social determinants | Frequency | Had less than 4ANC visits (%) | Had 4ANC visits but no ID (%) | Had 4ANC visits and ID but no PNC visit (%) | Had 4ANC visits ID and PNC visit (%) | p |
---|---|---|---|---|---|---|
Structural | Â | Â | Â | Â | Â | Â |
Wealth status | Â | Â | Â | Â | Â | Â |
Lower (40%) | 832 | 35.1 | 26.2 | 8.6 | 30.0 | <0.001 |
Upper (60%) | 1,146 | 24.8 | 12.7 | 14.3 | 48.2 | Â |
Ethnicity | Â | Â | Â | Â | Â | Â |
Disadvantaged | 1,374 | 34.3 | 19.6 | 11.3 | 34.8 | <0.001 |
Advantaged | 604 | 17.6 | 15.5 | 13.4 | 53.6 | Â |
Religion | Â | Â | Â | Â | Â | Â |
Others | 306 | 39.1 | 16.2 | 10.1 | 34.5 | 0.056 |
Hindu | 1672 | 27.3 | 18.8 | 12.2 | 41.7 | Â |
Maternal education | Â | Â | Â | Â | Â | Â |
Illiterate | 570 | 46.5 | 20.2 | 8.8 | 24.6 | <0.001 |
Primary | 391 | 36.5 | 24.9 | 10.0 | 28.6 | Â |
Secondary or more | 1,016 | 16.6 | 14.8 | 14.4 | 54.1 | Â |
Maternal occupation | Â | Â | Â | Â | Â | Â |
Not working | 928 | 32.9 | 13.7 | 12.9 | 40.5 | <0.001 |
Agriculture | 823 | 27.6 | 25.0 | 10.0 | 37.3 | Â |
Working paid | 227 | 19.2 | 13.6 | 14.5 | 52.7 | Â |
Perceived violence | Â | Â | Â | Â | Â | Â |
No | 1,397 | 27.8 | 18.1 | 11.2 | 42.9 | 0.044 |
Yes | 581 | 32.4 | 19.0 | 13.7 | 34.9 | Â |
Decision-making | Â | Â | Â | Â | Â | Â |
No | 1,324 | 30.9 | 18.9 | 11.6 | 38.6 | 0.111 |
Yes | 654 | 25.6 | 17.3 | 12.6 | 44.5 | Â |
Household head | Â | Â | Â | Â | Â | Â |
Male | 1,438 | 30.4 | 18.9 | 12.2 | 38.6 | 0.073 |
Female | 540 | 25.9 | 17.0 | 11.2 | 45.9 | Â |
Intermediary | ||||||
Language | Â | Â | Â | Â | Â | Â |
Nepali | 839 | 19.8 | 17.8 | 13.2 | 49.2 | <0.001 |
Maithili | 360 | 32.4 | 24.5 | 11.2 | 32.0 | Â |
Bhojpuri | 267 | 54.4 | 12.1 | 12.2 | 21.3 | Â |
Others | 512 | 29.1 | 18.2 | 10.1 | 42.6 | Â |
Residence | Â | Â | Â | Â | Â | Â |
Urban | 1,062 | 24.5 | 14.0 | 13.5 | 48.0 | <0.001 |
Rural | 916 | 34.6 | 23.4 | 10.0 | 32.0 | Â |
Provinces | Â | Â | Â | Â | Â | Â |
One | 338 | 21.2 | 23.0 | 8.3 | 47.5 | <0.001 |
Two | 513 | 42.0 | 19.2 | 12.0 | 26.9 | Â |
Bagmati | 312 | 24.2 | 14.2 | 10.7 | 50.9 | Â |
Gandaki | 164 | 24.7 | 11.9 | 9.0 | 54.4 | Â |
Lumbini | 364 | 25.3 | 19.5 | 13.5 | 41.7 | Â |
Karnali | 121 | 45.4 | 22.0 | 9.0 | 23.6 | Â |
Sudurpaschim | 166 | 16.0 | 15.5 | 23.0 | 45.5 | Â |
Region | Â | Â | Â | Â | Â | Â |
Mountain | 131 | 28.3 | 30.5 | 3.4 | 37.8 | 0.001 |
Hills | 760 | 23.8 | 18.2 | 11.7 | 46.3 | Â |
Terai | 1,087 | 33.0 | 17.0 | 13.1 | 36.9 | Â |
Maternal age (years) | Â | Â | Â | Â | Â | Â |
<19 | 291 | 25.8 | 15.7 | 16.9 | 41.6 | 0.146 |
20-34 | 1,582 | 29.2 | 18.8 | 11.1 | 40.9 | Â |
≥35 | 106 | 37.7 | 19.7 | 10.2 | 32.4 |  |
Birth order | Â | Â | Â | Â | Â | Â |
<4 | 1,678 | 24.9 | 17.7 | 13.3 | 44.1 | <0.001 |
≥4 | 300 | 52.8 | 22.3 | 4.4 | 20.6 |  |
Sex of index child | Â | Â | Â | Â | Â | Â |
Male | 1,063 | 28.9 | 17.4 | 12.1 | 41.6 | 0.699 |
Female | 915 | 29.5 | 19.5 | 11.7 | 39.4 | Â |
Access to bank account | Â | Â | Â | Â | Â | Â |
No | 1,367 | 33.9 | 20.2 | 11.6 | 34.4 | <0.001 |
Yes | 611 | 18.6 | 14.3 | 12.7 | 54.4 | Â |
Media exposure | Â | Â | Â | Â | Â | Â |
No | 911 | 40.0 | 22.6 | 9.5 | 27.8 | <0.001 |
Yes | 1,067 | 19.9 | 14.7 | 13.9 | 51.4 | Â |
Last child (index child) | Â | Â | Â | Â | Â | Â |
Unwanted | 418 | 39.7 | 16.4 | 11.1 | 32.9 | <0.001 |
Wanted | 1,560 | 26.3 | 18.9 | 12.1 | 42.6 | Â |
Distance to HFs as a perceived problem | Â | Â | Â | Â | Â | Â |
No problem | 763 | 23.0 | 13.6 | 12.2 | 51.3 | <0.001 |
Big problem | 1,215 | 33.0 | 21.4 | 11.8 | 33.8 | Â |
Health system | ||||||
Perceived problem not having female providers | Â | Â | Â | Â | Â | Â |
No problem | 562 | 22.1 | 14.1 | 10.7 | 53.1 | <0.001 |
Big Problem | 1,416 | 31.9 | 20.1 | 12.4 | 35.6 | Â |
Awareness of health mothers’ group |  |  |  |  |  |  |
No | 1,340 | 32.5 | 17.7 | 11.5 | 38.3 | <0.001 |
Yes | 638 | 22.1 | 19.8 | 12.8 | 45.4 | Â |
Mode of delivery | Â | Â | Â | Â | Â | Â |
Normal | 1,780 | 30.6 | 20.4 | 11.8 | 37.2 | <0.001 |
 C-section | 198 | 16.1 | 0 | 13.0 | 70.9 |  |