Clinical Epidemiology and Global Health最新文献

{"title":"Validation of RDT kit for screening anaemia among women of reproductive age at the field level in comparison with the gold standard in rural areas of coastal Karnataka, India","authors":"K. Jayaprakash Shetty ,&nbsp;S. Nanjesh Kumar ,&nbsp;K. Shrisharath","doi":"10.1016/j.cegh.2025.102077","DOIUrl":"10.1016/j.cegh.2025.102077","url":null,"abstract":"<div><h3>Background</h3><div>Anaemia in women of reproductive age is still a problem for public health worldwide. As per NFHS-5 data anaemia among reproductive age group is about 57 %. Anaemia is indicative of poor nutrition and health. The most common type of anaemia is due to nutritional factors.</div></div><div><h3>Objective</h3><div>To validate the Rapid Diagnostic Test (RDT) kit used for screening anaemia among women of child bearing age group at the field level in comparing with gold standard test.</div></div><div><h3>Methodology</h3><div>A community-based cross-sectional study done among women in reproductive age group using RDT kit in the rural area of Coastal Karnataka. Villages were selected from Udupi and Dakshina Kannada Districts of Coastal Karnataka.</div></div><div><h3>Results</h3><div>A total of 1443 subjects consented and were screened for anaemia using RDT kit in comparison with gold standard method. 43 % individuals were classified as anaemic by both methods. Sensitivity = 78.90 %, Specificity = 94.04 %, Positive predictive value (PPV) = 90.91 %. Negative predictive value (NPV) = 85.51 %, The accuracy of RDT kit at 95 % CI was 87.53 % (85.71 %, 89.19 %). With a specificity of 94.04 % and an accuracy of 87.53 %.</div></div><div><h3>Conclusion</h3><div>The use of RDT kit at the field level can be used as a tool for screening and monitoring of anaemia at the field level. The RDT kit can be used in areas where access to healthcare facilities is limited and at the field level for haemoglobin estimation by grassroots healthcare workers. The RDT kit results are reliable.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102077"},"PeriodicalIF":2.3,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Catastrophic costs of Tuberculosis in patients registered under the National Tuberculosis Elimination Programme in South-East Delhi, India","authors":"Tazean Zahoor Malik ,&nbsp;Faheem Ahmed ,&nbsp;Sushovan Roy ,&nbsp;Rashmi Agarwalla ,&nbsp;Rambha Pathak","doi":"10.1016/j.cegh.2025.102075","DOIUrl":"10.1016/j.cegh.2025.102075","url":null,"abstract":"<div><h3>Background</h3><div>Tuberculosis (TB) is one of the leading causes of death from an infectious agent. Tuberculosis patients often fall into a “poverty medical trap” due to the cost of treatment. The present study aimed to estimate the economic burden of TB in registered patients undergoing treatment under the national programme.</div></div><div><h3>Methodology</h3><div>The study was a mixed-method study conducted in various DOTS centres of South-East Delhi. Quantitative data collection was done using a validated questionnaire, while focus group discussions helped triangulate data generated by quantitative methods. Data on socio-demographics, disease-specific characteristics, and costs were gathered. Descriptive statistics delineated sample characteristics. Univariate analysis helped understand the factors influencing the catastrophic costs.</div></div><div><h3>Results</h3><div>A total of 439 Tuberculosis patients in the Intensive phase of treatment were approached, out of which 416 consented to participate in the study. The mean (±S.D) total costs were Rs. 5923 ± 1243.2 while the mean direct and indirect costs were Rs. 4553.6 ± 623.2 and Rs. 2475.4 ± 540.1, respectively. The total costs were significantly associated (p &lt; 0.05) with the type of TB in the patient (more in EPTB patients), the type of health facility first visited (private more than government) and the employment status (highest cost in those who had employment of some kind). The catastrophic costs were experienced by 24.27 % of households.</div></div><div><h3>Conclusion</h3><div>Despite the free diagnosis and treatment of tuberculosis in the country, patients still experienced direct and indirect costs in the present study. More robust mechanisms and strategies are needed to reach the WHO End TB strategy target of ‘Zero Catastrophic Costs’.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102075"},"PeriodicalIF":2.