Determinants of Antenatal Care Utilization Among Childbearing Women in Burkina Faso

Abstract

IntroductionAntenatal care (ANC) is one of the pillars of maternal and child health programs aimed at preventing and reducing maternal and child morbidity and mortality. This study aims to identify the factors associated with ANC use, considering both health care demand and supply factors in the single analysis.MethodsWe used data from the endline survey conducted to evaluate the impact of the performance-based financing (PBF) program in Burkina Faso in 2017. This study was a blocked-by-region cluster random trial using a pre–post comparison design. The sample was derived in a three-stage cluster sampling procedure. Data collection for the endline surveys included a household survey and a facility-based survey. Women of childbearing age who gave birth at least once in the past 2 years prior to this survey and residing in the study area for more than 6 months were included in this study. Multilevel statistical techniques were used to examine individual and contextual effects related to health care demand and supply simultaneously and thus measure the relative contribution of the different levels to explaining factors associated with ANC use.ResultsThe working women were five times [odd ratio (OR): 5.41, 95% confidence intervals (CI) 4.36–6.70] more likely to report using ANC services than the women who were not working (OR: 5.41, 95% CI 4.36–6.70). Women living in a community with high poverty concentration were 32.0% (OR: 0.68, 95% CI 0.50–0.91) less likely to use ANC services than those in a community with low poverty concentration. Women living in a community with a medium concentration of women's modern contraceptive use were almost two times (OR: 1.88, 95% CI 1.70–2.12) more likely to use ANC services than those living in a community with a low concentration of women's modern contraceptive use. Women living in the health area where the level of ANC quality was high were three times (OR: 2.96, 95% CI 1.46–6.12) more likely to use ANC services than those in the health area where the ANC quality was low.ConclusionPolicies that increase the opportunity for improving the average ANC quality at the health facility (HF), the level of women's modern contraceptive use and women employment would likely be effective in increasing the frequency of use of antenatal services.

Socio-economic and cultural factors associated with the utilization of maternal healthcare services in Togo: a cross-sectional study

“…For occupational status, women who were currently employed compared to those who were unemployed showed a positive effect on having adequate ANC visits, and health facility delivery. These were supported by findings from previous studies that reported that employed women were more likely than unemployed women to attend ANC4 + visits [ 52 ], and deliver at health facility [ 53 ]. This could be because currently employed women have the financial means to afford health care services for their well-being and that of their future babies.…”

Maternal factors associated with stunting among children under two years in South Nias, Indonesia: a cross-sectional study

“…Low visit of antenatal care itself is argued to be linked to the poor quality of the antenatal care. A study in Burkina Paso found that women living in a health area where the level of ANC quality was high were three times more likely to use ANC services (OR: 2.96, 95% CI 1.46-6.12) than those in health areas with low ANC service quality [31]. High frequency of ANC visit is highly suggested, specifically, to pregnant mothers with short body height as it is a strategy to optimize mothers' health status and prevent babies' low birth weight that serves as a predictor of stunting.…”

Health Workers' Perspectives on Antenatal Care and the Efficacy of a Community-Based Strategy in Augmenting ANC Follow-Up Contacts in Nyamira County, Kenya

“…Enhancing ANC follow-up contacts among women of reproductive age is of utmost importance. Antenatal care is one of the pillars of maternal and child health programs aimed at preventing and reducing maternal and child morbidity and mortality 1 . It is the care provided to pregnant women by healthcare practitioners to identify maternal risks, prevent and manage complications, encourage positive health behaviours, and build a therapeutic patientprovider relationship 2 .…”