  • Interpretation: Our results demonstrate that uptake of the World Health Organization (WHO)-recommended four ANC visits has limited effectiveness on

  • Aim: This study captured the “voices” of Traditional Birth Attendants (TBAs) and midwives practicing in rural Uganda at Masindi-Kitara Medical Center (MKMC) and affiliated villages to assess their perceptions of safety in neonatal airway management, the need for modifying educational resources, such as Helping Babies Breathe (HBB) guidelines, that is cultural appropriate and enhances learning preferences for better adaptation in local contexts

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Summary

Introduction

Antenatal care (ANC) is intended to identify high risk pregnancies, bring women into the health system, and educate them about when to return. Though poor women have a heightened need for ANC and are least likely to receive it, there is a concerning dearth of evidence detailing whether those who receive care are more likely to return for other maternal and child interventions. This analysis is the first to examine the relationship between ANC uptake and later uptake of health interventions. A need exists to train and assimilate the TBAs with the facility-based midwives to provide culturally appropriate educational resources in rural areas to manage birth asphyxia. The clinical tools for gestational dating, fetal growth and newborn size at birth use the INTERGROWTH-21st growth curves, which have been validated in the Kenyan population and internationally

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