Magnitude and Factors Associated with Late Initiation of Antenatal Care Booking on First Visit Among Women in Rural Parts of Ethiopia

Adulo, Lema Abate; Hassen, Sali Suleman

doi:10.1007/s40615-022-01354-y

Cited by 6 publications

(8 citation statements)

References 37 publications

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“…The study found that women whose last live birth was by caesarean section are likely to initiate ANC early. This finding is consistent with results from other studies [28,37,38]. One possible explanation for this may be attributable to the fact that decisions to use ANC and its timing are a function of women's past experience, including complications during pregnancy [47].…”

Section: Discussionsupporting

confidence: 90%

“…Studies show that if the pregnancy was unintended or the child was not wanted, then the chances were higher for late initiation of ANC [35,36]. Women whose previous birth was by caesarean section tended to initiate ANC early [28,37,38], whereas women who had given birth to a large number of children tended to initiate ANC late [39]. is significantly associated with wealth status [24] and being covered by medical insurance [31].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

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Factors Associated with Late Antenatal Initiation among Women in Malawi

Palamuleni

2024

IJERPH

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Background Early initiation of antenatal care (ANC) is critical in identifying and mitigating adverse pregnancy-related complications. However, globally, a high percentage of women initiate ANC only at a late stage of their pregnancy. In view of this, the main objective of the study is to establish the prevalence and factors associated with late ANC initiation among women in Malawi. Methods The study was based on the 2015–16 Malawi Demographic and Health Survey (MDHS). The study population consisted of 13,251 women of reproductive age who had given birth during the five years preceding the survey. The data was analyzed using the chi-square test and multivariate logistic regression. Results The prevalence of late ANC initiation in Malawi was 75.6%. The logistic regression modelling revealed increased odds of late ANC initiation attendance among women residing in the Northern Region (AOR: 1.172; 95% CI: 1.021–1.345) and the Central Region (AOR: 1.178; 95% CI: 1.074–1.291), women residing in urban areas (AOR: 1.273; 95% CI: 1.108–1.463), women with no education (AOR: 1.814; 95% CI: 1.13–1.47) or with primary education (AOR: 1.697; 95% CI: 1.13–1.47), women with less than four ANC visits (AOR: 4.155; 95% CI: 4.002–4.814), unmarried women (AOR: 1.478; 95% CI: 1.111–1.985) and those whose last birth was not by caesarean section (AOR: 1.377; 95% CI: 1.179–1.607). Reduced odds of late ANC initiation among women were observed among women in the 20–24 age group (AOR: 0.634; 95% CI: 0.456–0.881), those in the 25–29 age group (AOR: 0.645; 95% CI: 0.476–0.874) and those aged 30–34 years (AOR: 0.634; 95% CI: 0.456–0.881). Conclusions The study found that ANC initiation in Malawi is often delayed, with most first visits occurring after the first trimester. Late ANC initiation is associated with region, place of residence, marital status, and the women’s age. These are significant factors to be considered when designing new or reviewing ANC policies and strategies aimed at increasing ANC utilization and encouraging early initiation of ANC. Earlier ANC initiation among Malawian women can contribute positively towards improving maternal and child health in Malawi. Therefore, government policies and interventions should target women with no or little education, those living in poor families and other modifiable risk factors, such as young unmarried women.

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Section: Discussionsupporting

confidence: 90%

Section: Conceptual Frameworkmentioning

confidence: 99%

Factors Associated with Late Antenatal Initiation among Women in Malawi

Palamuleni

2024

IJERPH

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“…Previous studies from LMICs reported significant associations between timely initiation of ANC attendance by pregnant women and women's age, 17,18,20,[22][23][24][25][30][31][32]37 wealth status, 18,24,25,31,33,37 education, 18,[21][22][23][24][25]29,31 parity, 18,20,[23][24][25][26][27]29,32 access to media, 23,24,28,31,38 pregnancy intention, 16,19,21,23,24,26,27,[29][30][31]39 residential area, 24,…”

Section: Discussionmentioning

confidence: 95%

“…Previous studies from LMICs reported significant associations between timely initiation of ANC attendance by pregnant women and women’s age, 17 , 18 , 20 , 22–25 , 30–32 , 37 wealth status, 18 , 24 , 25 , 31 , 33 , 37 education, 18 , 21–25 , 29 , 31 parity, 18 , 20 , 23–27 , 29 , 32 access to media, 23 , 24 , 28 , 31 , 38 pregnancy intention, 16 , 19 , 21 , 23 , 24 , 26 , 27 , 29–31 , 39 residential area, 24 , 29 , 36 family size, 17 , 29 and husband’s education. 19 , 36 Except for the statistically insignificant correlation of husband’s education with pregnant women’s timely ANC attendance, our findings on the higher odds of pregnant woman’s timely ANC attendance by age, education, wealth status, parity, pregnancy intention, residential area, and access to media were fairly consistent with previous studies.…”

Section: Discussionmentioning

confidence: 96%

“…14,15 Latest studies from LMICs provide evidence on the significant role of sociodemographic determinants of initiating ANC visits among pregnant women during the first trimester of pregnancy. [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] Studies from Afghanistan reported strong associations of sociodemographic and cultural influencers with the utilization of ANC services. [9][10][11][12] Two of the studies in Afghanistan examined early and late initiation of ANC visits, 11,12 and both studies found that husband's education, woman's age, education, socioeconomic status, residential area, and family size were associated with timely (or late) initiation of ANC services by pregnant women.…”

