การใช้บริการการฝากครรภ์และการคลอดของแรงงานข้ามชาติหญิงชาวพม่าในจังหวัดสมุทรสาคร Maternal Care Utilization among Female Migrants from Myanmar in Samut Sakhorn

Abstract

This study investigated the pattern of maternal health care utilization and factors influencing the utilization among female migrant workers from Myanmar in Samut Sakhorn Province. The study’s sample included 400 female migrant workers aged 25-40 years who were reported being pregnant or giving birth during the past two years. Being developed, the questionnaire pertaining predisposing; enabling; and needs factors, and maternal care utilization was based on Andersen’s Behavioral Model of Health Services Utilization. The results showed that 60% of the respondents chose to receive health services in hospital. 16% of them completely received follow-up prenatal care appointments (100%) while 18.2% never obtained prenatal care (0%). The average gestational age at the first prenatal visit was 22.21 weeks. Mostly, the participants traveled to health facilities by bus. The trip took approximately 47.79 minutes. The regression analysis found that marital status, support from family and employer, acknowledgement of one’s own pregnancy, and work status significantly affected access to the first antenatal visit (p≤0.05). Moreover, age, acknowledgement of one’s own pregnancy, possession of medical benefit, experience of health services utilization, travel time, and support from family and employer significantly influenced the consistency in antenatal appointment attendance (p≤0.05).