Enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in Bangladesh, Burkina Faso, Ethiopia, and India
Background Quality antenatal care (ANC) services are critical for maternal health and nutrition. Information on the quality of nutrition interventions during ANC is scarce in low- and middle-income countries. We examined the effects of intensified maternal nutrition interventions during ANC on servi...
| Autores principales: | , , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
International Society of Global Health
2025
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| Acceso en línea: | https://hdl.handle.net/10568/174706 |
| _version_ | 1855542677453406208 |
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| author | Nguyen, Phuong Hong Tran, Lan M. Kachwaha, Shivani Sanghvi, Tina Mahmud, Zeba Zafimanjaka, Maurice G. Walissa, Tamirat Ghosh, Sebanti Kim, Sunny S. |
| author_browse | Ghosh, Sebanti Kachwaha, Shivani Kim, Sunny S. Mahmud, Zeba Nguyen, Phuong Hong Sanghvi, Tina Tran, Lan M. Walissa, Tamirat Zafimanjaka, Maurice G. |
| author_facet | Nguyen, Phuong Hong Tran, Lan M. Kachwaha, Shivani Sanghvi, Tina Mahmud, Zeba Zafimanjaka, Maurice G. Walissa, Tamirat Ghosh, Sebanti Kim, Sunny S. |
| author_sort | Nguyen, Phuong Hong |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background
Quality antenatal care (ANC) services are critical for maternal health and nutrition. Information on the quality of nutrition interventions during ANC is scarce in low- and middle-income countries. We examined the effects of intensified maternal nutrition interventions during ANC on service readiness, provision of care, and experience of care and assessed the inter-relationships between the dimensions of quality.
Methods
We used data from impact evaluations of maternal nutrition interventions in Bangladesh, Burkina Faso, Ethiopia, and India. We calculated the quality of nutrition services during ANC using information from health facility assessments, health care provider interviews, ANC observations, and client exit interviews. We used structural equation models to examine relationships between the dimensions of quality.
Results
Health facilities in all four countries had a high service readiness component in terms of basic amenities, equipment and supplies, medicines and commodities, and guidelines (mean (x̄) = 8–10 in Bangladesh and Burkina Faso, x̄ = 7–9 in Ethiopia, and x̄ = 6–8 in India). Scores for provision of care were low across the countries but higher in intervention compared to control areas in Bangladesh (5.2 vs. 2.9) and Burkina Faso (5.6 vs. 4.8), but not significantly different in Ethiopia (range = 4.7–5.0) and India (range = 2.6–3.5). For experience of care, client satisfaction scores were high and similar between intervention and control areas in all countries (range = 8.3–9.7), but client experience scores were lower with statistically significant differences observed only in Bangladesh (x̄ = 8.2 in intervention vs. x̄ = 7.1 in control areas). The interventions had significant direct effects on service readiness in Bangladesh (β = 0.07), Burkina Faso (β = 1.20), and Ethiopia (β = 1.0), on the provision of care in Bangladesh (β = 2.27), Burkina Faso (β = 1.27), and India (β = 0.96), and experience of care in Bangladesh (β = 0.21).
Conclusions
In this study, we provided evidence on various dimensions of service quality that may be improved by interventions to strengthen nutrition services during ANC in diverse low- and middle-income countries. |
| format | Journal Article |
| id | CGSpace174706 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | International Society of Global Health |
| publisherStr | International Society of Global Health |
| record_format | dspace |
| spelling | CGSpace1747062025-10-26T12:55:35Z Enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in Bangladesh, Burkina Faso, Ethiopia, and India Nguyen, Phuong Hong Tran, Lan M. Kachwaha, Shivani Sanghvi, Tina Mahmud, Zeba Zafimanjaka, Maurice G. Walissa, Tamirat Ghosh, Sebanti Kim, Sunny S. less favoured areas maternal and child health maternal nutrition pregnancy Background Quality antenatal care (ANC) services are critical for maternal health and nutrition. Information on the quality of nutrition interventions during ANC is scarce in low- and middle-income countries. We examined the effects of intensified maternal nutrition interventions during ANC on service readiness, provision of care, and experience of care and assessed the inter-relationships between the dimensions of quality. Methods We used data from impact evaluations of maternal nutrition interventions in Bangladesh, Burkina Faso, Ethiopia, and India. We calculated the quality of nutrition services during ANC using information from health facility assessments, health care provider interviews, ANC observations, and client exit interviews. We used structural equation models to examine relationships between the dimensions of quality. Results Health facilities in all four countries had a high service readiness component in terms of basic amenities, equipment and supplies, medicines and commodities, and guidelines (mean (x̄) = 8–10 in Bangladesh and Burkina Faso, x̄ = 7–9 in Ethiopia, and x̄ = 6–8 in India). Scores for provision of care were low across the countries but higher in intervention compared to control areas in Bangladesh (5.2 vs. 2.9) and Burkina Faso (5.6 vs. 4.8), but not significantly different in Ethiopia (range = 4.7–5.0) and India (range = 2.6–3.5). For experience of care, client satisfaction scores were high and similar between intervention and control areas in all countries (range = 8.3–9.7), but client experience scores were lower with statistically significant differences observed only in Bangladesh (x̄ = 8.2 in intervention vs. x̄ = 7.1 in control areas). The interventions had significant direct effects on service readiness in Bangladesh (β = 0.07), Burkina Faso (β = 1.20), and Ethiopia (β = 1.0), on the provision of care in Bangladesh (β = 2.27), Burkina Faso (β = 1.27), and India (β = 0.96), and experience of care in Bangladesh (β = 0.21). Conclusions In this study, we provided evidence on various dimensions of service quality that may be improved by interventions to strengthen nutrition services during ANC in diverse low- and middle-income countries. 2025-03 2025-05-20T18:22:51Z 2025-05-20T18:22:51Z Journal Article https://hdl.handle.net/10568/174706 en Open Access International Society of Global Health Nguyen, Phuong Hong; Tran, Lan M.; Kachwaha, Shivani; Sanghvi, Tina; Mahmud, Zeba; Zafimanjaka, Maurice G.; Walissa, Tamirat; Ghosh, Sebanti; and Kim, Sunny S. 2025. Enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in Bangladesh, Burkina Faso, Ethiopia, and India. Journal of Global Health 15(04054): 1-12. https://doi.org/10.7189/jogh.15.04054 |
| spellingShingle | less favoured areas maternal and child health maternal nutrition pregnancy Nguyen, Phuong Hong Tran, Lan M. Kachwaha, Shivani Sanghvi, Tina Mahmud, Zeba Zafimanjaka, Maurice G. Walissa, Tamirat Ghosh, Sebanti Kim, Sunny S. Enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in Bangladesh, Burkina Faso, Ethiopia, and India |
| title | Enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in Bangladesh, Burkina Faso, Ethiopia, and India |
| title_full | Enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in Bangladesh, Burkina Faso, Ethiopia, and India |
| title_fullStr | Enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in Bangladesh, Burkina Faso, Ethiopia, and India |
| title_full_unstemmed | Enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in Bangladesh, Burkina Faso, Ethiopia, and India |
| title_short | Enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in Bangladesh, Burkina Faso, Ethiopia, and India |
| title_sort | enhanced quality of nutrition services during antenatal care through interventions to improve maternal nutrition in bangladesh burkina faso ethiopia and india |
| topic | less favoured areas maternal and child health maternal nutrition pregnancy |
| url | https://hdl.handle.net/10568/174706 |
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