Determinants Of Antenatal Care Services Utilization In Emevor Village, Nigeria

Awusi, VO; Anyanwu, EB; Okeleke, V

doi:10.4314/bjpm.v11i1.48847

Cited by 40 publications

(43 citation statements)

References 9 publications

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“…The prevalence of women who registered for antenatal during the last pregnancy is similar to the National average and to prevalence found in other studies carried out in the South West and South East of Nigeria [7,15,18,19], but higher than findings in studies carried out in Northern Nigeria [13,14]. These figures are however much lower than those of many Asian and subSaharan countries [20][21][22].…”

Section: Discussionsupporting

confidence: 80%

See 1 more Smart Citation

Non-Utilization of antenatal care services among women of reproductive age in the Niger delta region of Nigeria: Findings from 2595 women

Maduka¹,

Ogu²

2018

Clin Obstet Gynecol Reprod Med

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The United Nations' Sustainable Development Goals and the World Health Organization (WHO) outline targets for the reduction of maternal mortality by 2030. Quality antenatal care is one of the three essential maternal health services which ensure good feto-maternal outcomes. The antenatal period provides ample opportunity for health workers to educate women, offer screening, diagnosis and treatment services for pregnancy-related conditions, and refer women for specialized interventions.This descriptive cross-sectional community-based household survey using multistage sampling technique describes the pattern of utilization of antenatal care services, the perception of respondents toward antenatal care and the determinants of utilization of antenatal care among a cohort of 2595 women of reproductive age in Rivers State. Data was collected using interviewer-administered questionnaires built on the Open Data Kit (ODK) application for android phones and analyzed using the Statistical Package for Social Sciences (SPSS) version 23.0 statistical software.Antenatal care was poorly utilized. There was no association between level of education and utilization of antenatal care services. Women residing in urban locations (Adj O.R = 1.46; 95% C.I = 1.16 to 1.84) and women who were comfortable with the government health facility closest to their residence (Adj O.R = 1.72; 95% C.I = 1.36 to 2.17) had increased odds of utilizing antenatal care services. Married women had an increased odds of utilizing antenatal care services compared to unmarried woman Adj O.R=1.66; 95% C.I =1.30 to 2.11The implications of these findings underscore the need for fit-for-purpose interventions that address the barriers and modifiable determinants identified and should be considered when policymakers or international agencies plan the prevention of maternal morbidity and mortality in developing countries. Models of care that involve continuous health promotion activities within the communities, health systems strengthening, community-based insurance schemes and a patient-centered approach to care have the potential to improve utilization of antenatal care services.

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Section: Discussionsupporting

confidence: 80%

“…Although the determinants of utilization of antenatal care in the West and Northern parts of Nigeria are documented [18,19], there isn't much evidence in the literature about the determinants among women living in the Niger-Delta. Cultural and social beliefs and practices differ widely across the regions of the country.…”

Section: Introductionmentioning

confidence: 99%

Non-Utilization of antenatal care services among women of reproductive age in the Niger delta region of Nigeria: Findings from 2595 women

Maduka¹,

Ogu²

2018

Clin Obstet Gynecol Reprod Med

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“…These regression models are the most prominent and effective models not only for handling excess zeros in a count data but also for accommodating over dispersion resulting from the variance being greater than the mean (Staub & Winkelman, 2013). Although previous studies in Nigeria (Awusi et al, 2009;Dairo & Owoyokun, 2010;Onasoga et al, 2012) have examined the factors affecting ANC utilisation using the traditional regression methods which treat count data as a categorical variable (presence/absence), it is essential to address excess zeros emanating from the number of ANC visits using the model(s) that best describe it. Such exercise will not only provide the best model for identifying the factors associated with ANC utilisation, but will also set the pace for appropriate use of the model that addresses excess zeros in count dataset.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the previous studies on ANC utilisation in Nigeria have examined the factors affecting ANC utilisation using the binary logistic regression techniques by treating ANC utilisation as a categorical variable (yes/no) (Adamu, 2011;Awusi, Anyanwu, & Okeleke., 2009;Dairo & Owoyokun, 2010;Onasoga, Afolayan, & Oladimeji, 2012). On the other hand, Yusuf & Ugalahi (2015) identified factors affecting ANC utilisation using a model for handling over-dispersion without taking into consideration excess zeros in the data.…”

