Understanding the Adolescent Gap in HIV Testing Among Clients of Antenatal Care Services in West and Central African Countries

This study systematically explored the barriers and facilitators to routine antenatal HIV testing from the perspective of pregnant women in sub-Saharan Africa during the implementation period of the Millennium Development Goals. Articles published between 2000 and 2015 were selected after reviewing the title, abstract, and references. Twenty-seven studies published in 11 African countries were eligible for the current study and reviewed. The most common barriers identified include communication with male partners, patient convenience and accessibility, health system and health-care provider issues, fear of disclosure, HIV-related stigma, the burden of other responsibilities at home, and the perception of antenatal care as a “woman's job.” Routine testing among pregnant women is crucial for the eradication of infant and child HIV infections. Further understanding the interplay of social and cultural factors, particularly the role of women in intimate relationships and the influence of men on antenatal care seeking behaviors, is necessary to continue the work of the Millennium Development Goals.

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Utilisation of antenatal care services as determinants of satisfaction and its challenges in Lagos, Nigeria

British Journal of Midwifery ◽

10.12968/bjom.2020.28.4.242 ◽

2020 ◽

Vol 28 (4) ◽

pp. 242-250

Author(s):

Iyabo Yewande Ademuyiwa ◽

Rosaline Oluremi Opeke ◽

Titilayo Dorothy Odetola

Keyword(s):

Antenatal Care ◽

Maternal Mortality ◽

Pregnant Women ◽

Sampling Technique ◽

World Health ◽

African Countries ◽

Pregnancy And Childbirth ◽

Care Services ◽

Validated Questionnaire ◽

Determinants Of Satisfaction

Despite the growing interest and efforts by government to popularise antenatal care services in Nigeria as recommended by the World Health Organization, high levels of infant and maternal mortality remains a major public health challenge facing the country. Complications of pregnancy and childbirth cause more deaths and disabilities than any other reproductive health problems in African countries, including Nigeria. Antenatal care presents an opportunity for recognition and appropriate intervention for some of the causes of maternal mortality in developing countries. The study investigates the level of utilisation of antenatal care services as determinants of satisfaction and its challenges among pregnant women in Lagos, Nigeria. A multistage sampling technique was used to determine the sample size of 1 500 pregnant women. A validated questionnaire was used for data collection. The Cronbach's alpha reliability coefficients for the tools ranged from 0.94–0.97. Data were analysed using descriptive and inferential (correlation, simple and multiple regression) statistics. The results showed that utilisation of antenatal care services had a significant influence on pregnant women's satisfaction with the services. Long waiting hours in the clinic, income/financial constraints, high cost of services and distance to health centres are the major challenges faced by pregnant women in Lagos.

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A Feasibility Study of Integrating Maternal Nutrition Interventions Into Antenatal Care Services in Ethiopia

Case Medical Research ◽

10.31525/ct1-nct04125368 ◽

2019 ◽

Author(s):

Keyword(s):

Antenatal Care ◽

Feasibility Study ◽

Maternal Nutrition ◽

Nutrition Interventions ◽

Care Services

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Assessing the prevalence of Maternal Anemia regarding Antenatal Care Services in Ramadi City-2020

10.36295/asro.2020.23108 ◽

2020 ◽

Vol 23 (10) ◽

Author(s):

Ban Nadhum Abdul Fatah ◽

Rafal Mustafa

Keyword(s):

Antenatal Care ◽

Maternal Anemia ◽

Care Services

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Knowledge and utilisation of preconception care and associated factors among women in Ethiopia: systematic review and meta-analysis

Reproductive Health ◽

10.1186/s12978-021-01132-9 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Alemu Degu Ayele ◽

Habtamu Gebrehana Belay ◽

Bekalu Getnet Kassa ◽

Mulugeta Dile Worke

Keyword(s):

Systematic Review ◽

Antenatal Care ◽

Associated Factors ◽

Preconception Care ◽

Meta Analysis ◽

Grey Literature ◽

Database Systems ◽

Child Health Services ◽

Measurement Tool ◽

Care Services

Abstract Background Preconception care is the provision of biomedical, behavioural, and social health interventions provided to women and couples before conception. However, in Ethiopia, little is known and practised to support preconception care. Therefore, this study aimed to assess women’s knowledge and utilisation of preconception care and its associated factors in Ethiopia using systematic review and meta-analysis. Method In the current meta-analysis, variables were searched from different electronic database systems, which included PubMed, Google Scholar, EMBASE, HINAR, Scopus, Web of Sciences, and Grey literature. Data were extracted using a standardised data collection measurement tool. The data were analysed by using STATA 14 statistical software. I2 tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled knowledge and utilisation of preconception care. Results Thirteen full-text studies were included. The pooled prevalence of knowledge and utilisation of preconception care among women in Ethiopia was 30.95% and 16.27% respectivelly. Secondary education (OR = 2.78, 95% CI,2.01–3.85), college and above (OR = 5.05, 95% CI,2.70–9.44), and antenatal care (OR = 3.89, 95% CI, 1.69–8.98) were significantly associated with knowledge level whereas; age (OR = 2.43, 95% CI, 1.30–4.53) and knowledge on preconception care (OR = 3.95, 95% CI,2.35–6.62) were positively associated with utilisation of preconception. Conclusions Women’s level of knowledge and utilisation of preconception care was significantly low. Educational status and antenatal care follow-up were factors shown to affect knowledge of preconception care. Age and having a sound knowledge of preconception care indicated a significant association towards utilisation of preconception care. Thus, integrating preconception care strategies and policies that can address all the components of preconception care services with other maternal and child health services will be essential when designing effective implementation strategies to improve preconception care uptake. Besides this, advocating for better education for women, awareness creation, and increasing antenatal care services are essential. Prospero registration: CRD42020218062

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The impact of antenatal care on under‐five mortality in Ethiopia: a difference‐in‐differences analysis

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03531-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Samuel Oduse ◽

Temesgen Zewotir ◽

Delia North

Keyword(s):

Antenatal Care ◽

Child Survival ◽

First Trimester ◽

Sub Saharan Africa ◽

P Value ◽

Difference In Differences ◽

Under Five ◽

Care Services ◽

Sub Saharan ◽

The Impact

Abstract Background Sub-Saharan Africa, as opposed to other regions, has the highest under-five mortality rates yet makes the least improvement in reducing under-five mortality. Despite the decline, Ethiopia is among the top ten countries contributing the most to global under-five mortalities. This article examines the impact of the number of antenatal care and the timing of first antenatal care on child health outcomes. We specifically investigated if the utilization of antenatal care services positively affects the reduction of under-five mortality. Methods We employ a difference-in-differences design with propensity score matching to identify direct causal effects of antenatal care on under-five mortality based on the Ethiopian Demographic Health Survey data of 2011 and 2016. Our sample includes 22 295 women between the ages of 14–49 who had antenatal care visits at different times before delivery. Results The study revealed 1 481 cases of reported under-five mortality. 99.0% of that under-five mortality cases are women who had less than eight antenatal care visits, while only 1% of that is by women who had eight or more antenatal care visits. Antenatal care visit decreases the likelihood of under-five mortality in Ethiopia by 45.2% (CI = 19.2–71.3%, P-value < 0.001) while the timing of first antenatal care within the first trimester decreases the likelihood of under-five mortality by 10% (CI = 5.7–15.6%, P-value < 0.001). Conclusions To achieve a significant reduction in the under-five mortality rate, Intervention programs that encourages more antenatal care visits should be considered. This will improve child survival and help in attaining Sustainable Development Goal targets.

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