Document Type: Original Articles


Assistant Professor of Demography, Department of Sociology, Shiraz University, Shiraz, Iran. Vali Alipour,


AbstractBackground: Prenatal care consists of a series of clinical visitsand services offered to pregnant women throughout the antepartumperiod. Despite advances in the extent of prenatal careuse in Iran, some women still avoid using these services. It is,therefore, very important to investigate the prevalence of prenatalcare use, and to identify the factors associated with it. This studyanalyzes prenatal care use in Fars Province between 2000 and2010, identifying the associations between women’s demographicand socio-economic characteristics and prenatal care use.Methods: The study is quantitative and based on secondarydata drawn from IDHS 2000 and MIDHS 2010. The sampleconsisted of 765 individuals from Fars Province. The datawere weighted to reflect the characteristics of the rural-urbanpopulation. Statistical analyses were carried out using SPSS-18.In the inferential analysis, bivariate and multivariate logisticregressions were applied.Results: It was indicated that both the quantity and quality ofprenatal care increased during 2000–2010. Obstetricians andgynecologists became the primary reference point for womenaccessing healthcare during this period. Our study indicatesthat, in the final analytical model, the educational attainment(OR=1.32, P=0.035), urban place of residence (OR=10.49,P=0.003), sanitary and health status of households (OR=5.04,P<0.001), and knowledge of family planning (OR=1.14, P<0.001)were significantly related to the use of prenatal care.Conclusion: Women who do not have access to prenatal careare mainly from families with low socio-economic status.Thus socially vulnerable groups receive deficient prenatal care,indicating the need for government investment and planning ina comprehensive insurance system.

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