Assessment of pre-, intra-, and post-partum care coverage among ethnic minority women by CBM chart in some commune health stations (CHSs) of Thai Nguyen province

Abstract

         To describe and to assess pre-, intra-, and post-partum care coverage among ethnic

minority women by CBM chart; and to analyze some factors affecting the coverage in order to seek solutions for improvement in mountainous CHSs of Thai Nguyen province. Methodology: Crosssectional study, assessment by CBM, and statistical analysis (?2, p and OR). Findings and discussion: Antenatal care for pregnant women is unequally distributed and problematic. Bottleneck is found with service utilization adequacy (45.9%). The percentage of families with a third child is 12%. Unbalanced sex ratio at birth is 154/100. No pre-partum screening test for pregnant women and no screening for newborn babies are found. Bottleneck of intra- and post-partum care service for pregnant women is found in adequacy for service utilization (18.9%). There is an association between economic conditions (p < 0,05; OR = 2,2); ethnic minorities (p < 0,05; OR = 2,12); awareness of family planning methods (p < 0,05; OR = 0,4); belief of son preference for keeping family tradition (p < 0,05; OR = 2,78); behavior of not using family planning methods (p < 0,05; OR = 2,59); belief of having many children being associated with wealthiness and happiness (p < 0,05; OR = 2,59) and having the third child and more. CBM is observed to be effective for rapid appraisal of some health services at commune level; CBM analysis shows the bottleneck of the issue, with consequences of the unbalanced sex ratio at birth and the high proportion of families with the third child. Conclusion: Use of CBM method for assesment of some health services at CHSs should be continued.