Situation Analysis of Antenatal Care Services in Thailand
Keywords:
antenatal care, quality antenatal care policy, antenatal care visit, maternal and child health outcomesAbstract
Antenatal care (ANC) is an initial step of comprehensive maternal and child service to promote quality of life. Thailand has announced 5 quality ANC service since 2016. However, no policy analysis study has been conducted. This study aimed to evaluate existing ANC situation in Thailand, including maternal and child health outcomes. Mixed method study was utilized, including quantitative data collection in post-partum women about the ANC services that were given during their pregnancy stages. Descriptive and inferential statistics were analyzed following the completeness of data. Qualitative analysis by thematic analysis was performed following the in-depth and focus group interviews of ANC clinic and Labor room staff from 24 hospitals in 12 health regions. The results revealed improving trend of maternal and child health outcomes. The 5 quality ANC service policy was implemented in all 12 health regions. It was notably that low risk pregnant women received average 10 ANC visits through out the pregnancy period. Nevertheless, around 25.7 percent was late in their first ANC visit. Respiratory and cardiovascular physical examination, breast examination, oral check up, mental health screening, influenza vaccination, and parental school education were the less delivered activities. It was obvious that 8 ANC visits were practical according to the current situation. In addition, completeness of activities in each gestational age should be intensified within the policy. Thorough evaluation of workload, budget, ANC capacity building should be conducted along with the public announcement of the free ANC policy.
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