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal mortality at Souissi Maternity Hospital in Rabat, 2018–2021","authors":"Fatima Elhassouni ,&nbsp;Rim Laaboudi ,&nbsp;Ismail Belhaouz ,&nbsp;Rachid Razine ,&nbsp;Majdouline Obtel ,&nbsp;Yahaya Maijimaa Tourey ,&nbsp;Sabah Amrani ,&nbsp;Zaki Hanchi ,&nbsp;Mounia El Yousfi ,&nbsp;Nada Bennani Mechita","doi":"10.1016/j.cegh.2025.102064","DOIUrl":"10.1016/j.cegh.2025.102064","url":null,"abstract":"<div><h3>Backgroung</h3><div>Maternal deaths are a major public health issue and serve as a crucial indicator for assessing a country's level of health development. The aim of this study is to describe the epidemiological characteristics of maternal deaths occurring at the Souissi Maternity Hospital in Rabat between 2018 and 2021.</div></div><div><h3>Methods</h3><div>This is a retrospective descriptive study. All cases of maternal death occurring at the Souissi Maternity Hospital in Rabat between January 2018 and December 2021 were included in this study. Data were collected from medical records. We divided the study into two phases (2018–2019 and 2020–2021), to be able to compare the mortality rate before and after COVID-19. Causes of death were also compared between these two phases using Khi² test or fisher's exact test.</div></div><div><h3>Results</h3><div>During the entire study period (2018–2021), the Maternal Mortality Rate was 156.03 deaths per 100,000 live births. This rate rose from 88.84 to 261.49 per 100,000 live births between the two study phases (p &lt; 0.001). Sixty-eight cases were linked to a direct cause (73.9 %). Preeclampsia and eclampsia was the leading cause of maternal mortality by direct cause (30.9 %), and hemorrhage was the second leading cause (25.0 %).</div></div><div><h3>Conclusion</h3><div>The study identified preeclampsia and postpartum hemorrhage as the leading causes of death, both of which are highly preventable. Recognizing risk factors through a case-control study is essential, and targeted interventions could help reduce maternal mortality.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102064"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of predictors responsible for neonatal sepsis and development of a diagnostic model","authors":"Shravya S. ,&nbsp;Krishnakumar Athavil ,&nbsp;Leslie Edward S. Lewis ,&nbsp;Sreedharan N. ,&nbsp;Vijayanarayana Kunhikatta","doi":"10.1016/j.cegh.2025.102074","DOIUrl":"10.1016/j.cegh.2025.102074","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal sepsis must be diagnosed and treated earliest to avoid potential consequences. we aimed to develop a diagnostic model by identifying the risk factors responsible for neonatal sepsis and comparing the diagnostic values of C-reactive protein (CRP), Procalcitonin (PCT), and platelets.</div></div><div><h3>Methods</h3><div>We conducted a single-centre case-control study for five years on 300 neonates admitted to the neonatal intensive care unit (NICU). The study included neonates diagnosed with sepsis as the “case” and those without sepsis as the “control” group. Data regarding clinical and demographic characteristics were collected retrospectively from medical records. The risk factors responsible for neonatal sepsis were identified using logistic regression, and the diagnostic performance of biomarkers CRP, PCT and platelets were compared by determining their sensitivity, specificity and the AUC of the ROC curve. Subsequently, the diagnostic model for neonatal sepsis was brought about using the identified risk factors and values of CRP, PCT and platelets.</div></div><div><h3>Results</h3><div>CRP was the biomarker studied with the highest sensitivity (65.32 %) and specificity (85.37 %) among CRP, PCT and platelets. The highest AUC value (0.811) on ROC curve analysis was also exhibited by CRP. Additionally, the independent risk factors identified for the development of neonatal sepsis were the bodyweight category, gestational age category, and CRP levels (<em>p &lt; 0.05)</em> using multivariate logistic regression.</div></div><div><h3>Conclusion</h3><div>CRP is the most dependable predictor for the diagnosis of neonatal sepsis in the study. Factors like body weight and gestational age contribute to the development of neonatal sepsis.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102074"},"PeriodicalIF":2.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiological trends and patterns of gastric cancer in the Kashmir Valley, India","authors":"Shaista Mushtaq ,&nbsp;Nisar Ahmad Syed ,&nbsp;G.M. Rather ,&nbsp;Shahid Saleem ,&nbsp;Athar Yousuf Rather ,&nbsp;Shaheena Parveen","doi":"10.1016/j.cegh.2025.102057","DOIUrl":"10.1016/j.cegh.2025.102057","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate the incidence, demographic characteristics, and distribution of stomach cancer across the Kashmir Valley, with a focus on regional variations.