Utilization of antenatal care services in Syrian refugee camps in Erbil, Iraq

  • Saya M. Fareed Directorate of Health, Erbil, Iraq, Erbil, Iraq.
  • Kamaran H. Ismail Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq.
Keywords: Antenatal care, Utilization, Syrian refugee camps

Abstract

Background and Objective: Antenatal care can help in preparing women for delivery in addition to raising awareness about the warning signs during pregnancy. This study aimed to assess the pattern of utilization of antenatal care services by the pregnant women in Syrian refugee camps in Erbil.

Methods: A cross-sectional study was conducted at the four Syrian refugee camps in Erbil between 1st June 2015 and 1st March 2016. A sample of 470 newly delivered women was included in the study. Data was collected through a specially designed questionnaire.

Results: The majority of the women (99.6%) had at least one antenatal care visit during pregnancy with 73.6% having adequate antenatal care visits. About 64% of the women visited both the public and private health sectors. A statistically significant higher proportion of employed women utilized adequate antenatal care services than the non-employed women (84% vs. 63.4%, P = 0.036). There was no statistically significant association between the mothers' age and education with the utilization of adequate antenatal care.

Conclusion: A high proportion of women in the Syrian refugee camps in Erbil received antenatal care services during the last pregnancy with a relatively important proportion of them receiving adequate care and having early initiation of antenatal care visits. Further studies are needed to examine the quality of the antenatal care services in the refugee camps and women’s satisfaction with these services.

References

Banta D. What is the efficacy/effectiveness of antenatal care and the financial and organizational implications. Copenhagen: WHO Regional Office for Europe; 2003.

Park K. Parks textbook of preventive and social medicine. 23rd ed. Jabalpur, India: Banarsidas Bhanot; 2015.

WHO. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: WHO; 2016.

WHO. Global health observatory data: Maternal and reproductive health 2017.(Accessed July 17, 2017, at http://www.who.int/gho/maternal_health/en/).

WHO. Antenatal care: Situation and trends 2017. (Accessed July 12, 2017, at http://www.who.int/gho/mdg/maternal_health/antenatal_care_text/en/).

Benage M, Greenough PG, Vinck P, Omeira N, Pham P. An assessment of antenatal care among Syrian refugees in Lebanon. Confl Health 2015; 9:8.

Villar J, Bergsjo P. WHO Antenatal Care Randomized Trial: Manual for the implementation of the new model. Geneva: WHO; 2003.

Villar J, Ba'aqeel H, Piaggio G, Lumbiganon P, Miguel Belizan J, Farnot U, et al. WHO antenatal care randomized trial for the evaluation of a new model of routine antenatal care. Lancet 2001; 357(9268):1551–64.

Cohen S. The reproductive health needs of refugees and displaced people: an opening for renewed US leadership. Guttmacher Policy Review 2009; 12(3):15–9.

McGinn T. Reproductive health of war-affected populations: what do we know? Int Fam Plan Perspect 2000; 26(4):174–80.

UNICEF. At a glance: Syrian Arab Republic. UNICEF; 2013.

Dhahir AA, Zangana JM. Determinants of utilization of antenatal care services in Erbil city. Zanco J Med Sci 2015; 19(2):984–90.

Hussein NA. Antenatal care: effectiveness and implication on pregnancy outcome in Erbil city. MSc thesis. Erbil, Iraq: Hawler Medical University; 2011.

UNICEF, Kurdistan Regional Ministry of Health. Low birth weight study in Duhok Governorate. Iraqi Kurdistan. Iraq: UNICEF; 2007.

Abdul Latif BI. The pattern of morbidity and mortality of neonate admitted to neonatal intensive care unit in Saddam Maternity and Pediatric Hospital in Diyala governorate 1999-2000. Baghdad, Iraq: University of Baghdad; 2001.

UNICEF, COSIT, KRSO, MOH. Multiple Indicator Cluster Survey 2006, Volume 1: Final Report. Iraq: UNICEF; 2007.

Gudayu TW, Woldeyohannes SM, Abdo AA. Timing and factors associated with first antenatal care booking among pregnant mothers in Gondar Town; North West Ethiopia. BMC Pregnancy Childbirth 2014; 14:287.

Ziyo FY, Matly FA, Mehemd GM, Dofany EM. Relation between prenatal care and pregnancy outcome at Benghazi. SJPH 2009; 4(4):403–10.

Nisar N, White F. Factors affecting utilization of antenatal care among reproductive age group women (15-49 years) in an urban squatter settlement of Karachi. J Pak Med Assoc 2003; 53(2):47–53.

Tuladhar H, Dhakal N. Impact of antenatal care on maternal and peri-natal outcome: A study at Nepal Medical College Teaching Hospital. NJOG 2012; 6(2):37–43.

Paredes I, Hidalgo L, Chedraui P, Palma J, Eugenio J. Factors associated with inadequate prenatal care in Ecuadorian women. Int J Gynaecol Obstet 2005; 88(2):168–72.

Ciceklioglu M, Soyer MT, Ocek ZA. Factors associated with the utilization and content of prenatal care in a western urban district of Turkey. Int J Qual Health Care 2005; 17(6):533–9.

Published
2019-08-06
How to Cite
Fareed, S., & Ismail, K. (2019). Utilization of antenatal care services in Syrian refugee camps in Erbil, Iraq. Zanco Journal of Medical Sciences (Zanco J Med Sci), 23(2), 259-265. https://doi.org/10.15218/zjms.2019.032
Section
Original Articles