The effects of migration on antenatal care services in a middle Anatolian town (Eskisehir-Kaymaz)

The effects of migration on antenatal care services in a middle

Anatolian town (Eskisehir-Kaymaz)

S. Metintas, D. Arslantas, C. Kalyoncu, A.

Unsal, H. Karabagli

Eskisehir-Osmangazi University, Medical Faculty, Department

of Public Health, Eskisehir, Turkey, and The Office of Mother/Child Health and Family Planning

Services, Eskisehir, Turkey

Objective In Turkey level of antenatal care

services shows considerable differences between regions. Also, the reality of

our country is that there is migration from east and southeast regions where the

national health index is at a lower level to western regions. Additionally,

migration is accepted as a social phenomenon that influences indexes of women

health unfavorably.

Study aimed to investigate utilization of antenatal care

services by native and immigrant women living in Kaymaz city, to where

perdurable migration occurs mostly, in Osmangazi University Medical Faculty

Public Health Department research region.

Design and method In research region

by going each house, it was asked weather there had been death of a baby since

10 years and weather there was a living baby or a child in each of these

dwellings. The demographic features of the women with a baby died in 10 years

time or with a living baby or a child and antenatal care services they got in

each of their births were investigated with standard measures. Study data were

evaluated in two different data sets with mother and birth basis.

Results Thirty-one of

the women in study group were (48.4%) native and 33 of them (51.6%) were

immigrant. Immigrant women mostly came from east and southeast Anatolian regions.

The education levels of immigrant women and their husbands were lower than

native ones (p=0.001). While the distribution of their professions were not

different from native women, ratio of unemployment of their husbands and ratio

of ones who did not have any health insurance were higher (p=0.05). Means of

gravida, parity and living child and abortion of immigrant women were found

higher (p=0.01). Of 109 births of 64 women from study group , 50 of native

women’s (group 1) and 35 of immigrant women’s (group 2) were in Kaymaz and 24 of

them were in places where immigrant women came (group 3).Ratio of not getting

prenatal care service was higher in group 3(28%) than group 2 (12%) and group 1

(6%) (p=0.000).Ratio of using primary care or hospital care in order to get

natal care service was lower in group 3 ( p=0.001).Ratio of not having tetanus

vaccine was lower in group 1(8%) than group 2 (14.7 %) and group 3 (40.0 %)

(p=0.02). Ratio of prenatal regular visits were higher in group 1 ( 57.8 %) than

group 2 (23.4%) and group 3 (21.9%) (p=0.004). Ratio of utilizing laboratory

services in prenatal care was higher in group 1 (92%) than group 2 (76.5 %) and

group 3 (60.0 %) (p=0.004). Ratio of Traditional-midwifes took place in births

was lower in group 1 (10.0%) than group 2 (26.5%) and group 3 (32.0%)

(p=0.04).Ratio of birth at home was higher in group 3 (32.0%)and group 2(26.5%)

than group 1(12.0%).

Conclusions The level of utilizing antenatal care services

of immigrant women was found to be lower than native women. And it was concluded

that immigrant women should be regarded as a risk group while planning health

services and efforts should be paid in order that these women could have enough

health services.

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