{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:07:44Z","timestamp":1777522064863,"version":"3.51.4"},"reference-count":34,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"\n Background<\/jats:title>\n High-quality antenatal care (ANC) reduces maternal and infant mortality and improves health outcomes, particularly in low-income countries. To assess the quality of ANC, three criteria are used: the number of visits, the timing of care initiation, and the inclusion of all recommended care components. The goal of this study was to identify and compare the factors associated with attending 4+ and 8\u2009+\u2009ANC visits as well as obtaining high-quality ANC.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Data from the Bangladesh Demographic and Health Survey (BDHS) 2017--2018 and 2022 were used to evaluate the prevalence of ANC, and a binary logistic regression model was used. High quality ANC included the following components: blood pressure measurement, urine tests for detecting bacteriuria and proteinuria, blood tests for syphilis and anemia, iron supplementation, vitamin A administration, a child\u2019s health check before discharge, and health education.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In 2017--2018, 48% of women attended four or more visits, which decreased to 41% in 2022. ANC attendance for eight or more visits declined from 12% to 5%, and approximately 8% of women received no ANC in both periods. Higher levels of education among mothers and their spouses, urban residency and higher household wealth were positively correlated with ANC attendance and quality. Notably, essential components such as blood pressure monitoring and iron supplementation were more common among women with higher socioeconomic status, but their prevalence declined between 2017\u20132018 and 2022.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Continuous efforts must be made in Bangladesh to improve access to higher-quality ANC. It is vital to target women with lower levels of education who come from low-income families. More focus must be placed on enhancing women\u2019s education for long-term improvement.<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0337449","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T18:31:22Z","timestamp":1764009082000},"page":"e0337449","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Trends and determinants of antenatal care use and quality in Bangladesh: Insights from demographic and health survey data"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9554-4825","authenticated-orcid":true,"given":"Sutapa Dey","family":"Barna","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md. Abdul","family":"Quayyum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md. Goffar","family":"Hossain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md. Akhtarul","family":"Islam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuad","family":"Rahman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"pone.0337449.ref001","doi-asserted-by":"crossref","unstructured":"Fraser A, Catov JM, Lawlor DA, Rich-Edwards JW. Pregnancy characteristics and women\u2019s cardiovascular health. 2018.","DOI":"10.1007\/978-3-319-47143-3_8"},{"key":"pone.0337449.ref002","unstructured":"World Health Organization, UNICEF, United Nations Population Fund, World Bank Group, United Nations Population Division. Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. 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Bangladesh National Strategy for Maternal Health 2019-2030."},{"key":"pone.0337449.ref034","volume-title":"Bangladesh national strategy for maternal health 2019-2030","author":"Directorate General of Health Services","year":"2019"}],"updated-by":[{"DOI":"10.1371\/journal.pone.0347391","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000}}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0337449","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T13:59:49Z","timestamp":1775138389000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0337449"}},"subtitle":[],"editor":[{"given":"Muhammad Haroon","family":"Stanikzai","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":34,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11,24]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0337449","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,24]]}}}