Factors influencing the utilization of Focused antenatal care services during pregnancy, a study among postnatal women in a tertiary healthcare facility, Ghana

Konlan, Kennedy Diema; Saah, Joel Afram; Amoah, Roberta Mensima; Doat, Abdul Razak; Mohammed, Iddrisu; Abdulai, Juliana Asibi; Konlan, Kennedy Dodam

doi:10.1002/nop2.569

Cited by 29 publications

(35 citation statements)

References 24 publications

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“…The results are consistent but from a different perspective, informed in a study in Ghana. Higher parity was significantly associated with low utilization of ANC [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia

2021

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Background The government is obliged to guarantee equal access to antenatal care (ANC) between urban and rural areas. This study aimed to analyze urban-rural disparities in ≥4 ANC visits during pregnancy in the Philippines and Indonesia. Methods The study processed data from the 2017 PDHS and the 2017 IDHS. The analysis unit was women aged 15–49 years old who had given birth in the last 5 years. The weighted sample size was 7992 respondents in the Philippines and 14,568 respondents in Indonesia. Apart from ANC as the dependent variable, other variables analyzed were residence, age, husband/partner, education, parity, and wealth. Determination of urban-rural disparities using binary logistic regression. Results The results show that women in the urban Philippines are 0.932 times more likely than women in the rural Philippines to make ≥4 ANC visits. On the other side, women in urban Indonesia are more likely 1.255 times than women in rural Indonesia to make ≥4 ANC visits. Apart from the type of residence place (urban-rural), five other tested multivariate variables also proved significant contributions to ANC’s use in both countries, i.e., age, have a husband/partner, education, parity, and wealth status. Conclusions The study concluded that disparities exist between urban and rural areas utilizing ANC in the Philippines and Indonesia. Pregnant women in the rural Philippines have a better chance of making ≥4 ANC visits. Meanwhile, pregnant women in urban Indonesia have a better chance of making ≥4 ANC visits.

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“…The results are consistent but from a different perspective, informed in a study in Ghana. Higher parity was significantly associated with low utilization of ANC [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia

2021

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“…The observed low adherence is multifaceted and is in part attributed to the differences in the sociocultural differences and lower literacy rates in the current study setting as up to 47.94% of the studied pregnant women had not attained any formal education at all or had completed up to primary level of education. This is imperative; however, it ought to be recognized that edu-cated women can understand the messages passed from healthcare providers and be put into practicing health messages [18][19][20]. On the other hand, the obtained adherence was higher than 11.6% reported among pregnant women attending Mulago National Referral Hospital (MNRH) [13], and 13.2% in Kiboga District [14].…”

Section: Discussionmentioning

confidence: 99%

Adherence to Iron and Folic Acid Supplementation and Its Associated Factors among Pregnant Women Attending Antenatal Care at Bwindi Community Hospital, Western Uganda