</div></div><div><h3>Methods</h3><div>This study employed a combination of hotspot analysis, spatial clustering, and trend analysis to examine stomach cancer incidence data from 2014 to 2023 across districts in the Kashmir Valley. Data were collected from hospital records, cancer registries, and health databases, encompassing a total of 5554 cases. The study analyzed regional variations in stomach cancer incidence and demographic factors. Hotspot analysis was conducted to identify high-risk areas, while clustering techniques were applied to detect spatial patterns in disease distribution. Trend analysis was performed to assess the changes in stomach cancer cases over the study period.</div></div><div><h3>Results</h3><div>The analysis revealed a significant increase in stomach cancer incidence across all districts of the Kashmir Valley, with the highest rates observed in South Kashmir. Hotspot analysis identified areas with a high concentration of cases in urban areas, particularly in districts such as Anantnag, Pulwama, and Srinagar. Clustering methods highlighted specific regions with persistent high incidence. Trend analysis indicated a steady rise in cases, with a notable peak in 2023. The majority of cases were male, with the highest incidence observed in individuals aged 60–79 years.</div></div><div><h3>Conclusion</h3><div>Stomach cancer incidence in the Kashmir Valley is on the rise, with significant regional variations identified through spatial analysis. The use of hotspot and clustering methods has provided valuable insights into high-risk areas, highlighting the need for targeted public health interventions. Further research into local environmental, dietary, and genetic factors is essential to better understand the increasing burden of stomach cancer in the region.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102057"},"PeriodicalIF":2.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between dengue and pediatric AUF: A study from Chennai and kochi, south India","authors":"Sara Chandy ,&nbsp;Divya Narayanan ,&nbsp;Anand Manoharan ,&nbsp;Vignesh Moorthy ,&nbsp;Gowridevi Vankayala ,&nbsp;Hemalatha Ramachandran ,&nbsp;Rohitha Chandra","doi":"10.1016/j.cegh.2025.102063","DOIUrl":"10.1016/j.cegh.2025.102063","url":null,"abstract":"<div><h3>Background</h3><div>Acute Undifferentiated Fever (AUF) is a common clinical presentation at hospitals in tropical and subtropical countries. Both children and adults present with this clinical condition which is difficult to diagnose clinically and has infectious and non-infectious causes. Early and accurate diagnosis of AUF requires good diagnostic tools. Dengue remains the most common infectious cause of AUF in India, followed by scrub typhus. All the four dengue serotypes (DEN1, DEN2, DEN3 and DEN4) cause disease in children and adults with clinical presentation ranging from febrile illness to severe dengue manifested as shock and multi-organ failure.</div></div><div><h3>Methods</h3><div>This study, done in South India, explores the dengue burden in AUF cases, dominant serotypes, and their clinical manifestations.</div></div><div><h3>Results</h3><div>Our study indicates that from 2022 to 2023, DEN2 remained the most common circulating serotype closely followed by DEN3. DEN3 is emerging fast and likely to become the most predominant serotype in Chennai.</div></div><div><h3>Conclusion</h3><div>Multiplex real time PCR is currently accepted as an affordable and sensitive tool for diagnosis of infectious causes of AUF. Serotype surveillance is important for controlling outbreaks and for clinical management of pediatric patients.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102063"},"PeriodicalIF":2.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and risk factors for asthma among adults in Tanzania","authors":"Mwanga Hussein Hassan ,&nbsp;Mamuya Simon Henry David ,&nbsp;Moen Bente Elisabeth ,&nbsp;Svanes Cecilie","doi":"10.1016/j.cegh.2025.102065","DOIUrl":"10.1016/j.cegh.2025.102065","url":null,"abstract":"<div><h3>Background</h3><div>Limited information exists on the magnitude of asthma and associated factors in Africa. In Tanzania, very few studies have conducted epidemiological investigation of adult asthma. This study investigated the prevalence and risk factors for asthma in Tanzania.</div></div><div><h3>Methods</h3><div>A cross-sectional study of 968 adults was conducted. An interviewer-administered European Community Respiratory Health Survey questionnaire was used. Current asthma was defined as having had an asthma attack, current use of asthma medication or being woken up by an attack of shortness of breath, in the past 12 months. Asthma outcomes were analysed using multivariate regression models.