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Agung Dwi Laksono 1 Article
Institutional Delivery in the Philippines: Does a Minimum of 8 Antenatal Care Visits Matter?
Felly Philipus Senewe, Agung Dwi Laksono, Roy G.A Massie, Leny Latifah, Syarifah Nuraini, Rozana Ika Agustiya, Jane Kartika Propiona, Wahyu Pudji Nugraheni
Received May 15, 2024  Accepted September 20, 2024  Published online October 22, 2024  
DOI: https://doi.org/10.3961/jpmph.24.245    [Accepted]
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Objectives
This cross-sectional study investigated the association between the utilization of 8 antenatal care (ANC) visits and delivery in a healthcare institution in the Philippines, using data from the 2022 National Demographic and Health Survey.
Methods
A sample of women who had given birth within the past 3 years was selected for analysis (n=4452). The association between ANC utilization and institutional delivery was assessed using logistic regression models, covariates by relevant sociodemographic factors, and childbirth history.
Results
We found that 97.2% of respondents who completed antenatal care opted for institutional delivery. A higher proportion of rural residents did not undergo institutional delivery than urban residents (12.9% vs. 6.9%). The group aged 20-24 years had the highest coverage (92.8%), and the group aged 40-44 years had the lowest. Higher education levels, employment, and greater wealth were associated with higher institutional delivery rates. Divorced or widowed mothers (85.1%) and grand multiparous mothers had lower rates than other groups. Multivariable logistic regression analysis showed a significant positive association between ANC utilization and institutional deliveries after adjusting for covariates (adjusted odds ratio, 2.486; 95% CI, 2.485-2.487; p<0.001).
Conclusions
ANC visits were associated with deliveries in institutions in the Philippines. Policymakers should promote ANC by ensuring 8 WHO-recommended visits, strengthening programs, conducting community outreach, addressing access barriers, and integrating maternal health services to increase institutional births and improve maternal and infant health.
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JPMPH : Journal of Preventive Medicine and Public Health
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