scholarly journals Family context and individual characteristics in antenatal care utilization among adolescent childbearing mothers in urban slums in Nigeria

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260588
Author(s):  
Akanni Ibukun Akinyemi ◽  
Temitope Peter Erinfolami ◽  
Samuel Olinapekun Adebayo ◽  
Iqbal Shah ◽  
Reni Elewonbi ◽  
...  
Keyword(s):  
Developing Countries ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Adolescent Mothers ◽  
Individual Characteristics ◽  
Urban Slums ◽  
Family Context ◽  
Care Utilization ◽  
Cross Sectional Survey ◽  
Skilled Attendant

Introduction Adolescent pregnancy contributes significantly to the high maternal mortality in Nigeria. Research evidence from developing countries consistently underscores Antenatal Care (ANC) among childbearing adolescents as important to reducing high maternal mortality. However, more than half of pregnant adolescents in Nigeria do not attend ANC. A major gap in literature is on the influence of family context in pregnant adolescent patronage of ANC services. Methods The study utilized a cross-sectional survey with data collected among adolescent mothers in urban slums in three Nigerian states namely, Kaduna, Lagos, and Oyo. The survey used a multi-stage sampling design. The survey covered a sample of 1,015, 1,009 and 1,088 childbearing adolescents from each of Kaduna, Lagos, and Oyo states respectively. Data were analyzed at the three levels: univariate, bivariate and multivariate. Results Overall, about 70 percent of female adolescents in our sample compared with 75 percent in the Demographic and Health Survey (DHS) had any antenatal care (ANC) visit. About 62 percent in our sample compared with 70 percent in the DHS had at least 4 ANC visits, and, about 55 percent in our sample compared with 41 percent of the DHS that had 4 ANC visits in a health facility with skilled attendant (4ANC+). Those who have both parents alive and the mother with post-primary education have higher odds of attending 4ANC+ visits. The odds of attending 4ANC+ for those who have lost both parents is almost 60% less than those whose parents are alive, and, about 40% less than those whose mothers are alive. The influence of mother’s education on 4ANC+ attendance is more significant with large disparity when both parents are dead. Conclusion The study concludes that identifying the role of parents and community in expanding access to ANC services among adolescent mothers is important in improving maternal health in developing countries.

scholarly journals Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258468
Author(s):  
Gizachew Tadesse Wassie ◽  
Minyichil Birhanu Belete ◽  
Azimeraw Arega Tesfu ◽  
Simachew Animen Bantie ◽  
Asteray Assmie Ayenew ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Survey ◽  
Postnatal Care ◽  
Public Health Intervention ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Care Utilization ◽  
Timely Initiation ◽  
Care Services

Background Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care services in 2016. Objective This study examined the association between antenatal care and timely postnatal care checkup among reproductive-age women in Ethiopia. Methods The study used the 2016 Ethiopian Demographic and Health Survey data. The current study included 4,081 women who give birth in the two years preceding the survey. Chi-square test and multivariable logistic regression analyses were used to examine the association between antenatal care and timely initiation of postnatal care. Results Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkups compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% CI 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as a significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77). Conclusion The prevalence of timely initiation of postnatal care in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve the timely initiation of postnatal care.

scholarly journals Utilization of Antenatal Care Services in Urban Slums of Nanded City

2019 ◽  
Vol 5 (2) ◽  
pp. 69-73
Author(s):  
Sunita P. Pawar ◽  
◽  
Geeta S. Pardeshi ◽  
Shriram Gosavi ◽  
◽  
...  
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Care Service ◽  
Urban Slums ◽  
Reproductive Age ◽  
Care Utilization ◽  
Special Focus ◽  
Age Group ◽  
Care Services ◽  
Reproductive Age Group

Background: Complications during pregnancy and delivery are well documented and can be prevented and managed effectively especially with adequate antenatal care. Women in urban slums represent a marginalized community and improving health care utilization in this group remains a challenge. Objective: To study existing antenatal care practices and study the factors associated with it among women of reproductive age group in urban slums of Nanded city. Methods: This is a community based cross sectional descriptive study carried out from March 2010 to April 2011 in which 400 women reporting delivery in past two years were selected using Probability Proportionate Sampling. Data on Sociodemographic factors and different components of antennal care were collected using a Semi structured questionnaire. Analysis was done using chi square test. Results: Among the 400 women included in the study, coverage of full Antenatal care (ANC) services was reported by 80 (20%) respondents. While 381 (95%) women were immunized with Tetanus Toxoid, only 98 (25%) women had consumed 100 or more Iron and Folic acid tablets, 315 (79%) women had three or more antenatal check-ups and 213 (53%) had registered themselves in first trimester of pregnancy. There was significant association between full antenatal care and woman’s education, husband’s education and occupation, religion and socio-economic status of family (<0.05). Conclusion: There is a need to improve the utilization of full antenatal care package among women in urban slums with a special focus on early registration and IFA consumption. Sociodemographic variables of reproductive age group women have impact on utilization of antenatal care services. The risk factors identified for low antenatal care service utilization were low educational status of women and their husbands and low socioeconomic status. Special efforts should be made to motivate this group for antenatal care service utilization