</div></div><div><h3>Results</h3><div>The median age was 43 years and 50 % were females. The prevalence of current asthma was 10 %, while 4 % reported doctor-diagnosed asthma and 10 % reported ≥2 asthma symptoms. The prevalence of hay fever was 10 %, and 9 % reported family history of allergy. Risk factors associated with ≥2 asthma symptoms included hay fever (OR = 4.94; 95 %CI: 2.85–8.58), eczema (3.28; 1.51–7.11), family history of allergy (2.34; 1.23–4.47), repeated childhood chest infections (7.98; 3.70–17.24), having no food to eat (3.83; 1.86–7.87) and exposure to biomass fuels-use of wood for cooking/heating (6.52; 3.16–13.48). Nonallergic current asthma was strongly associated with low socioeconomic status (5.66; 1.16–27.71).</div></div><div><h3>Conclusions</h3><div>Asthma was relatively common with a prevalence of 10 %. Limited food availability, exposure to biomass fuels, allergy and childhood respiratory infections, were identified as important risk factors for asthma. These findings underscore the need to identify the specific aspects of low socioeconomic status that can be targeted to reduce the asthma risk.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102065"},"PeriodicalIF":2.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco Troubles: Unraveling Tobacco's role in TB positivity among presumptive patients attending a taluka hospital in Karnataka, India","authors":"Ankeeta Menona Jacob ,&nbsp;Jeni Jacob ,&nbsp;Avinash K. Shetty","doi":"10.1016/j.cegh.2025.102059","DOIUrl":"10.1016/j.cegh.2025.102059","url":null,"abstract":"<div><h3>Background</h3><div>Tobacco dependence among patients with Tuberculosis (TB)(confirmed through microbiological tests) can have detrimental effects on treatment outcomes and immune responses. The study is aimed at assessing the prevalence of self-reported tobacco use and dependence cases among presumptive and microbiologically tested and confirmed patients with Tuberculosis.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted at the Government Taluk Hospital, Karkala, Karnataka, from November 2022 to December 2022, on 292 people presumed to have TB. Data was collected using a pre-structured questionnaire including key questions from the WHO tobacco questionnaire, Global Adult Tobacco Survey, and Fagerstrom's test for Nicotine dependence on smoked and non-smoked tobacco. Statistical analysis was done using SPSS version 29.0<strong>.</strong></div></div><div><h3>Results</h3><div>Among 292 presumptive TB patients, 63 patients (21.5 %) confirmed tobacco use of which 17(5.8 %) only smoked tobacco, 44(15.1 %) used smokeless tobacco, and 2(0.7 %) used both forms of tobacco. Of the 292 presumptive patients with TB tested, 31(10.6 %) patients were microbiologically confirmed to have TB. Varying degrees of nicotine dependence were noted in 2(100 %) tobacco-smoking patients and 3(66.7 %) smokeless tobacco users; and 1 (100 %) using both had significant nicotine dependence.</div></div><div><h3>Conclusion</h3><div>Nearly one-fourth of the study population had self-reported tobacco consumption. Significant dependence on tobacco was found among patients where TB was microbiologically confirmed<strong>.</strong></div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102059"},"PeriodicalIF":2.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of community-based health insurance on the use of health service and perceived quality of care in Bacho Woreda, central Ethiopia: A mixed method study","authors":"Chala Damena Heyi ,&nbsp;Anagaw Derseh (Dr) ,&nbsp;Berhan Tassew (Ms)","doi":"10.1016/j.cegh.2025.102055","DOIUrl":"10.1016/j.cegh.2025.102055","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Ethiopia has made a significant contribution towards Community Based Health Insurance (CBHI). However, evidence on the effect, use, and perceived quality of CBHI in the study area was scanty. Hence, this study aimed to assess the effects of a community-based health insurance scheme on the utilization of outpatient care, to assess factors affecting enrollment in the CBHI scheme, and explore the perception of the enrollee on the quality of care they received in Bacho Woreda, South West Shoa, Ethiopia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A facility-based Mixed method was conducted in Bacho District, central Ethiopia from December 2021 to May 30/2022. Quantitative data was collected using a structured questionnaire among a randomly selected sample of 386 (126 member and 240 non-members) household heads. While, qualitative