Section: Introductionmentioning

confidence: 99%

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Sociodemographic Predictors of Initiating Antenatal Care Visits by Pregnant Women During First Trimester of Pregnancy: Findings from the Afghanistan Health Survey 2018

Tawfiq¹,

Fazli²,

Wasiq³

et al. 2023

IJWH

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Purpose Initiating antenatal care (ANC) visits by pregnant women during first trimester, known as timely initiation of ANC visits, is crucial for wellbeing of mothers and their unborn babies. We examined whether sociodemographic characteristics of pregnant women predict timely initiation of ANC visits. Patients and Methods Data collected for the Afghanistan Health Survey 2018 (AHS 2018) were analyzed. A binary outcome variable was created as women with ANC visits in 0–3 months (first trimester) vs women with ANC visits in ≥4 months of pregnancy. A multivariable generalized linear model was employed. Results A total of 6862 ever-married women, aged 14–49 years, with a history of pregnancy, including current pregnancy, were included. The prevalence of timely initiation of ANC visits was 55.8%. The likelihood (OR = odds ratio) of timely initiation of ANC visits was higher in women aged 30–39 years [OR 1.12 (95% CI: 1.00–1.25)], in women who could read and write [OR 1.12 (95% CI: 0.99–1.21)], in women who used public primary care facilities [OR 1.14 (95% CI: 1.01–1.28)], in women who received consultation on ANC from a doctor or midwife [OR 1.22 (95% CI: 0.72–2.08), OR 1.13 (95% CI: 0.67–1.92)] respectively, in women at fourth and highest quintiles of wealth status [OR 1.24 (95% CI: 1.04–1.48), OR 1.14 (95% CI: 0.92–1.40)] respectively, in women who intended to become pregnant [OR 1.56 (95% CI: 1.35–1.81)], in women who used the internet [OR 1.53 (95% CI: 1.13–2.06)], and in women who listened to radio [OR 1.16 (95% CI: 1.03–1.30)]. However, the likelihood was lower in women who had given birth at least twice [OR 0.67 (95% CI: 0.50–0.89)], and in women who lived in rural areas [OR 0.87 (95% CI: 0.75–1.00)]. Conclusion To promote timely initiation of ANC visits, healthcare interventions to increase availability of midwives and doctors, and improve accessibility to primary care clinics, especially in rural areas, need to be implemented.

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First trimester antenatal care contact in Africa: a systematic review and meta-analysis of prevalence and contributing factors

Abdo,

Demelash,

Seid

et al. 2023

BMC Pregnancy Childbirth

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Background Early detection, prevention, and management of diseases associated with pregnancy and pregnancy-related conditions depend on the beginning of antenatal care contact in the first trimester. Across Africa, regional and national differences are observed in the proportion of first-trimester ANC contact and the factors contributing to it. To create a suitable intervention plan, it is crucial to overcome these differences through single standard and uniform guidelines. This can be achieved through meta-analysis and systematic reviews. Therefore, this systematic review aimed to assess the pooled prevalence of first trimester ANC contact and the factors contributing to it in Africa. Methods Observational studies conducted in Africa were retrieved from PubMed, Google Scholar, EMASE, CINHAL, Cochrane Library, Hinari databases and Mednar using combinations of search terms with Boolean operators. The JBI 2020 Critical Appraisal Checklist was used to assess the methodological quality of the studies. To assess publication bias, a funnel plot and Egger’s test were used to and I-squared was used to check the heterogeneity of the included studies. Data were extracted using Microsoft Excel and exported to Stata 16 software for analysis. Results A total of 86 articles with 224,317 study participants from 19 African countries were included. The overall pooled prevalence of first-trimester ANC contact was 37.15% (95% CI: 33.3–41.0; I2 = 99.8%). The following factors were found to be significantly associated with first-trimester ANC contact: urban residence (OR = 2.2; 95% CI: 1.5–3.1; I2 = 98.5%); women under the age of 25 (OR = 1.5; 95% CI: 1.2–1.9; I2 = 94.1%);, educational status (OR = 1.8; 95% CI: 1.4–2.2; I2 = 96.1%), primiparity (OR: 1.7; 95% CI: 1.2–2.4: I2 = 97.4%), having planned pregnancies (OR: 2.1; 95% CI: 1.5–2.7; I2 = 95.5%) and employed women (OR = 1.7; 95% CI: 1.7–2.1; I2 = 94.4%). Conclusion Because so few women in Africa initiate first-trimester ANC contact, it is clear that increasing maternal healthcare service uptake is still a challenge and will require significant effort to scale up the services. When working to improve maternal health in Africa, each nation's government and nongovernmental organizations should prioritize raising women's educational levels and providing pertinent information to rural women, focusing on reducing unintended pregnancies, women who live far from health facilities, women with low socioeconomic statuses, multiparous women and older women. Trial registration PROSPERO International Prospective Register of Systematic reviews (ID: CRD42023401711).

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Magnitude and Factors Associated with Late Initiation of Antenatal Care Booking on First Visit Among Women in Rural Parts of Ethiopia

Cited by 6 publications

References 37 publications

Factors Associated with Late Antenatal Initiation among Women in Malawi

Factors Associated with Late Antenatal Initiation among Women in Malawi

Sociodemographic Predictors of Initiating Antenatal Care Visits by Pregnant Women During First Trimester of Pregnancy: Findings from the Afghanistan Health Survey 2018

First trimester antenatal care contact in Africa: a systematic review and meta-analysis of prevalence and contributing factors

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