Quality of Antenatal Care Services in a Developing Country: A Cross-Sectional Survey

2020 ◽  
Vol 26 (1) ◽  
pp. e25-e34
Author(s):  
Jacoline Sommer Albert ◽  
Ahtisham Younas ◽  
Gideon Victor
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Care Providers ◽  
Health Workers ◽  
World Health ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Organization

The global adult lifetime risk of maternal mortality is 1 in 180; in Pakistan, it is 1 in 170; in developed regions, 1 in 4,900 (Alkema et al., 2016; Filippi, Chou, Ronsmans, Graham, & Say, 2016; World Health Organization [WHO], 2015). The differences in maternal mortality between developed and developing countries are mainly due to the quality of antenatal care (ANC) available in the two groups of countries. The purpose of this study was to assess the structural and procedural quality of ANC services provided and to assess satisfaction levels of women receiving ANC services in two large hospitals in Islamabad, Pakistan. A cross-sectional survey was conducted at the hospitals' outpatient maternal and child health clinics, with a random sample of 138 women. The overall quality of ANC was rated as good (61%), average (17.5%), or poor (17.5%). The findings suggest a need to cultivate quality of care at public health facilities, train health workers in communication skills, and build technical capacity by continuing education and supportive supervision to train health-care providers to follow standard protocols for provision of quality ANC services.

scholarly journals Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Gizachew Tadesse Wassie ◽  
Minyichil Birhanu Belete ◽  
Azmeraw Arega Tesfu ◽  
Simachew Animen Bantie ◽  
Asterey Assmie Ayenew ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Survey ◽  
Postnatal Care ◽  
Public Health Intervention ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Care Utilization ◽  
Timely Initiation ◽  
Care Services

Abstract Background: Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care service in 2016. This study examined the association between antenatal care and timely postnatal care checkup among reproductive age women in Ethiopia.Methods: The study used the 2016 Ethiopian Demographic and Health Survey data. The sample consisted of 4,081 women who give birth within the last two years prior to survey. Chi-square test and multivariable logistic regression were used to examine the association between antenatal care and timely initiation of postnatal care.Results: Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkup compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% Confidence Interval (95%CI) 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77).Conclusion: Timely initiation of postnatal care within two days of delivery in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve timely initiation of postnatal care.

scholarly journals Proposed Framework for Making Focused Antenatal Care Services Accessible: A Review of the Nigerian Setting

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
John Ekabua ◽  
Kufre Ekabua ◽  
Charles Njoku
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Traditional Approach ◽  
Maternal Mortality Ratio ◽  
Teaching Hospitals ◽  
Care Group ◽  
Birth Preparedness ◽  
Skilled Attendant ◽  
Complication Readiness ◽  
Focused Antenatal Care

The aim of this paper is to propose a framework for making antenatal care an effective strategy in reducing the high maternal mortality ratio in Nigeria. On-site visits to five teaching hospitals were carried out between 2006 and 2008 to assess the practice of antenatal care. Group discussions with 200 parturients on their awareness of birth preparedness/complication readiness were conducted, in October, 2008. The findings of this study are discussed in line with the proposed practice of focused antenatal care. The practice of antenatal care in all the hospitals visited was the traditional approach based on earlier European models. Awareness of birth preparedness/complication readiness, by parturients, as a goal-directed intervention during antenatal care was low (21.5%). To reduce maternal deaths through antenatal care, it is critical to link care with detecting and treating causes of maternal mortality by a skilled attendant.

scholarly journals Factors that Influence Teenage Antenatal Care Utilization in John Taolo Gaetsewe (JTG) District of Northern Cape Province, South Africa: Underscoring the Need for Tackling Social Determinants of Health

2016 ◽  
Vol 5 (2) ◽  
pp. 134-145
Author(s):  
Eshetu Bekele Worku, PhD ◽  
Selamawit Alemu Woldesenbet, PhD
Keyword(s):  
South Africa ◽  
Antenatal Care ◽  
Social Determinants Of Health ◽  
Health Facility ◽  
Adolescent Mothers ◽  
Social Determinants ◽  
Teenage Pregnancy ◽  
Determinants Of Health ◽  
Care Utilization ◽  
Reproductive Health Services

Background and Objectives: In resource-limited settings, the uptake of antenatal care visits among women, especially teenage pregnant women, is disturbingly low. Factors that infl uence the uptake of ANC services among teenage women is largely understudied and poorly understood in John Taolo Gaetsewe (JTG), a predominantly rural and poor district of South Africa. The aim of this study was to determine the factors that infl uence uptake of ANC services among teenage mothers in JTG district. Methods: A cross-sectional health facility-based study utilising mixed method was conducted in all public health facilities (n=44) at JTG district. Mother-infant pairs (n=383) who brought their infants for six-week first DPT immunisation during the study period were enrolled in the study. Structured questionnaires were used to collect data on demographic, socio-economic and uptake of ANC indicators. Results: Out of 272 respondent mothers, 18.68% were adolescent mothers (13-19 years). The logistic regression analysis shows that mother’s age (OR=2.11; 95%CI = 1.04 - 4.27); distance to the nearest health facility (OR=3.38; 95%CI = 1.45-7.87); and client service satisfaction (OR=8.58; 95%CI =2.10-34.95 are significantly associated with poor uptake of ANC services. Conclusion and Global Health Implications: There is a need to improve the quality of adolescent reproductive health services tailored to their health and developmental needs. Moreover, addressing the social determinants of health that affect individual’s healthy life style and health seeking behavior is critical. Key words: Antenatal Care Visits • Teenage Pregnancy • Social Determinants of Health • John Taolo Gaetsewe Copyright © 2016 Worku and Woldesenbet. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Factors Associated With Prescribed Antenatal Care Utilization: A Cross-Sectional Study in Eastern Rural China