information was gathered using focus group discussions among purposively selected CBHI members to complement the findings from the household survey. A logistic regression model was used to assess factors affecting enrollment in the CBHI scheme and to assess the effect of CBHI on outpatient service utilization. A bi-variable analysis of explanatory variables, including CBH scheme membership status, with the outcome variable of the study was computed. Then, all the independent variables that were significant in the bi variable analysis were taken for multiple logistic analysis. The qualitative data was summarized and presented concurrently alongside the quantitative data by using the thematic analysis technique.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Result&lt;/h3&gt;&lt;div&gt;A total of 386 respondents with a response rate of 95.3 %. The majority 219(56.7 %) of the study participants's’ age range from 18 to 35 years with a mean of 36.096 + 13.51796(33). Around half 191(49.5 %) of the study participants were farmers. The result revealed that there is a significant association between CBI participation and outpatient service utilization (AOR; 4.207, 95 % CI; 2.112, 8.380). In addition to this marital status of never married is significantly associated with OPD service utilization (AOR; 0.097, 95 % CI; 0.010, 0.970). The satisfaction of respondent with the service they received during their visit was also assessed and 60 (47.6 %) and 48(38.1 %) was very satisfied with the overall quality of service and availability of drug/medical supplies, respectively. 49(38.9 %) and 50(39.7 %) of respondents were satisfied with the availability of diagnostics and the cleanliness of the facility.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The Members of CBHI were highly utilized in their health care and more likely to attend health care providers even for simple sickness. The perception of the respondents regarding improvement in service quality after the facility had been contracted by the CBHI scheme there was improvement in overall quality of service. Regarding to factor affects the incidence of participation in CBHI scheme has been assessed and it re","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102055"},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception and predictors of antenatal services utilization by left-behind wives of marginal solo outmigrants-empirical evidence from India","authors":"Fahad Afzal ,&nbsp;Arindam Das ,&nbsp;Rupinder Sahota","doi":"10.1016/j.cegh.2025.102062","DOIUrl":"10.1016/j.cegh.2025.102062","url":null,"abstract":"<div><h3>Background</h3><div>Although antenatal care (ANC) services are offered free of charge at public healthcare facilities in India, Bihar state has a low ANC utilization rate due to service quality gaps. This study examines these gaps from the perspective of Left-Behind Wives (LBWs) residing in urban low socioeconomic environments in the absence of husbands. The research also aims to identify the predictors for efficient use of ANC services at government health centres and the effect of source of information on perception towards ANC services.</div></div><div><h3>Method</h3><div>A cross-sectional survey was carried out to capture responses from 165 respondents residing in low socioeconomic regions of two administrative blocks of the Patna district of India. Effective utilization was measured as a binary variable, based on antenatal check-ups, iron-folic acid consumption, institutional delivery, and tetanus vaccination. Regression analysis was used to assess the predictors of utilization of ANC services. Analysis of Variance (ANOVA) was used to analyze the effect of source of information on perception towards ANC services.</div></div><div><h3>Results</h3><div>The most significant aspect that predicts the efficient use of ANC services at government health centres was ‘human resource’ (AOR = 3.35, R² = 0.80), followed by ‘counselling service’ (AOR = 2.41) and ‘infrastructure and equipment condition’ (AOR = 1.76). There was no significant effect of source of information on perception (p &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>This study reveals reasons for underutilization, perception, and opportunities related to ANC services at government centres. It also provides vital insights for policymakers for the development of maternal healthcare in underperforming states of India, ultimately contributing to the health empowerment of LBWs.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"34 ","pages":"Article 102062"},"PeriodicalIF":2.3,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}