Utilization pattern of antenatal care and determining factors among reproductive-age women in Borama, Somaliland

Mouhoumed, Hamda Mohamed; Mehmet, Nimetcan

doi:10.15167/2421-4248/jpmh2021.62.2.1882

Cited by 8 publications

(7 citation statements)

References 21 publications

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“…The analysis of maternal characteristics showed a significant difference in age distribution between unbooked (median age of 29 years) and booked (median age of 32 years) mothers, which is in line with that in previous reports indicating that younger women were less adherent to ANC follow-up [7,[13][14][15]. In addition, the unbooking status of pregnant women has been linked to low socioeconomic status [16][17][18].…”

Section: Discussionsupporting

confidence: 82%

“…Although the number of women accessing ANC has increased significantly in underdeveloped nations, only a small percentage of expectant mothers optimally utilize ANC with at least four ANC visits, with 72% starting their first visit after 12 weeks of pregnancy [19]. For instance, a report from Kenya found that only 58% of women had at least four ANC visits [14], whereas a study conducted in Somalia found that the rate was even lower, with 33% of pregnant women starting their first visit in the fourth month of pregnancy [15]. Thus, the World Health Organization emphasizes the necessity of concentrating on pregnant women who start their ANC late and have fewer visits than usual [20].…”

Section: Discussionmentioning

confidence: 99%

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The Effects of Booking Status on the Outcome of Infants of ≥32 Weeks Gestational Age Admitted to the Neonatal Intensive Care Unit in a Tertiary Academic Center

Almarri¹,

Alzahrani²,

Alsudais³

et al. 2022

Cureus

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IntroductionAntenatal care (ANC) is a systematic examination and follow-up of pregnant women that involves education, counseling, screening, and treatment of any complications encountered. ANC is an essential measure that significantly decreases devastating maternal and fetal outcomes. This study aimed to explore the maternal and fetal outcomes of mothers who did and did not book follow-ups and had their newborns admitted to the neonatal intensive care unit (NICU) at the

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

The Effects of Booking Status on the Outcome of Infants of ≥32 Weeks Gestational Age Admitted to the Neonatal Intensive Care Unit in a Tertiary Academic Center

Almarri¹,

Alzahrani²,

Alsudais³

et al. 2022

Cureus

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“…The study also revealed that women who had more than four children were more likely to delay their ANC visits. This was supported by another study conducted in Rwanda [ 25 ] and Somaliland [ 26 ] where it was implied that women with a larger family size were more likely to delay their ANC visit. It could be that these women are too preoccupied with taking care of their children, believe that they have enough experience with pregnancy and see no point in having early ANC, or had poor previous ANC experiences.…”

Section: Discussionmentioning

confidence: 58%

Prevalence and risk factors for delayed antenatal care visits in Rwanda: an analysis of secondary data from Rwanda demographic health survey 2019-2020

Mulungi¹,

Mukamurigo²,

Rwunganira³

et al. 2023

Pan Afr Med J

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Introduction antenatal care (ANC) delivers services to prevent pregnancy complications and provides counseling for birth, and emergency preparedness. Having ANC on time has life-saving potential for the child and mother. Despite improvements in health infrastructure, human resources, and health insurance, hindrances to early ANC visits still exist in Rwanda. This study aimed to investigate the burden and factors associated with delayed ANC visits in Rwanda so that policymakers can develop strategies to promote early ANC visits. Methods this is a cross-sectional study using Rwanda demographic health survey (RDHS) 2019-2020 that included 6,039 women that had had a pregnancy in the 5 years preceding the survey. Descriptive analysis was used to determine the prevalence and a multivariable logistic regression model using manual backward stepwise regression was used to identify risk factors for delayed ANC in Rwanda. STATA 16 statistical software was used for all the analyses. Results the prevalence of delayed ANC in Rwanda was 41% and the risk factors include: the number of children 4-6 (AOR = 1.4, 95% CI: 1.2-1.6) and 7 or more children (AOR = 1.5, 95% CI: 1.5-2.1) versus less than 3 children, unwanted pregnancy (AOR = 1.7, 95% CI: 1.5-2.0), not covered by health insurance (AOR = 14, 95% CI: 1.2-1.6), woman´s education level: no education (AOR 2.6, 95% CI: 1.6-4.1), primary education (AOR 2.5, 95% CI: 1.6-3.7), secondary education (AOR 2.2, 95% CI: 1.5-3.2), woman´s occupation: informal (AOR 2.3 95% CI: 1.5-3.7) and unemployment (AOR 2.3. 95% CI: 1.4-3.7). Conclusion: based on the findings from our study, family planning services should be made available to all women of childbearing age to prevent unwanted pregnancies; female education should be considered a priority, promotion of health insurance coverage and community-based education about reproductive health to encourage the early seeking of care among women of childbearing age.

