{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T20:06:46Z","timestamp":1788379606169,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T00:00:00Z","timestamp":1720742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T00:00:00Z","timestamp":1720742400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Insufficient use of antenatal care (ANC) services and institutional births services can elevate the maternal mortality risk in limited resource settings. Hence, the key objective of this study was to evaluate the potential association between the frequency of ANC visits and institutional birth services in Afghanistan, while also identifying other sociodemographic factors that may exert influence. Furthermore, we explored factors associated with the attendance of women at ANC visits during their pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We employed data from the most recent Multiple Indicator Cluster Survey conducted in Afghanistan in 2022 to 2023 with a total of 8096 women aged 15 to 49. A complex survey weight\u2010adjusted logistic regression model was used to examine factors related to institutional births, and a multinomial logistic regression model was fitted to assess the relationships between sociodemographic factors and ANC visits, adjusting for survey weights, cluster effects, and strata.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Approximately 40% of the sample (n = 3247) had undergone 4 or more ANC visits, and 74.4% (n = 6,022) had opted for institutional birth. Women's higher education was found to be associated with ANC visits. The area of residence, wealth index, education levels of women, ownership of mobile phones, number of children, and number of ANC visits were associated with institutional births. Compared with women with no or one ANC visit, those with more than 3 visits had 31% higher odds (adjusted odds ratio, 1.31; 95% CI, 1.10\u20101.57) of accessing institutional births.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Our findings indicate a significant association between ANC visits and use of institutional birth care. These findings carry implications for advancing safe motherhood and childbirth by enhancing women's social status.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jmwh.13666","type":"journal-article","created":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T23:44:01Z","timestamp":1720827841000},"page":"147-156","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Antenatal Care Visits, Institutional Births, and Associated Risk Factors in Afghanistan: Insights from the Multiple Indicator Cluster Survey 2022\u20102023"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9697-1968","authenticated-orcid":false,"given":"Jahar","family":"Bhowmik","sequence":"first","affiliation":[{"name":"School of Health Sciences Swinburne University of Technology  Hawthorn Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0602-8683","authenticated-orcid":false,"given":"Lakma","family":"Gunarathne","sequence":"additional","affiliation":[{"name":"School of Health Sciences Swinburne University of Technology  Hawthorn Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9260-7368","authenticated-orcid":false,"given":"Sunil","family":"Bhar","sequence":"additional","affiliation":[{"name":"School of Health Sciences Swinburne University of Technology  Hawthorn Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9992-9044","authenticated-orcid":false,"given":"Udayan","family":"Bhowmik","sequence":"additional","affiliation":[{"name":"School of Medicine Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4294-6323","authenticated-orcid":false,"given":"Raaj Kishore","family":"Biswas","sequence":"additional","affiliation":[{"name":"Charles Perkins Centre School of Health Sciences Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,12]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA\/Population Division","author":"WHO","year":"2023"},{"key":"e_1_2_8_3_1","unstructured":"United Nations.Transforming our world: The 2030 agenda for sustainable development.United Nations Department of Economic and Social Affairs;2015."},{"key":"e_1_2_8_4_1","unstructured":"World Health Organization.Maternal mortality: levels and trends 2000 to 2017.World Health Organization;2019."},{"key":"e_1_2_8_5_1","unstructured":"United Nations.Transforming our world: the 2030 agenda for sustainable development (A\/RES\/70\/1).United Nations;2015. Accessed November 13 2023.https:\/\/sdgs.un.org\/publications\/transforming\u2010our\u2010world\u20102030\u2010agenda\u2010sustainable\u2010development\u201017981"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010022\u201004588\u20100"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.18999\/nagjms.81.1.121"},{"key":"e_1_2_8_8_1","unstructured":"United Nations;Asian Development Bank;United Nations Development Programme.Asia\u2010Pacific Sustainable Development Goals Outlook.United Nations;2017. Accessed November 13 2023.https:\/\/www.undp.org\/asia\u2010pacific\/publications\/asia\u2010pacific\u2010sustainable\u2010development\u2010goals\u2010outlook"},{"key":"e_1_2_8_9_1","unstructured":"KIT Royal Tropical Institute.Afghanistan Health Survey 2018 report.KIT Royal Tropical Institute;2019. Accessed November 13 2023.https:\/\/www.kit.nl\/wp\u2010content\/uploads\/2019\/07\/AHS\u20102018\u2010report\u2010FINAL\u201015\u20104\u20102019.pdf"},{"key":"e_1_2_8_10_1","unstructured":"World Health Organization.WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience.World Health Organization;2016. Accessed March 26 2024.https:\/\/www.who.int\/publications\/i\/item\/9789241549912"},{"key":"e_1_2_8_11_1","first-page":"50","article-title":"Antenatal care services utilization among women of reproductive age in urban and rural communities of South East Nigeria: a comparative study","volume":"5","author":"Duru C","year":"2014","journal-title":"Afrimedic J"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010020\u201005096\u20107"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010020\u201005121\u20109"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19053144"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2214\u2010109x(18)30386\u20103"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2214\u2010109x(16)30002\u2010x"},{"key":"e_1_2_8_17_1","unstructured":"Health: ending preventable maternal newborn and child deaths. UNICEF website.2023. Accessed November 26 2023.https:\/\/www.unicef.org\/afghanistan\/health"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010060141"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010022\u201013037\u20108"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103480"},{"key":"e_1_2_8_21_1","unstructured":"UNICEF.Afghanistan Multiple Indicator Cluster Survey 2022\u201323 Summary Findings Report.UNICEF;2023. Accessed July\u00a006 2023.https:\/\/www.unicef.org\/afghanistan\/reports\/afghanistan\u2010multiple\u2010indicator\u2010cluster\u2010survey\u2010mics\u20102022\u20102023"},{"key":"e_1_2_8_22_1","unstructured":"Multiple indicator cluster surveys. UNICEF website.2023. Accessed June 11 2023 https:\/\/mics.unicef.org"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010022\u201005328\u20100"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2017.1328796"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.11.04008"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690\u2010020\u201000520\u20100"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182010722"},{"key":"e_1_2_8_28_1","unstructured":"RutsteinSO RojasG.Guide to DHS Statistics. ORC Macro;2006."},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0231489"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41182\u2010021\u201000335\u2010x"},{"key":"e_1_2_8_31_1","first-page":"93","article-title":"Role of women empowerment in utilization of maternal healthcare services: evidence from Pakistan","volume":"57","author":"Akram N","year":"2019","journal-title":"Pakistan Econ Social Rev"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.4081\/jphia.2017.592"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v33i1.20"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.4314\/bjpm.v12i1.63387"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2017.1388804"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/4036830"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.29063\/ajrh2021\/v25i6.15"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010020\u201008480\u20104"},{"issue":"1","key":"e_1_2_8_39_1","first-page":"80","article-title":"Disadvantaged rural health \u2013 issues and challenges: a review","volume":"3","author":"Chillimuntha AK","year":"2013","journal-title":"Natl J Med Res"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/hir.12364"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.2196\/12631"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.13666","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jmwh.13666","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.13666","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:12:10Z","timestamp":1777522330000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.13666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,12]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/jmwh.13666"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.13666","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,12]]},"assertion":[{"value":"2024-07-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}