2019 ◽  
Vol 56 ◽  
pp. 004695801986543 ◽  
Author(s):  
Hua You ◽  
Ting Yu ◽  
Hai Gu ◽  
Yun Kou ◽  
Xin-peng Xu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Rural Women ◽  
Rural China ◽  
Univariate Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Care Utilization ◽  
Multivariate Logistic Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional

With relatively sufficient antenatal health service supplies in eastern rural China, the utilization still needs to be improved. The objective of this study was to identify factors that correlate with antenatal care (ANC) utilization from the demand-side in Jiangsu, China. In a cross-sectional survey, a sample of 896 rural women who had a childbearing history in the previous 5 years answered ANC questions and formed the final analysis. Questionnaire was designed based on Andersen’s behavioral model. The outcome variables included receiving times and items of prescribed ANC utilization, and the explanatory variables were organized into 3 hierarchical levels: predisposing, enabling, and need factors. Univariate analysis and multivariate logistic regression analysis were conducted. In the results of multivariate logistic regression, factors significantly associated with ANC examination times included income, odds ratio (OR) (95% confidence interval [CI]) = 2.90 (1.92-4.39); the distance from the nearest hospital, OR (95% CI) = 0.67 (0.47-0.95); chronic disease, OR (95% CI) = 1.77 (1.15-2.72); and parity, OR (95% CI) = 0.66 (0.46-0.95), while factors significantly associated with ANC examination items included education, OR (95% CI) = 8.02 (1.08-59.67); income, OR (95% CI) = 3.90 (1.72-8.85); female medical staff in towns and villages, OR (95% CI) = 2.64 (1.39-5.02); and parity, OR (95% CI) = 0.41 (0.23-0.75). In reducing inadequate ANC utilization in rural area, efforts should be made not only to target the rural women with lower income, lower educational level, and multi-parity, but also to further improve the accessibility of the primary medical facilities and female staff at the grassroots level.

scholarly journals Utilization of Pregnancy Related Care Among Female Tea Garden Workers

2020 ◽  
Vol 38 (2) ◽  
pp. 38-45
Author(s):  
Arifa Islam ◽  
Rowshan Ara ◽  
Ummul Khair Alam ◽  
Irin Hossain ◽  
Saleha Jahan
Keyword(s):  
Antenatal Care ◽  
Postnatal Care ◽  
Family Income ◽  
Care Utilization ◽  
Care Seeking ◽  
Skilled Attendant ◽  
Cross Sectional ◽  
Monthly Family Income ◽  
Tea Garden ◽  
Literacy Level

Introduction: Utilization of pregnancy related care have crucial role in the improvement of reproductive health. Though Bangladesh has taking efforts by introducing various women-oriented development programs to limit the maternal mortality and morbidity, these services are poorly available to the deprived group. They are still struggling with their low utilization of pregnancy care. Objective: The study is aimed to find out the state of utilization of pregnancy related care among female tea garden workers. Materials and Methods: A cross sectional study was carried out from January to December 2017 among 326 purposively selected female workers residing in tea gardens of Sylhet having a baby of 42 days to one year. A pretested semi-structured questionnaire was used for face to face interview to document the information about their antennal care, intranatal care and postnatal care utilization. Data were analyzed by SPSS software. Results: The utilization of antenatal care was 52%, institutional delivery was 12.3%, had skilled attendant at birth 18.1% and received postnatal care 16.6% among the study population. Respondents antenatal care seeking was associated with their age (ρ=0.003), religion (ρ=0.000), literacy level of self (ρ=0.000) and husband (ρ=0.002) and their monthly family income (ρ=0.014). Place of last delivery of respondents was associated with their age (ρ=0.001). Literacy level of respondents (ρ=0.023) and that of their husbands (ρ=0.019) and their monthly family income ((ρ=0.015) was also associated with respondent’s birth attendant in their last delivery. In this study respondents postnatal care seeking is associated with their husband’s literacy level (ρ=0.010) but not associated with their age group (ρ=0.420), religion (ρ=0.067), their own educational status (ρ=0.370), and monthly family income (ρ=0.361). The main barrier that hold back from utilization of these services was lack of knowledge and ignorance followed by poverty. Conclusion: This study reveals low utilization of pregnancy related care among the tea garden workers. Effective steps should be taken to encourage the proper utilization of pregnancy related care in this community. JOPSOM 2019; 38(2): 38-45

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

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