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“…32 Generally, compared to many African countries, maternal health-service use is lower in Somaliland. 47 We found that participants of the current study who had attended formal education had 5.4 times the odds of intending to stay at MWHs of those who had not. This finding is consistent with those from other low- and middle-income countries that reported that women with better education (high school and above) would be willing to stay at MWHs.…”

Section: Discussionmentioning

confidence: 99%

Intention to Use and Predictors of Use of Maternity Waiting Home among Pregnant Women in Hargeisa City Health Centers, Somaliland

Aden¹,

Azale²,

Tsehay³

2022

PPA

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Background Maternity waiting homes (MWHs) can help women receive the necessary obstetric care and referral if needed. However, there is a lack of evidence on whether women have the desire to stay away from their homes and the sociocultural predictors of their decision in Somaliland. Objective The purpose of this study was to measure predictors of the intention of women to stay in MWHs using the theory of planned behavior in Hargeisa city, Somaliland. Methods A facility-based cross-sectional study was conducted from in April 2021 in Hargeisa health facilities among 422 randomly selected participants using an interviewer-administered and structured questionnaire. Data were transferred to Epi Data 4.6 and exported to SPSS 20 for further analysis. Descriptive, bivariate, and multivariate binary logistic regression analyses were used. ORs with 95% CIs were used to assess associations, and statistical significance was set at P <0.05. Results A total of 245 (58%, 95% CI 53.1%–62.8%) pregnant women intended to use an MWH. Multivariate analysis revealed that education (AOR 5.40, 95% CI 3.01–9.69), experience of using an MWH (AOR 3.80, 95% CI 2.32–6.27), multigravidity (AOR 2.2, 95% CI 1.16–4.29), subjective norms (AOR 1.8, 95% CI 1.05–3.11), indirect attitudes toward use of MWHs (AOR 1.9, 95% CI 1.01–3.92), and indirect subjective norms (AOR 2.0, 95% CI 1.16–3.60) were significantly associated with intention to use an MWH. Conclusion Using an MWH is not the preference of many women. Personal characteristics, such as education, multigravidity, and perceived social pressure are important predictors of intention to use MWHs. It is important to raise the awareness of women and the community about the benefits of using MWHs in the early management of obstetric complications.

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Utilization pattern of antenatal care and determining factors among reproductive-age women in Borama, Somaliland

Cited by 8 publications

References 21 publications

The Effects of Booking Status on the Outcome of Infants of ≥32 Weeks Gestational Age Admitted to the Neonatal Intensive Care Unit in a Tertiary Academic Center

The Effects of Booking Status on the Outcome of Infants of ≥32 Weeks Gestational Age Admitted to the Neonatal Intensive Care Unit in a Tertiary Academic Center

Prevalence and risk factors for delayed antenatal care visits in Rwanda: an analysis of secondary data from Rwanda demographic health survey 2019-2020

Intention to Use and Predictors of Use of Maternity Waiting Home among Pregnant Women in Hargeisa City Health Centers, Somaliland

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