Investigating the accessibility factors that influence antenatal care services utilisation in Mangwe district, Zimbabwe

Nyathi, Leoba; Tugli, A.K.; Tshitangano, Takalani G.; Mpofu, Molyn

doi:10.4102/phcfm.v9i1.1337

Cited by 20 publications

(27 citation statements)

References 24 publications

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“…More so, rate of adequate utilization of antenatal care is higher among women who claimed that they did not experience any problem in respect of distance covered to access health facility compared to women who complained that they experienced difficulty. Problems in terms of distance could imply that the location of health facility is far from the women's residence and the means of getting there is problematic [39,[42][43][44]. For instance, women living in areas where there is poor road network such that vehicles hardly ply the road or areas where transport system is irregular would find it difficult access health facility.…”

Section: Discussionmentioning

confidence: 99%

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

Adedokun

Yaya

2020

Arch Public Health

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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.

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Section: Discussionmentioning

confidence: 99%

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

Adedokun

Yaya

2020

Arch Public Health

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“…This is due to mothers who are far from the nearest health facility are less likely to receive appropriate maternal health services such as ANC visits and delivery at the health facility which have their impact on early initiation of PNC visits. Besides, issues related to distance from the health facilities such as lack of transport and its costs, and lack of suitable roads might be a reason for delayed maternal health service utilization early PNC visits [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Individual and community level factors associated with delayed first postnatal care attendance among reproductive age group women in Ethiopia

Teshale

Tesema

Yeshaw

et al. 2021

BMC Pregnancy Childbirth

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Background Postnatal care (PNC) visits provide a huge benefit for ensuring appropriate breastfeeding practices, to monitor the overall health status of the newborn, to timely diagnose and intervene birth-related complications, and to plan future family planning options. Despite delayed PNC attendance have a great impact on the survival of the mother and the newborn it still receives less emphasis. As a result, most mothers do not receive PNC services early. We, therefore, aimed to determine individual and community level factors associated with delayed first Postnatal Care attendance among reproductive age group women in Ethiopia. Methods We used the most recent Ethiopian Demographic and Health Survey (EDHS 2016) data to determine associated factors of delayed first PNC in Ethiopia. A weighted sample of 4308 women with a live birth in the two years preceding the survey was included. A multilevel logistic regression analysis was used to analyze the data. Variables with p-value < 0.05 in the multivariable multilevel logistic regression analysis were declared significantly associated with delayed first PNC attendance. Results In this study, both individual level and community level factors were associated with delayed PNC attendance. Among the individual level factors: having four or more antenatal care visit [Adjusted Odd Ratio (AOR) = 0.73; 95% CI: 0.59, 0.92], delivery at a health facility [AOR = 0.04; 95% CI: 0.03, 0.05], and perceiving distance from the health facility as not a big problem [AOR = 0.73; 95% CI: 0.58, 0.91] were associated with lower odds of delayed first PNC attendance. Of community level factors: being in Oromia [AOR = 2.31; 95% CI: 1.38, 3.83] and Gambela [AOR = 2.01; 95% CI: 1.13, 3.56] regions were associated higher odds of delayed first PNC attendance. Conclusions Both individual level and community level factors were found to be associated with delayed PNC attendance. Strengthening antenatal care utilization, institutional delivery, and appropriate distributions of maternal health services in each region and areas far apart from the health facility are recommended.

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“…[31,34,35,37,39] Disrespect and abuse [28,29,31,32,34,36] Language barriers [36] 3.1.1. Transportation Transportation-related barriers were reported in most of the included studies [28][29][30]34,35,[37][38][39][40]. Cattle camp residents and pastoralists from South Sudan, Ethiopia, and Mali reported distance as an important barrier to accessing health facilities.…”

Section: Thematic Synthesismentioning

confidence: 99%

“…Included studies showed that nomadic women were challenged by the long distances they needed to travel for their antenatal care visit or to deliver in a health facility [35,40]. Furthermore, the absence of a reliable mode of transportation can be an obstacle to reaching a health facility [28][29][30]34,35,[37][38][39][40].…”

Section: Thematic Synthesismentioning

confidence: 99%

“…Weather further complicated transportation is some countries. Rainy seasons in South Sudan, Togo, Mozambique, and Zimbabwe [28][29][30][33][34][35] can cause roads to flood and evidence showed that this hindered women from seeking facility-based maternal care. In some settings like Togo, walking was the only available method to reach a health facility due to the condition of the roads [29].…”

Section: Thematic Synthesismentioning

confidence: 99%

See 1 more Smart Citation

Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review

Dahab

Sakellariou

2020

IJERPH

174

110

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The new Sustainable Development Goals (SDGs) to 2030 aim to reduce maternal mortality and provide equitable access to maternal healthcare. Compromised access to maternal health facilities in low-income countries, and specifically in Africa, contribute to the increased prevalence of maternal mortality. We conducted a systematic review to investigate access barriers to maternal health in low-income countries in Africa since 2015, from the perspective of both community members and health providers. The findings show that the most important barriers to maternal health are transportation barriers to health facilities, economic factors, and cultural beliefs, in addition to lack of family support and poor quality of care. Further research is required to guide policymakers towards firm multi-sectoral action to ensure appropriate and equitable access to maternal health in line with the SDGs to 2030.

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Investigating the accessibility factors that influence antenatal care services utilisation in Mangwe district, Zimbabwe

Cited by 20 publications

References 24 publications

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

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

Individual and community level factors associated with delayed first postnatal care attendance among reproductive age group women in Ethiopia

Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review

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