A prospective observational description of frequency and timing of antenatal care attendance and coverage of selected interventions from sites in Argentina, Guatemala, India, Kenya, Pakistan and Zambia

Sherri Bucher, Irene Marete, Constance Tenge, Edward A. Liechty, Fabian Esamai, Archana Patel, Shivaprasad S. Goudar, Bhalchandra Kodkany, Ana Garces, Elwyn Chomba, Fernando Althabe, Mabel Barreuta, Omrana Pasha, Patricia Hibberd, Richard J. Derman, Kevin Otieno, K. Michael Hambidge, Nancy F. Krebs, Waldemar A. Carlo, Carolyne ChemwenoRobert L. Goldenberg, Elizabeth M. McClure, Janet L. Moore, Dennis D. Wallace, Sarah Saleem, Marion Koso-Thomas

Research output: Contribution to journalReview article

11 Citations (Scopus)

Abstract

Background: The Global Network for Women's and Children's Health Research is one of the largest international networks for testing and generating evidence-based recommendations for improvement of maternal-child health in resource-limited settings. Since 2009, Global Network sites in six low and middle-income countries have collected information on antenatal care practices, which are important as indicators of care and have implications for programs to improve maternal and child health. We sought to: (1) describe the quantity of antenatal care attendance over a four-year period; and (2) explore the quality of coverage for selected preventative, screening, and birth preparedness components. Methods: The Maternal Newborn Health Registry (MNHR) is a prospective, population-based birth and pregnancy outcomes registry in Global Network sites, including: Argentina, Guatemala, India (Belgaum and Nagpur), Kenya, Pakistan, and Zambia. MNHR data from these sites were prospectively collected from January 1, 2010 - December 31, 2013 and analyzed for indicators related to quantity and patterns of ANC and coverage of key elements of recommended focused antenatal care. Descriptive statistics were generated overall by global region (Africa, Asia, and Latin America), and for each individual site. Results: Overall, 96% of women reported at least one antenatal care visit. Indian sites demonstrated the highest percentage of women who initiated antenatal care during the first trimester. Women from the Latin American and Indian sites reported the highest number of at least 4 visits. Overall, 88% of women received tetanus toxoid. Only about half of all women reported having been screened for syphilis (49%) or anemia (50%). Rates of HIV testing were above 95% in the Argentina, African, and Indian sites. The Pakistan site demonstrated relatively high rates for birth preparation, but for most other preventative and screening interventions, posted lower coverage rates as compared to other Global Network sites. Conclusions: Results from our large, prospective, population-based observational study contribute important insight into regional and site-specific patterns for antenatal care access and coverage. Our findings indicate a quality and coverage gap in antenatal care services, particularly in regards to syphilis and hemoglobin screening. We have identified site-specific gaps in access to, and delivery of, antenatal care services that can be targeted for improvement in future research and implementation efforts. Trial registration: Registration at Clinicaltrials.gov (ID# NCT01073475)

Original languageEnglish (US)
Article numberS12
JournalReproductive Health
Volume12
Issue number2
DOIs
StatePublished - Jun 8 2015

Fingerprint

Guatemala
Zambia
Prenatal Care
Kenya
Pakistan
Argentina
India
Registries
Syphilis
Parturition
Tetanus Toxoid
North American Indians
Latin America
Health Resources
Birth Rate
Women's Health
First Pregnancy Trimester
Pregnancy Outcome
Population
Observational Studies

Keywords

  • Africa
  • Antenatal care
  • Asia
  • Birth registry
  • Focused antenatal carec
  • Latin America
  • Maternal-newborn health
  • quality of care

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

A prospective observational description of frequency and timing of antenatal care attendance and coverage of selected interventions from sites in Argentina, Guatemala, India, Kenya, Pakistan and Zambia. / Bucher, Sherri; Marete, Irene; Tenge, Constance; Liechty, Edward A.; Esamai, Fabian; Patel, Archana; Goudar, Shivaprasad S.; Kodkany, Bhalchandra; Garces, Ana; Chomba, Elwyn; Althabe, Fernando; Barreuta, Mabel; Pasha, Omrana; Hibberd, Patricia; Derman, Richard J.; Otieno, Kevin; Michael Hambidge, K.; Krebs, Nancy F.; Carlo, Waldemar A.; Chemweno, Carolyne; Goldenberg, Robert L.; McClure, Elizabeth M.; Moore, Janet L.; Wallace, Dennis D.; Saleem, Sarah; Koso-Thomas, Marion.

In: Reproductive Health, Vol. 12, No. 2, S12, 08.06.2015.

