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Western Journal of Nursing Research
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Utilization and Satisfaction with Prenatal Care Services

L. Louise Ivanov

School of Nursing, University of Virginia Fellow, WHO Collaborating Center for Healthy Cities and Institute of Action Research for Community Health, Indiana University, School of Nursing

Beverly C. Flynn

Department of Environments for Health, Institute of Action Research for Community Health Head, WHO Collaborating Center in Healthy Cities, Indiana University, School of Nursing.

This study was conducted in St. Petersburg, Russia, under the auspices of the World Health Organization, Healthy Cities Project, and the St. Petersburg Healthy City Project. The purpose of this study was to investigate and predict use of prenatal care services (utilization) and satisfaction with the services. A high maternal mortality rate and low attendance at prenatal clinics brought this health care issue to the forefront of the St. Petersburg Healthy City Project agenda. Aday and Andersen’s conceptual model was used to investigate use of and satisfaction with prenatal care services. Several characteristics of pregnant women were found to influence early use of prenatal care services and women’s level of satisfaction. Need had no influence in explaining when women started prenatal care or satisfaction with the services. Lastly, there was no relationship between early use of prenatal care services and women’s level of satisfaction with the services.

Western Journal of Nursing Research, Vol. 21, No. 3, 372-386 (1999)
DOI: 10.1177/01939459922043938


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Health Policy PlanHome page
N. N Habibov and L. Fan
Modelling prenatal health care utilization in Tajikistan using a two-stage approach: implications for policy and research
Health Policy Plan., November 1, 2008; 23(6): 443 - 451.
[Abstract] [Full Text] [PDF]