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Maternal factors and utilization of the antenatal care services during pregnancy associated with low birth weight in rural Nepal: analyses of the antenatal care and birth weight records of the MATRI-SUMAN trial

Acharya, Dilaram and Singh, Jitendra and Kadel, Rajendra and Yoo, Seok-Ju and Park, Ji-Hyuk and Lee, Kwan (2018) Maternal factors and utilization of the antenatal care services during pregnancy associated with low birth weight in rural Nepal: analyses of the antenatal care and birth weight records of the MATRI-SUMAN trial. International Journal of Environmental Research and Public Health, 15 (11). p. 2450. ISSN 1661-7827

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Identification Number: 10.3390/ijerph15112450

Abstract

Low birth weight (LBW) remains a major public health problem in developing countries, including Nepal. This study was undertaken to examine the association between LBW and maternal factors and antenatal care service utilization, in rural Nepal, using data obtained for a capacity-building and text-messaging intervention, designed to enhance maternal and child health service utilization among pregnant women, in rural Nepal (“MATRI-SUMAN”). The study used a clustered randomized controlled design and was conducted during 2015–2016. We investigated maternal and antenatal care service utilization determinants of LBW, using a logistic regression model. Of the four hundred and two singleton babies, included in the present study, seventy-eight (19.4%) had an LBW (mean (SD), 2210.64 (212.47)) grams. It was found that Dalit caste/ethnicity, illiteracy, manual labor, a female baby, and having more than four family members were significantly positively associated with LBW. In addition, mothers who did not visit an antenatal care (ANC) unit, visited an ANC < 4 times, did not take iron and folic acid (IFA), de-worming tablets, and mothers that did not consume additional food, during pregnancy, were more likely to have an LBW baby, than their counterparts. The MATRI-SUMAN intervention and availability of a kitchen garden at home, were found to reduce the risk of LBW. Nepalese child survival policies and programs should pay attention to these maternal and antenatal care service utilization factors, while designating preventive strategies to improve child health outcomes.

Item Type: Article
Official URL: https://www.mdpi.com/journal/ijerph
Additional Information: © 2018 The Authors © CC BY 4.0
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RG Gynecology and obstetrics
Sets: Departments > Health Policy
Date Deposited: 13 Nov 2018 12:00
Last Modified: 13 Nov 2018 12:40
URI: http://eprints.lse.ac.uk/id/eprint/90576

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