Nimwesiga

Murezi²,

Taremwa

2021

International Journal of Reproductive Medicine

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Aims/Objectives. This study assessed the adherence to iron and folic acid supplementation and the associated factors among pregnant women attending antenatal care at Bwindi Community Hospital, in Western Uganda. Methods. This was a cross-sectional study that used an interviewer-administered questionnaire and reviewed medical records. Binary and multivariable logistic regression analyses were used to identify factors associated with iron and folic acid supplementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p value < 0.05 were used to assess for statistical significance. Results. We enrolled 438 pregnant women aged 16 to 41years. Participants’ mean age (±standard deviation (SD)) was 25.9 (±3.17) years. The self-reported adherence to iron and folic acid supplementation (consumed ≥4 tablets a week or 20 tablets in a month daily without missing the prescribed dosage) was 22.37% ( N = 98 ). Among the adherent pregnant women, the reported reasons (and their respective proportionality) for adherence were getting advice and counseling from the healthcare worker about the good effects of iron and folic acid supplementation ( N = 34 , 34.69%) and knowledge about the health benefits of iron and folic acid supplementation such as preventing anemia ( N = 16 , 16.33%), among others. On the other hand, the reported reasons (and their respective proportionality) for iron and folic acid nonadherence were forgetfulness ( N = 158 , 46.47%), taking too many pills ( N = 7 , 2.06%), not knowing the usefulness of iron and folic acid supplementation ( N = 29 , 8.53%), fear of the side effects of the medication ( N = 119 , 35.00%), and not getting the supplement from the hospital ( N = 27 , 7.94%). Bivariable and multivariable logistic regression analyses indicated that pregnant women who were primigravida ( adjusted odds ratio AOR = 4.5 ), who have parity of 2 or 3 ( AOR = 3.4 ), who perceived importance of iron and folic acid supplementation to prevent anemia ( AOR = 2.9 ), and who considered it important to take iron and folic acid supplementation ( AOR = 2.9 ) showed a statistically significant association with adherence to iron and folic acid supplementation. Moreover, pregnant women who perceived the risk of not taking iron and folic acid supplementation ( AOR = 5.2 ), those who received sufficient health education regarding the goals of iron and folic acid supplementation as well as the dangers of not taking the supplements ( AOR = 4.4 ) and adequate counseling, and those who obtained an explanation of the effects of iron and folic acid ( AOR = 4.8 ) showed a significant association with adherence to iron and folic acid supplementation. Conclusion. This study found a low adherence of iron and folic acid supplementation and was associated with obstetric and client- and health system-related characteristics. To this end, there is a need for individualized strategies targeting such factors and intensifying health education, guidance, and counseling to optimize adherence to iron and folic acid supplementation.

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“…antenatal clinics so that every woman has one close to her place of residence. Furthermore, as long distance, many visits, and long clinic durations often discourage 44,45 women from attending antenatal clinic, health facilities should be encouraged to adopt the focused ANC proposed by the WHO, as opposed to traditional ANC. Focused ANC reduces the number of clinic visits and reduces their duration by categorising women based on their risk levels.…”

Section: Discussionmentioning

confidence: 99%

Effect of Socio-demographic Status, Knowledge, and Attitude on Utilisation of Safe Delivery Practices among Mothers of Children attending Child Welfare Clinics in Osogbo, Nigeria

et al. 2021

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Background: Previous studies on attendance at delivery by skilled personnel have neglected childbearing women’s knowledge and attitude towards safe delivery practices. This study assessed factors influencing utilisation of safe delivery services among mothers of under-five children attending child welfare clinics in Osogbo. Methods: This was a cross-sectional study conducted at child welfare clinics in Osogbo, Nigeria. Respondents were selected using a multistage sampling technique. Data was collected using a semi-structured, interviewer-administered questionnaire and analysed using Statistical Package for Social Sciences version 23. Statistical association between safe delivery practices and socio-demographic factors, knowledge of and attitude towards safe delivery practices were determined using logistic regression and p-value <0.05 was considered statistically significant. Results: Four hundred out of the 420 eligible respondents completed the questionnaire giving a response rate of 95.2%. More than half of the respondents; 223 (55.8%) were < 30 years old. Many respondents; 193 (48.3%) and their spouses; 229 (57.2%) had attained tertiary education. Almost all respondents; 389 (97.3%) attended antenatal care during their last pregnancies. Utilisation of skilled birth attendants was associated with antenatal clinic attendance in last pregnancy (p<0.001). Conclusion: The factors associated with utilisation of safe delivery services were respondent’s ages, educational attainment of the respondents and their spouses, and respondents’ attendance at antenatal clinic in last pregnancy. Implementation research on measures to promote antenatal and delivery services by skilled birth attendants is needed in order to increase utilisation of safe delivery practices by mothers.

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Factors influencing the utilization of Focused antenatal care services during pregnancy, a study among postnatal women in a tertiary healthcare facility, Ghana

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 29 publications

References 24 publications

Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia

Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia

Adherence to Iron and Folic Acid Supplementation and Its Associated Factors among Pregnant Women Attending Antenatal Care at Bwindi Community Hospital, Western Uganda

Effect of Socio-demographic Status, Knowledge, and Attitude on Utilisation of Safe Delivery Practices among Mothers of Children attending Child Welfare Clinics in Osogbo, Nigeria

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