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Cited by 20Global Maternal and Child HealthMaternal and Neonatal HealthcareMaternal and Perinatal Health Interventions

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Modifiable socio-cultural beliefs and practices influencing early and adequate utilisation of antenatal care in rural Bangladesh: A qualitative study

Nisha, Monjura Khatun, Alam, Ashraful, Rahman, Aminur, Raynes-Greenow, Camille·2021·Midwifery
DOI 10.1016/j.midw.2020.102881
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Abstract

Objective Our objective was to explore the socio-cultural factors that influence women's early and adequate utilisation of antenatal care (ANC) in rural Bangladesh. Methods A qualitative study was conducted in two rural settings of Bangladesh, including 32 in-depth interviews with pregnant or recently delivered women, husbands whose wives were pregnant or had a recent birth, mothers-in-law whose daughters-in-law were pregnant or had a recent birth; 2 focus group discussions with husbands; and 4 key-informant interviews with community health workers. We used thematic analysis to analyse the data. Findings ANC initiation in the first trimester was not a priority for most women. Women's lack of awareness about the appropriate timing of the first ANC contact, lack of decision-making autonomy and fear of caesarean section were the major barriers to the early and adequate ANC utilisation. There were many superstitions around pregnancy in rural settings which prevented women seeking early and adequate antenatal care and led them to seek care from traditional care providers instead of formal care providers. Conclusion ANC utilisation in rural Bangladesh was associated with several socio-cultural beliefs which are modifiable with interventions that have been used in similar settings. Targeting these socio-cultural barriers with context- and community-specific interventions is important to improve overall ANC utilisation at the community-level which can lead to significant improvements in perinatal outcomes.

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Metadata

Authors
Nisha, M. K., Alam, A., Rahman, A., & Raynes-Greenow, C.
Affiliations
  • The University of Sydney (AU)
  • International Centre for Diarrhoeal Disease Research (BD)
Corresponding author
Nisha, Monjura Khatun
ORCID
Venue
Midwifery
Publisher
Elsevier BV
Published
2021-02
Volume
93
Pages
102881
ISSN
0266-6138 (ISSN-L)
DOI
10.1016/j.midw.2020.102881
OpenAlex
W3102779692
Cited by
20
References
2
Citations by year
2026: 4 · 2025: 4 · 2024: 9 · 2023: 1 · 2022: 2
FWCI
0.72
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Midwifery (publishedVersion)
  • PubMed (publishedVersion)
Funders
University of Sydney
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
antenatal care utilization, early antenatal care, socio-cultural beliefs, decision-making autonomy, traditional birth attendants, rural Bangladesh, pregnant women, husbands, mother-in-law, community health workers
MeSH terms
Adult, Bangladesh, Cultural Characteristics, Female, Humans, Patient Acceptance of Health Care, Pregnancy, Prenatal Care, Rural Population, Qualitative Research, Pregnant People, Pregnant Women

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CoChat. (2026). Citation check: Modifiable socio-cultural beliefs and practices influencing early and adequate utilisation of antenatal care in rural Bangladesh: A qualitative study. https://app.cochat.ai/papers/10.1016/j.midw.2020.102881
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Nisha, M. K., Alam, A., Rahman, A., & Raynes-Greenow, C. (2021). Modifiable socio-cultural beliefs and practices influencing early and adequate utilisation of antenatal care in rural Bangladesh: A qualitative study. Midwifery. https://doi.org/10.1016/j.midw.2020.102881

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