Discussion
COMPLICATIONS, PREGNANCY COMPLICATIONS
The main issue that this study tried to answer was whether community-level social and behavioral change, interaction with Maternal Health Promoters or Agents and community involvement had an effect on the use of maternal health care. Additionally, if there were any differences between the research arms that were the consequence of other factors. The outcomes of the randomized controlled study showed that the social and behavior modification intervention at the community level significantly increased the use of MHS.The inferential analysis supported the hypothesis that women who received prenatal health education about the value of using MHS and could remember learning about pregnancy complications were more likely to attend ANC and had a higher likelihood of giving birth in a medical facility than those who did not. The relationship between receiving maternal health care information about pregnancy issues during ANC, having a baby in a hospital, and PNC was also highly significant. This finding is consistent with several other studies on the association between access to health information and the adoption of healthy behaviors. In a similar vein, Mageda and Mmbaga discovered in Tanzania that women who received advice from healthcare professionals to deliver at a healthcare facility had a higher likelihood of doing so [This is also related to two constructs of the Health Belief Model - perceived severity and cues to action, which state that individuals are more likely to take up positive health behaviors when they perceive a condition to be severe. In this sense, pregnant women who get information on pregnancy complications might be afraid of the complications they are likely to face when they deliver at home.An improvement in the utilization of maternal healthcare services (at least four ANC visits, institutional delivery, and at least four PNC visits) was noted in the current study. This change is mostly attributable to the effectiveness of the strict intervention measures used. We found a relationship between educational level and propensity to use MHS (ANC, facility delivery, and PNC). Maternal education affects the use of maternal health services like ANC, facility delivery, and PNC, according to numerous research from Bangladesh, [There are various explanations for the relationship between formal education and MHS uptake. First of all, educated women are better able to understand the health messages that will be distributed during ANC as well as those that are distributed through other media, such as newspapers, billboards, and other forms of mass communication [Some demographic factors such as mothers’ age and distance to health facilities remain critical and could explain the low uptake of the intervention [