FACTORS AFFECTING UTILIZATION OF ANTENATAL CARE AMONG WOMEN IN URBAN AREA OF PESHAWAR (Synopsis)

Synopsis on FACTORS AFFECTING UTILIZATION OF ANTENATAL CARE AMONG WOMEN IN URBAN AREA OF PESHAWAR

Introduction / Background
Antenatal care is a branch of preventive medicine dealing with prevention and early detection of pregnancy disorder. (1)Nearly 500,000 women world wide die yearly due to complications related to pregnancy.(2).In Pakistan, one woman dies every 20 minutes from pregnancy-related causes, a fate all the more tragic considering that delayed treatment is often to blame. (3)The aims of antenatal care for women with normal low risk pregnancies are as follows: TO provide advice, reassurance, education and support for the women and her family, to treat minor symptoms associated with pregnancy, to provide on going screening programmes and to prevent, detect and manage problems and factors that adversely affect the health of mother or infant.(4) Utilization of Antenatal care is influenced by several factors such as, mother’s age, parity, occupation.(5), educational status of women and her husband.(6),economic, cultural believes and those related to women’s perception of their condition as normal event. (7,8,9)lack of satisfaction with the quality of care (e.g. long waiting lists in health centers, no combined maternal-child care) lack of transportation (10), Provider negligence, abusive behavior (11), and inappropriate communication which make the women feel uninformed about their own care After a careful literature review I found no study regarding factors affecting utilization of Antenatal care in Peshawar so my study will help us to evaluate these factors & also help us to remove as many of them as possible.
Objectives
The objectives of this study are to:
Determine the factors affecting the utilization of Antenatal care among married women of reproductive age in an urban area of Peshawar among antenatal Patients examined at antenatal O.P.D of HMC Peshawar.
OPERATIONAL DEFINITIONS:
1. Factors
The conditions which women face while availing antenatal care at Tertiary level hospital e.g. distance from health care facility, monthly family income, literacy levels, level of awareness regarding the importance of antenatal care, age of patient, gravidity, and false believes.

2. Utilization of Antenatal Care:
Number of visits of an antenatal patient to avail the following benefits at tertiary level hospital. Treatment of minor symptoms associated with pregnancy, advice for the women, prevention, detection and management of problems & factors that adversely affect the health of mother or infant.

Material and Methods
Hypothesis
Study Design : Cross-Section Study
Sample Size : 200 antenatal patients.
Sampling Method : Probability (simple Random)
Duration of Study : 6 months
Inclusion Criteria
Inclusion Criteria:
1. All Antenatal Patients received at HMC antenatal OPD.
2. Patients who knows Urdu and pushtu & English.
3. Patients who do had not utilized antenatal care during their previous pregnancies ,in previous months of ongoing pregnancy.
Exclusion Criteria
1. High risk patients e.g. patients having Diabetes Mellitus, Hypertension, previous caesarian section, premature rupture of membranes. Multiple pregnancy or patients having any other known pathology along with pregnancy.
Data Collection Procedure
I will select all those patients who fulfill my inclusion criteria. Proforma would be completed by obtaining detailed history emphasizing all factors which affected their utilization of antenatal care for e.g. distance from the health care facility and socioeconomic conditions, literacy levels, level of awareness regarding the importance of antenatal care etc.
Statistical Methods
SPSS version








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