Research output: Contribution to journalReview article

Bucher, S, Marete, I, Tenge, C, Liechty, EA, Esamai, F, Patel, A, Goudar, SS, Kodkany, B, Garces, A, Chomba, E, Althabe, F, Barreuta, M, Pasha, O, Hibberd, P, Derman, RJ, Otieno, K, Michael Hambidge, K, Krebs, NF, Carlo, WA, Chemweno, C, Goldenberg, RL, McClure, EM, Moore, JL, Wallace, DD, Saleem, S & Koso-Thomas, M 2015, 'A prospective observational description of frequency and timing of antenatal care attendance and coverage of selected interventions from sites in Argentina, Guatemala, India, Kenya, Pakistan and Zambia', Reproductive Health, vol. 12, no. 2, S12. https://doi.org/10.1186/1742-4755-12-S2-S12
Bucher, Sherri ; Marete, Irene ; Tenge, Constance ; Liechty, Edward A. ; Esamai, Fabian ; Patel, Archana ; Goudar, Shivaprasad S. ; Kodkany, Bhalchandra ; Garces, Ana ; Chomba, Elwyn ; Althabe, Fernando ; Barreuta, Mabel ; Pasha, Omrana ; Hibberd, Patricia ; Derman, Richard J. ; Otieno, Kevin ; Michael Hambidge, K. ; Krebs, Nancy F. ; Carlo, Waldemar A. ; Chemweno, Carolyne ; Goldenberg, Robert L. ; McClure, Elizabeth M. ; Moore, Janet L. ; Wallace, Dennis D. ; Saleem, Sarah ; Koso-Thomas, Marion. / A prospective observational description of frequency and timing of antenatal care attendance and coverage of selected interventions from sites in Argentina, Guatemala, India, Kenya, Pakistan and Zambia. In: Reproductive Health. 2015 ; Vol. 12, No. 2.
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abstract = "Background: The Global Network for Women's and Children's Health Research is one of the largest international networks for testing and generating evidence-based recommendations for improvement of maternal-child health in resource-limited settings. Since 2009, Global Network sites in six low and middle-income countries have collected information on antenatal care practices, which are important as indicators of care and have implications for programs to improve maternal and child health. We sought to: (1) describe the quantity of antenatal care attendance over a four-year period; and (2) explore the quality of coverage for selected preventative, screening, and birth preparedness components. Methods: The Maternal Newborn Health Registry (MNHR) is a prospective, population-based birth and pregnancy outcomes registry in Global Network sites, including: Argentina, Guatemala, India (Belgaum and Nagpur), Kenya, Pakistan, and Zambia. MNHR data from these sites were prospectively collected from January 1, 2010 - December 31, 2013 and analyzed for indicators related to quantity and patterns of ANC and coverage of key elements of recommended focused antenatal care. Descriptive statistics were generated overall by global region (Africa, Asia, and Latin America), and for each individual site. Results: Overall, 96{\%} of women reported at least one antenatal care visit. Indian sites demonstrated the highest percentage of women who initiated antenatal care during the first trimester. Women from the Latin American and Indian sites reported the highest number of at least 4 visits. Overall, 88{\%} of women received tetanus toxoid. Only about half of all women reported having been screened for syphilis (49{\%}) or anemia (50{\%}). Rates of HIV testing were above 95{\%} in the Argentina, African, and Indian sites. The Pakistan site demonstrated relatively high rates for birth preparation, but for most other preventative and screening interventions, posted lower coverage rates as compared to other Global Network sites. Conclusions: Results from our large, prospective, population-based observational study contribute important insight into regional and site-specific patterns for antenatal care access and coverage. Our findings indicate a quality and coverage gap in antenatal care services, particularly in regards to syphilis and hemoglobin screening. We have identified site-specific gaps in access to, and delivery of, antenatal care services that can be targeted for improvement in future research and implementation efforts. Trial registration: Registration at Clinicaltrials.gov (ID# NCT01073475)",
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TY - JOUR

T1 - A prospective observational description of frequency and timing of antenatal care attendance and coverage of selected interventions from sites in Argentina, Guatemala, India, Kenya, Pakistan and Zambia

AU - Bucher, Sherri

AU - Marete, Irene

AU - Tenge, Constance

AU - Liechty, Edward A.

AU - Esamai, Fabian

AU - Patel, Archana

AU - Goudar, Shivaprasad S.

AU - Kodkany, Bhalchandra

AU - Garces, Ana

AU - Chomba, Elwyn

AU - Althabe, Fernando

AU - Barreuta, Mabel

AU - Pasha, Omrana

AU - Hibberd, Patricia

AU - Derman, Richard J.

AU - Otieno, Kevin

AU - Michael Hambidge, K.

AU - Krebs, Nancy F.

AU - Carlo, Waldemar A.

AU - Chemweno, Carolyne

AU - Goldenberg, Robert L.

AU - McClure, Elizabeth M.