Section: Introductionmentioning

confidence: 99%

Modelling Excess Zeros in Count Data with Application to Antenatal Care Utilisation

Yusuf¹,

Afolabi²,

Ayoola³

2018

IJSP

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Poisson and negative binomial regression models have been used as a standard for modelling count outcomes; but these methods do not take into account the problems associated with excess zeros. However, zero-inflated and hurdle models have been proposed to model count data with excess zeros. The study therefore compared the performance of Zero-inflated (Zero-inflated Poisson (ZIP) and Zero-inflated negative binomial (ZINB)), and hurdle (Hurdle Poisson (HP) and Hurdle negative binomial (HNB)) models in determining the factors associated with the number of Antenatal Care (ANC) visits in Nigeria. Using the 2013 Nigeria Demographic and Health Survey dataset, a sample of 19 652 women of reproductive age who gave birth five years prior to the survey and provided information about ANC visits was utilised. Data were analysed using descriptive statistics, ZIP, ZINB, HP and HNB models, and information criteria (AIC/BIC) was used to assess model fit. Participants' mean age was 29.5 ± 7.3 years and median number of ANC visits was 4 (range: 0 -30). About half (54.9%) of the participants had at least 4 ANC visits while 33.9% had none. The ZINB (AIC = 83 039.4; BIC = 83 470.3) fitted the data better than the ZIP or HP; however, HNB (AIC = 83 041.4; BIC = 83 472.3) competed favorably well with it. The Zero-inflated negative binomial model provided the better fit for the data. We suggest the Zero-inflated negative binomial model for count data with excess zeros of unknown sources such as the number of ANC visits in Nigeria.

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“…Therefore a pragmatic classification has been used in these settings where the cut off is adjusted downwards to 10g/dl. 11 The aetiological factors for anaemia in pregnancy vary geographically. The reported principal causes in subSaharan Africa include nutritional deficiencies, malaria, other parasitic infestations and recently, infection with human immunodeficiency virus.…”

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confidence: 99%

Factors contributing to non-compliance to routine ante-natal haematinics among pregnant women attending ante-natal clinic in University of Maiduguri Teaching Hospital, Borno, Nigeria

Hambali

Kodomi

Nelson

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Background: This study was carried out on factors contributing to non-compliance to routine ante-natal haematinics among pregnant women attending ante-natal clinic in University of Maiduguri Teaching Hospital. Descriptive research design in which Yaro Yamen's formular was used to calculate the sample size of 130. The objectives of the study were: to identify types of haematinics and duration of intake during ante natal care, to determine the factors contributing to non-compliance of haematinics and to determine the attitude of pregnant women toward haematinic use. Methods: Data was collected using a self-developed questionnaire and presented in frequency distribution tables and histogram. Results:The result showed that the response of the age variation of the respondents at 21-30 years old had the maximum age participation in haematinics with 62% of response, responses based on the choice of haematinics 50% went for folic acid, trimester intake of haematinics among pregnant women about 48% accepted that they made use of it during pregnancy period, the result also revealed that pregnant women take haematinics once a day with 63% respondents, pregnant women with higher educational qualification made more use of haematinics with 70% responses and that non-compliance to haematinics intake based on cultural believe contributed few to the use of haematinics with 36% while 64% of the respondents accepted cultural believe was not the factor contributing to noncompliance of haematinics usage. Conclusions:In conclusion, this study provided information on the general response to factors contributing to noncompliance to routine ante natal haematinics among pregnant women attending ante natal clinic in UMTH which was about 62%. It is therefore recommended that the government should put in place relevant agencies to pro-actively inform pregnant women cut across all age groups, level of education, occupational classes, culture inclinations and financial status on the medical importance of haematinics intake during the gestation period.

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Determinants Of Antenatal Care Services Utilization In Emevor Village, Nigeria

Cited by 40 publications

References 9 publications

Non-Utilization of antenatal care services among women of reproductive age in the Niger delta region of Nigeria: Findings from 2595 women

Non-Utilization of antenatal care services among women of reproductive age in the Niger delta region of Nigeria: Findings from 2595 women

Modelling Excess Zeros in Count Data with Application to Antenatal Care Utilisation

Factors contributing to non-compliance to routine ante-natal haematinics among pregnant women attending ante-natal clinic in University of Maiduguri Teaching Hospital, Borno, Nigeria

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