scholarly journals Patterns and Predictors of Insufficient Antenatal Care Utilization in Nigeria over a Decade: A Pooled Data Analysis Using Demographic and Health Surveys

2020 ◽  
Vol 17 (21) ◽  
pp. 8261
Author(s):  
Ziad El-Khatib ◽  
Emmanuel Kolawole Odusina ◽  
Bishwajit Ghose ◽  
Sanni Yaya
Keyword(s):  
Regression Analysis ◽  
Antenatal Care ◽  
Service Utilization ◽  
Rural Areas ◽  
Health Surveys ◽  
Reproductive Age ◽  
Care Utilization ◽  
Multivariable Logistic Regression Analysis ◽  
Demographic And Health Surveys ◽  
Pooled Data

This study investigated the patterns of antenatal care (ANC) utilization and insufficient use of ANC as well as its association with some proximate socio-demographic factors. This was a cross-sectional study using pooled data Nigeria Demographic and Health Surveys from years 2008, 2013 and 2018. Participants were 52,654 women of reproductive age who reported at least one birth in the five years preceding the surveys. The outcome variables were late attendance, first contact after first trimester and less than four antenatal visits using multivariable logistic regression analysis. The overall prevalence of late timing was 74.8% and that of insufficient ANC visits was 46.7%. In the multivariable regression analysis; type of residency, geo-political region, educational level, household size, use of contraceptives, distance to health service, exposure to the media and total number of children were found to be significantly associated with both late and insufficient ANC attendance. About half of the pregnant women failed to meet the recommendation of four ANC visits. Investing on programs to improve women’s socio-economic status, addressing the inequities between urban and rural areas of Nigeria in regard to service utilization, and controlling higher fertility rates may facilitate the promotion of ANC service utilization in Nigeria.

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

scholarly journals Determinants of Women’s Empowerment in Pakistan: Evidence from Demographic and Health Surveys, 2012–13 and 2017–18

2020 ◽  
Author(s):  
Safdar Abbas ◽  
Noman Isaac ◽  
Munir Zia ◽  
Rubeena Zakar ◽  
Florian Fischer
Keyword(s):  
Regression Analysis ◽  
Health Surveys ◽  
Age Groups ◽  
Women's Empowerment ◽  
Reproductive Age ◽  
Women’S Empowerment ◽  
Demographic And Health Surveys ◽  
Access To Information ◽  
Multivariable Regression Analysis ◽  
Multivariable Regression

Abstract Background: Women’s empowerment has always remained a contested issue in the complex socio-demographic and cultural milieu of Pakistani society. Women are ranked lower than men on all vital human development indicators. Therefore, studying various determinants of women’s empowerment is urgently needed in the Pakistani context.Methods: The present study empirically operationalized the concept of women’s empowerment and investigated its determinants through representative secondary data taken from the Pakistan Demographic and Health Surveys, 2012–13 and 2017–18. The study used simple binary logistic and multivariable regression analysis. Results: The results of the binary logistic regression highlighted that almost all of the selected demographic, economic, social, and access to information variables were significantly associated with women’s empowerment (p<0.05) in both PDHS datasets. In the multivariable regression analysis, the adjusted odds ratios highlighted that reproductive-age women in higher age groups, having children, with a higher level of education and wealth index, involved in skilled work, who were the head of household, and had access to information were reported to be more empowered. Conclusions: Women’s empowerment is determined by a number of social, economic, demographic, and other factors. The study proposes some evidence-based policy options to improve the status of women in Pakistan.

scholarly journals Correlates of antenatal care utilization among women of reproductive age in sub-Saharan Africa: evidence from multinomial analysis of demographic and health surveys (2010–2018) from 31 countries

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Sulaimon T. Adedokun ◽  
Sanni Yaya
Keyword(s):  
Higher Education ◽  
Antenatal Care ◽  
Health Facility ◽  
Health Surveys ◽  
Sub Saharan Africa ◽  
Care Utilization ◽  
Demographic And Health Surveys ◽  
Antenatal Care Utilization ◽  
Sub Saharan ◽  
Socioeconomic And Demographic Factors

Abstract Background Despite a global reduction of about 38% in maternal mortality rate between 2000 and 2017, sub-Saharan Africa is still experiencing high mortality among women. Access to high quality care before, during and after childbirth has been described as one of the effective means of reducing such mortality. In the sub-region, only 52% of women receive at least four antenatal visits. This study examined the factors influencing antenatal care utilization in sub-Saharan Africa. Methods Data from Demographic and Health Surveys (DHS) of 31 countries involving 235,207 women age 15–49 years who had given birth to children within 5 years of the surveys were used in the study. Multinomial logistic regression model was applied in the analysis. Results About 13% of women in sub-Saharan Africa did not utilize antenatal care while 35 and 53% respectively partially and adequately utilized the service. Adequate utilization of antenatal care was highest among women age 25–34 years (53.9%), with secondary or higher education (71.3%) and from the richest households (54.4%). The odds of adequate antenatal care utilization increased for women who are educated up to secondary or higher education level, from richest households, working, living in urban areas, exposed to media and did not experience problem getting to health facility or obtaining permission to visit health facility. Conclusions This study has revealed information not only on women who did not utilize antenatal care but also on women who partially and adequately utilized the service. The study concluded that the correlates of antenatal care utilization in sub-Saharan Africa include socioeconomic and demographic factors, getting permission to visit health facility, unwillingness to visit health facility alone and problem encountered in reaching the health facility.

