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SOCIODEMOGRAPHIC DETERMINANTS OF PRENATAL CARE ACCESS AMONG PREGNANT WOMEN IN THE MANGYSTAU REGION: A CROSS-SECTIONAL
G Mukasheva1, I Seitmaganbetova1, Z Kurmangali2
11Semey Medical University, Republic of Kazakhstan.
Georgian Medical News
|August 14, 2026
Summary
Sociodemographic factors like education and location significantly impact prenatal care access for pregnant women in Kazakhstan's Mangystau Region. Improving maternal education and rural healthcare access is crucial for reducing congenital anomalies (CAs).
Area of Science:
- Public Health
- Maternal Health
- Environmental Health
Background:
- Congenital anomalies (CAs) are a major cause of infant mortality and disability globally.
- Industrial regions like Mangystau, Kazakhstan, face high birth defect rates due to pollution and limited healthcare.
- Understanding sociodemographic influences on prenatal care is vital in high-risk areas.
Purpose of the Study:
- To evaluate sociodemographic determinants of prenatal care access.
- To assess health-seeking behaviors among pregnant women in the Mangystau Region.
- To identify barriers to prenatal care and their link to congenital anomalies.
Main Methods:
- Cross-sectional survey of 318 pregnant women in the Mangystau Region.
- Structured questionnaires collected data on sociodemographics, health behaviors, and environmental perceptions.
- Chi-square tests analyzed associations between variables (p<0.05).
Main Results:
- Higher education and urban residence correlated with increased access to prenatal care, including ultrasound and genetic testing (p<0.001).
- Lower education and income were linked to higher pregnancy complication rates (p<0.01).
- Rural participants reported poorer food and water quality (p=0.017).
Conclusions:
- Sociodemographic inequalities, particularly rural residence, low education, and income, are significant barriers to prenatal care in Mangystau.
- Targeted public health interventions are needed to enhance maternal education and diagnostic service access in rural areas.
- Improving prenatal care utilization is essential for reducing the burden of congenital anomalies.
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