The quality antenatal care (ANC) services can reduce the risk of the pregnancy complications, and hence reduce the maternal and child morbidity and mortality. To ensure the quality ANC services to the pregnant women, it is essential that healthcare providers should be fully prepared with six tracer indicators recommended by World Health Organization. In this study, the prevalence of readiness by selected covariates has been examined. Potential factors responsible for the readiness have also been identified.
Using data from nationally representative Bangladesh Health Facility Survey (BHFS), 2017, the readiness indices of health facilities providing ANC services have been measured based on the six tracer indicators of the service. The chi-square test has been applied to check the association of selected covariates with the readiness index, and to obtain the adjusted associations of covariates, we have carried out a multinomial logistic regression model.
Only 4.26% of the facilities is found to provide quality ANC services to the pregnant women. Rural facilities have lower readiness to provide quality services compared to urban facilities [RRR: 0.13, 95% CI: 0.06-0.31; p<0.001]. Community clinics and private hospitals are less likely to have medium or high readiness compared to public hospitals or clinics. The health facilities having specialist or MBBS doctors are more likely to be considered as ready for quality ANC services compared to others facilities. Regional difference exists in readiness for providing the service.
A huge gap has been found in the facilities of Bangladesh to prove quality ANC services. This is a high time to reduce this gap in achieving sustainable development goals related with maternity and neonatal mortality. The present study recommends that the government of Bangladesh should take necessary initiatives to fully prepared healthcare providers so that quality ANC services can be equally provided to each pregnant woman.