Antenatal Care: Utilization Rate and Barriers in Bosaso-Somalia, 2019

Elmi, Elmi Omar Haji; Hussein, Nur Ahmed; Hassan, Abdiwahab; Ismail, Abdiwahid Mohamed; Abdulrahman, Abdullah Abdulrizak; Muse, Abdulkadir Mohamed

doi:10.11648/j.ejpm.20210901.15

Cited by 6 publications

(7 citation statements)

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“…Evidence reports more than 70-90% of Somali pregnant women to visit healthcare facilities at different stages of their pregnancy [4,37,38], with very few expectant mothers attending their first ANC during the first trimester of gestation [32]. Approximately, 50% of these women have been reported to observe their first ANC during the second trimester, while 25% during the third trimester of gestation [32].…”

Section: Resultsmentioning

confidence: 99%

“…Healthcare facilities at different levels (primary healthcare centers, hospitals, or private facilities) were found to be easily accessible to most Somali pregnant women with a distance range of fewer than 30 minutes to 1 hour [38] or less than 5KM [2]. However, most expectant mothers preferred private facilities.…”

Section: Resultsmentioning

confidence: 99%

“…However, most expectant mothers preferred private facilities. A discouraging element for some pregnant women was that most needed to travel on foot to get these services, and a few used public or private transportation [38].…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, of the women who attended ANC, only a few decided on their own to attend ANC. At the same time, most of them were advised or motivated by their husbands or family members as well as encouraged by friends [38].…”

Section: Resultsmentioning

confidence: 99%

“…This research stated that approximately 80% of the study participants lived within a distance of 5 kilometers or below from the healthcare facilities. However, a discouraging factor is that most women needed to travel on foot to get these services [38]. Also, most of these women preferred private facilities [2].…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

The Utilization of Antenatal Care Services among the Pregnant Women in Somalia: A Scoping Review

Ali¹,

ABM²,

Aimakhu³

2023

TOPHJ

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Background: Women in Somalia suffer from one of the highest maternal mortality rates in the world. The good utilization of antenatal care (ANC) services significantly minimizes maternal and child mortality. The study aimed to identify the utilization of antenatal care services among pregnant women in Somalia. Methodology: We performed a scoping review based on the York methodology. This methodology entails a thorough search of published academic articles, conference proceedings, and grey literature via PubMed, Scopus, Google, and Google Scholar, focusing on English-language material. Results: Findings revealed that a significant number of Somali pregnant women utilize the ANC services, though not to the required number of visits as recommended by the WHO. Financial constraints, poor attitude of the healthcare providers, partner's attitude toward ANC services, lack of accessibility due to ANC services being far away, long waiting times, family matters, lack of awareness or media exposure, gravida, parity, and a good number of them believing that ANC is not necessary for their health were among the reasons given for an inadequate visit or non-utilization of the ANC services. Conclusion: The motivation to utilize ANC services, the initiation of visits within the early stages of pregnancy, and the completion of the required number of visits during pregnancy are crucial in preventing pregnancy-related issues and reducing maternal mortality. This must be encouraged among Somali women.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The Utilization of Antenatal Care Services among the Pregnant Women in Somalia: A Scoping Review

Ali¹,

ABM²,

Aimakhu³

2023

TOPHJ

View full text Add to dashboard Cite

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Barriers and facilitators to antenatal care services utilisation in Somaliland: a qualitative study

Abdiwali,

Adesina,

Fekadu

et al. 2024

BMJ Open

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ObjectiveTo explore the barriers and facilitators of antenatal care (ANC) utilisation in Somaliland.DesignAn exploratory qualitative study design.SettingVarious settings were considered for study including maternal and child health clinics, hospitals and community.Methods74 study participants including 33 pregnant women, 22 healthcare providers, 10 community elders and ten religious leaders were purposively selected. Data was collected via focus group discussion and in-depth interviews in the local Somali language. The data was audio recorded, transcribed verbatim, translated into English and imported into NVivo V.12 software. Thematic framework analysis was used to assess barriers and facilitators of ANC utilisation.ResultsSix main themes were identified as barriers of ANC utilisation. These include lack of awareness, long distance and lack of transportation access, economic barriers, lack of social support, beliefs and thoughts and health facility-related factors such as caregivers approach, waiting time and inadequate skill of providers. Proper dissemination of ANC information, adequate spousal support and cheap pricing of services were found to be facilitators of ANC uptake.ConclusionA strategy that focuses on raising awareness about ANC, making it accessible by reducing the cost-of-service charge, encouraging partner involvement, improving the quality of services and making it customer-friendly will help to overcome the barriers of antenatal utilisation.

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Number of antenatal care utilization and associated factors among pregnant women in Ethiopia: zero-inflated Poisson regression of 2019 intermediate Ethiopian Demography Health Survey

et al. 2022

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Background The frequency of antenatal care utilization enhances the effectiveness of the maternal health programs to maternal and child health. The aim of the study was to determine the number of antenatal care and associated factors in Ethiopia by using 2019 intermediate EDHS. Methods Secondary data analysis was done on 2019 intermediate EDHS. A total of 3916.6 weighted pregnant women were included in the analysis. Zero-inflated Poisson regression analysis was done by Stata version 14.0. Incident rate ratio and odds ratio with a 95% confidence interval were used to show the strength and direction of the association. Result About one thousand six hundred eighty eight (43.11%) women were attending four and more antenatal care during current pregnancy. Attending primary education (IRR = 1.115, 95% CI: 1.061, 1.172), secondary education (IRR = 1.211, 95% CI: 1.131, 1.297) and higher education (IRR = 1.274, 95% CI: 1.177, 1.378), reside in poorer household wealth index (IRR = 1.074, 95% CI: 1.01, 1.152), middle household wealth index (IRR = 1.095, 95% CI: 1.018, 1.178), rich household wealth index (IRR = 1.129, 95% CI: 1.05, 1.212) and richer household wealth index (IRR = 1.186, 95% CI: 1.089, 1.29) increases the number of antenatal care utilization. The frequency of antenatal care was less likely become zero among women attending primary (AOR = 0.434, 95% CI: 0.346, 0.545), secondary (AOR = 0.113, 95% CI: 0.053, 0.24), higher educational level (AOR = 0.052, 95% CI: 0.007, 0.367) in the inflated part. Conclusion The number of antenatal care utilization is low in Ethiopia. Being rural, poorest household index, uneducated and single were factors associated with low number of antenatal care and not attending antenatal care at all. Improving educational coverage and wealth status of women is important to increase the coverage and frequency of antenatal care.

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Antenatal Care: Utilization Rate and Barriers in Bosaso-Somalia, 2019

Cited by 6 publications

References 0 publications

The Utilization of Antenatal Care Services among the Pregnant Women in Somalia: A Scoping Review

The Utilization of Antenatal Care Services among the Pregnant Women in Somalia: A Scoping Review

Barriers and facilitators to antenatal care services utilisation in Somaliland: a qualitative study

Number of antenatal care utilization and associated factors among pregnant women in Ethiopia: zero-inflated Poisson regression of 2019 intermediate Ethiopian Demography Health Survey

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