ABSTRACT
It is obvious that the urban population was blessed with all the modern health facilities the country could afford and side by side rapid urbanization leads to the development of slum areas throughout the city. Though the slum dwellers are part of the urban population their accessibility and utilization of health services are beyond imagination. This study was conducted to assess the utilization of antenatal care (ANC) services by urban slum women. A community-based cross-sectional study was carried out among purposively selected 325 women, who experienced at least a live birth in the last 3 years and habitat of Korail and Ershadnogor slums of Dhaka from July 2018 to December 2018. The mean age of the participants was 24.7±5.2 years with 70.5% literacy rate and 65.8% were homemakers. About two-thirds (62.5%) of women experienced their 1st delivery between 17-21 years of age. Throughout pregnancy, 71.1% received antenatal checkups and among them, 66.1% took ANC ≥4 times. Half (51.7%) of deliveries were conducted at home. There was a significant association between ANC visits with the place of the last delivery (p<0.001) and a significant association between the number of ANC visits at the place of the last delivery (p=0.019). Study shows the inadequate utilization of ANC services by slum woman in contrast to urban residents. So, it is obvious that the available healthcare services need to recast for the slum habitats which should be need-based and address their drawbacks to all.
