Adequate and Ever Use of Prenatal Care in Fars Province 2000-2010

Aliyar Ahmadi


Background: Prenatal care consists of a series of clinical visits
and services offered to pregnant women throughout the antepartum
period. Despite advances in the extent of prenatal care
use in Iran, some women still avoid using these services. It is,
therefore, very important to investigate the prevalence of prenatal
care use, and to identify the factors associated with it. This study
analyzes prenatal care use in Fars Province between 2000 and
2010, identifying the associations between women’s demographic
and socio-economic characteristics and prenatal care use.
Methods: The study is quantitative and based on secondary
data drawn from IDHS 2000 and MIDHS 2010. The sample
consisted of 765 individuals from Fars Province. The data
were weighted to reflect the characteristics of the rural-urban
population. Statistical analyses were carried out using SPSS-18.
In the inferential analysis, bivariate and multivariate logistic
regressions were applied.
Results: It was indicated that both the quantity and quality of
prenatal care increased during 2000–2010. Obstetricians and
gynecologists became the primary reference point for women
accessing healthcare during this period. Our study indicates
that, 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 care
are mainly from families with low socio-economic status.
Thus socially vulnerable groups receive deficient prenatal care,
indicating the need for government investment and planning in
a comprehensive insurance system.

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pISSN: 2345-2218          eISSN: 2345-3893