scholarly journals Magnitude and determinants of adequate antenatal care service utilization among mothers in Southern Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0251477
Author(s):  
Lielt Gebreselassie Gebrekirstos ◽  
Tsiyon Birhanu Wube ◽  
Meron Hadis Gebremedhin ◽  
Eyasu Alem Lake
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Care Service ◽  
Public Health Intervention ◽  
Southern Ethiopia ◽  
Care Utilization ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Survey Tool ◽  
Antenatal Care Utilization

Background Mortality from preventable pregnancy-related complications remains high in Ethiopia. Antenatal care remains a major public health intervention that prevents maternal and neonatal mortality. Thus, this study aimed to assess the magnitude and determinants of adequate antenatal care utilization in Southern Ethiopia. Methods A community-based cross-sectional study was conducted between November and December 2019. A systematic random sampling technique was used to select 670 women. Data were collected using a pre-tested structured questionnaire administered with a digital survey tool (open data kit) and directly exported to STATA version 15 for analysis. Descriptive statistics followed by a multivariable logistic regression analysis were performed. Both crude and adjusted odds ratios (ORs) with 95% confidence intervals were reported. Results The magnitude of adequate antenatal care utilization was 23.13%. Tertiary and above education (AOR,4.15;95%CI: 1.95, 8.83), having the best friend who used maternal care (AOR,2.01;95%CI: 1.18,3.41), husband support (AOR,3.84; 95%CI: 1.05, 14.08), high wealth index (AOR,3.61; 95%CI: 1.86, 6.99), follow-up in private health facilities (AOR, 2.27;95% CI:1.33, 3.88), having a history of risky pregnancy (AOR,2.59; 95%CI: 1.55, 4.35), and planned pregnancy (AOR,2.60;95% CI: 1.35, 4.99) were significant determinants of overall adequate ANC service utilization. Conclusion The utilization of adequate antenatal care services is quite low. The study findings suggest that interventions should be in place to improve husband’s support, social networks, and women’s education. There is also a need to counsel women to utilize family planning.

scholarly journals Determinants of women’s empowerment in Pakistan: evidence from Demographic and Health Surveys, 2012–13 and 2017–18

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Safdar Abbas ◽  
Noman Isaac ◽  
Munir Zia ◽  
Rubeena Zakar ◽  
Florian Fischer
Keyword(s):  
Regression Analysis ◽  
Health Surveys ◽  
Household Head ◽  
Women's Empowerment ◽  
Reproductive Age ◽  
Women’S Empowerment ◽  
Demographic And Health Surveys ◽  
Access To Information ◽  
Multivariable Regression Analysis ◽  
Multivariable Regression

Abstract Background Women’s empowerment has always remained a contested issue in the complex socio-demographic and cultural milieu of Pakistani society. Women are ranked lower than men on all vital human development indicators. Therefore, studying various determinants of women’s empowerment is urgently needed in the Pakistani context. Methods The study empirically operationalized the concept of women’s empowerment and investigated its determinants through representative secondary data taken from the Pakistan Demographic and Health Surveys among women at reproductive age (15–49 years) in 2012–13 (n = 13,558) and 2017–18 (n = 15,068). The study used simple binary logistic and multivariable regression analyses. Results The results of the binary logistic regression highlighted that almost all of the selected demographic, economic, social, and access to information variables were significantly associated with women’s empowerment (p < 0.05) in both PDHS datasets. In the multivariable regression analysis, the adjusted odds ratios highlighted that reproductive-age women in higher age groups having children, with a higher level of education and wealth index, involved in skilled work, who were the head of household, and had access to information were reported to be more empowered. Results of the multivariable regression analysis conducted separately for two empowerment indicators (decision-making and ownership) corroborated the findings of the one indicator of women empowerment, except where ownership did not appear to be significantly associated with number of children and sex of household head in both data sets (2012–13 and 2017–18). Conclusions A number of social, economic, demographic, familial, and information-exposure factors determine women’s empowerment. The study proposes some evidence-based policy options to improve the status of women in Pakistan.

