|Socioeconomic Disparities, Pregnancy Factors and Inadequate Antenatal Care Utilization in Rural Cambodia|
||Keopanha Soeung, Wongsa Loahasiriwong, and Kittipong Sornlom
||Indian Journal of Public Health Research & Development, 11(7); DOI: 10.37506/ijphrd.v11i7.10311
Health care utilization
||Background: Antenatal care (ANC) is widely known as the most efficient measures for reducing
maternal mortality. This research aimed to describe ANC utilization pattern and identify the relationships
of socioeconomic disparities, pregnancy factors and inadequate ANC among pregnant women in rural
Method: This cross-sectional study used the data from the Cambodia Demographic Health Survey (CDHS).
The CDHS collected the data from 3,764 women who gave birth in the preceding five-year period using a
structured questionnaire. The generalized linear mixed model (GLMM) was used to identify the association
of socioeconomic, pregnancy factors and inadequate ANC utilization when controlling the effects of other
co-variates presenting adjusted OR and 95% confidence interval.
Results: Among the total of 3,764 respondents. Almost one-third had inadequate ANC (31.59%;95%CI:
30.10-33.07%). Factors that were statistically associated with inadequate ANC were taking ANC in private
sectors (adj OR. = 2.10, 95%CI: 1.47– 2.99), unwanted pregnancy (adj OR. =1.70, 95%CI: 1.44– 2.01),
multiparity of three babies or higher (adj OR. = 1.66, 95%CI: 1.42– 1.94), illiteracy (adj OR. = 2.08,
95%CI: 1.41– 1.92), had spouse finished only primary education (adj OR. = 2.13, 95%CI: 1.45– 1.92) when
controlling other factors including age, education, occupation, husband’s age, occupation, financial status,
accessing health facility.
Conclusion: Almost one-third of pregnant women in rural Cambodia had inadequate ANC. Both
socioeconomic and pregnancy factors had influence on having inadequate ANC.