AU - Moore, Janet L.

AU - Wallace, Dennis D.

AU - Saleem, Sarah

AU - Koso-Thomas, Marion

PY - 2015/6/8

Y1 - 2015/6/8

N2 - Background: The Global Network for Women's and Children's Health Research is one of the largest international networks for testing and generating evidence-based recommendations for improvement of maternal-child health in resource-limited settings. Since 2009, Global Network sites in six low and middle-income countries have collected information on antenatal care practices, which are important as indicators of care and have implications for programs to improve maternal and child health. We sought to: (1) describe the quantity of antenatal care attendance over a four-year period; and (2) explore the quality of coverage for selected preventative, screening, and birth preparedness components. Methods: The Maternal Newborn Health Registry (MNHR) is a prospective, population-based birth and pregnancy outcomes registry in Global Network sites, including: Argentina, Guatemala, India (Belgaum and Nagpur), Kenya, Pakistan, and Zambia. MNHR data from these sites were prospectively collected from January 1, 2010 - December 31, 2013 and analyzed for indicators related to quantity and patterns of ANC and coverage of key elements of recommended focused antenatal care. Descriptive statistics were generated overall by global region (Africa, Asia, and Latin America), and for each individual site. Results: Overall, 96% of women reported at least one antenatal care visit. Indian sites demonstrated the highest percentage of women who initiated antenatal care during the first trimester. Women from the Latin American and Indian sites reported the highest number of at least 4 visits. Overall, 88% of women received tetanus toxoid. Only about half of all women reported having been screened for syphilis (49%) or anemia (50%). Rates of HIV testing were above 95% in the Argentina, African, and Indian sites. The Pakistan site demonstrated relatively high rates for birth preparation, but for most other preventative and screening interventions, posted lower coverage rates as compared to other Global Network sites. Conclusions: Results from our large, prospective, population-based observational study contribute important insight into regional and site-specific patterns for antenatal care access and coverage. Our findings indicate a quality and coverage gap in antenatal care services, particularly in regards to syphilis and hemoglobin screening. We have identified site-specific gaps in access to, and delivery of, antenatal care services that can be targeted for improvement in future research and implementation efforts. Trial registration: Registration at Clinicaltrials.gov (ID# NCT01073475)

AB - Background: The Global Network for Women's and Children's Health Research is one of the largest international networks for testing and generating evidence-based recommendations for improvement of maternal-child health in resource-limited settings. Since 2009, Global Network sites in six low and middle-income countries have collected information on antenatal care practices, which are important as indicators of care and have implications for programs to improve maternal and child health. We sought to: (1) describe the quantity of antenatal care attendance over a four-year period; and (2) explore the quality of coverage for selected preventative, screening, and birth preparedness components. Methods: The Maternal Newborn Health Registry (MNHR) is a prospective, population-based birth and pregnancy outcomes registry in Global Network sites, including: Argentina, Guatemala, India (Belgaum and Nagpur), Kenya, Pakistan, and Zambia. MNHR data from these sites were prospectively collected from January 1, 2010 - December 31, 2013 and analyzed for indicators related to quantity and patterns of ANC and coverage of key elements of recommended focused antenatal care. Descriptive statistics were generated overall by global region (Africa, Asia, and Latin America), and for each individual site. Results: Overall, 96% of women reported at least one antenatal care visit. Indian sites demonstrated the highest percentage of women who initiated antenatal care during the first trimester. Women from the Latin American and Indian sites reported the highest number of at least 4 visits. Overall, 88% of women received tetanus toxoid. Only about half of all women reported having been screened for syphilis (49%) or anemia (50%). Rates of HIV testing were above 95% in the Argentina, African, and Indian sites. The Pakistan site demonstrated relatively high rates for birth preparation, but for most other preventative and screening interventions, posted lower coverage rates as compared to other Global Network sites. Conclusions: Results from our large, prospective, population-based observational study contribute important insight into regional and site-specific patterns for antenatal care access and coverage. Our findings indicate a quality and coverage gap in antenatal care services, particularly in regards to syphilis and hemoglobin screening. We have identified site-specific gaps in access to, and delivery of, antenatal care services that can be targeted for improvement in future research and implementation efforts. Trial registration: Registration at Clinicaltrials.gov (ID# NCT01073475)

KW - Africa

KW - Antenatal care

KW - Asia

KW - Birth registry

KW - Focused antenatal carec

KW - Latin America

KW - Maternal-newborn health

KW - quality of care

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U2 - 10.1186/1742-4755-12-S2-S12

DO - 10.1186/1742-4755-12-S2-S12

M3 - Review article

C2 - 26063483

AN - SCOPUS:84977539110

VL - 12

JO - Reproductive Health

JF - Reproductive Health

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