Antenatal care service utilization in tribal and rural areas in a South Indian district

2011 ◽  
Vol 86 (1&2) ◽  
pp. 11-15 ◽  
Author(s):  
Godi Rajendra Varma ◽  
Yadlapalli Sriparvathi Kusuma ◽  
Bontha Veerraju Babu
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Rural Areas ◽  
Care Service ◽  
South Indian

scholarly journals Antenatal care among women in Chitwan district of Nepal: A cross-sectional study

2021 ◽  
Vol 9 (01) ◽  
pp. 74-86
Author(s):  
Sharmila Pokharel ◽  
Ram Krishna Maharjan
Keyword(s):  
Antenatal Care ◽  
Educational Level ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Care Utilization ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Care Community

Antenatal care is one of the most effective measures to reduce maternal mortality in Lower Middle-income Countries. The study aims to assess the utilization of antenatal care and related factors by breastfeeding mothers in Chitwan district of Nepal. A cross-sectional study was carried out in Bharatpur municipality in April 2020, among all women of the reproductive age group (15-49) who have had a birth child in the last 12 months before the survey date. A census sampling technique was used to select respondents. The vaccination period was two weeks. All the mothers who came to the vaccine center to vaccinate their children were the respondents of this study. The data were collected by using an interview schedule. The collected data were managed using SPSS Version 20. The study found that 84.31 percent of respondents attended more than four antenatal care utilization. The educational level of the respondents and the occupation of their partners were linked to the use of antenatal care. The number of pregnancies, the number of live births, the place of delivery, and the educational level and occupations of the birth attendees were also significantly linked to the use of antenatal care. Community mobilization and intensive use of community health workers are essential factors to improve the use of antenatal care.

scholarly journals A case of anencephaly in an Unbooked Primipara diagnosed at 35 weeks gestation

2021 ◽  
Vol 12 (2) ◽  
pp. 555-558
Author(s):  
Awopola Ibiebelem Jumbo ◽  
Esther Ijeoma Nonye-Enyidah
Keyword(s):  
Folic Acid ◽  
Rural Communities ◽  
Antenatal Care ◽  
Rural Areas ◽  
Psychological Trauma ◽  
Reproductive Age ◽  
University Teaching ◽  
Diagnostic Tools ◽  
Folic Acid Deficiency ◽  
History Of

Background: Anencephaly is a rare but lethal congenital anomaly of the neural tube. Ideally, the diagnosis is made early in pregnancy and the pregnancy is usually terminated. This is to prevent avoidable complications during pregnancy and childbirth as well as the accompanying psychological trauma from late intrauterine foetal death or death during the neonatal period. Objective: To report a case of anencephaly in an unbooked primipara at 35 weeks gestation. Methods: The case note of the patient and how she was managed were reviewed. A relevant review of the literature on the subject was also done. Case report: Mrs A.N was a 22year old unbooked G3P1+1 who was referred to the Rivers State University Teaching Hospital (RSUTH) on the 4th of September, 2021 with a three-day history of bleeding per vaginam and an ultrasound scan report of an absent cranium and club foot at 35weeks gestation. She resided in a rural area and was on herbal medication in the index pregnancy. She did not receive routine antenatal medications and had no family history of congenital malformations. She had an induction of labour at presentation and delivered a severely asphyxiated male anencephalic baby weighing 2.0kg. The baby died 9minutes after delivery. Conclusion: Anencephaly is a lethal anomaly that is associated with folic acid deficiency. Despite available diagnostic tools, most women in rural areas lack access to antenatal care and will have a late diagnosis and increased morbidity. Thus, there is a need to improve access to antenatal care for women in rural communities, as well as supplement food with folic acid for women in the reproductive age group.

scholarly journals Socio-economic differentials in minimum dietary diversity among young children in South-East Asia: evidence from Demographic and Health Surveys

2018 ◽  
Vol 21 (16) ◽  
pp. 3048-3057 ◽  
Author(s):  
Chloe M Harvey ◽  
Marie-Louise Newell ◽  
Sabu S Padmadas
Keyword(s):  
Young Children ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Surveys ◽  
Dietary Diversity ◽  
East Asian ◽  
Outcome Variable ◽  
Demographic And Health Surveys ◽  
Asian Countries ◽  
Minimum Dietary Diversity

AbstractObjectiveTo investigate the socio-economic differentials underlying minimum dietary diversity (MDD) among children aged 6–23 months in three economically diverse South-East Asian countries.DesignThe outcome variable MDD was defined as the proportion of children aged 6–23 months who received foods from four of the seven recommended food groups within the 24 h prior to interview. The association between socio-economic factors and MDD, adjusting for relevant characteristics, was examined using logistic regression.SettingWe used cross-sectional population data from recent Demographic and Health Surveys from Cambodia (2014), Myanmar (2015–16) and Indonesia (2012).SubjectsTotal of 8364 children aged 6–23 months.ResultsApproximately half of all children met the MDD, varying from 47·7 % in Cambodia (n1023) to 58·2 % in Indonesia (n2907) and 24·6 % in Myanmar (n301). The likelihood (adjusted OR; 95 % CI) of meeting MDD increased for children in the richest households (Cambodia: 2·4; 1·7, 3·4; Myanmar: 1·8; 1·1, 3·0; Indonesia: 2·0; 1·6, 2·5) and those residing in urban areas (Cambodia: 1·4; 1·1, 1·9; Myanmar: 1·7; 1·2, 2·4; Indonesia: 1·7; 1·5, 1·9). MDD deprivation was most severe among children from the poorest households in rural areas. The association between mother’s labour force participation and MDD was positive in all three countries but reached significance only in Indonesia (1·3; 1·1, 1·5).ConclusionsMDD deprivation among young children was significantly high in socio-economically disadvantaged families in all three study settings. MDD requirements are not being met for approximately half of young children in these three South-East Asian countries.

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