Antenatal Care: Utilization Rate and Barriers in Bosaso-Somalia, 2019

Elmi, Elmi Omar Haji; Hussein, Nur Ahmed; Hassan, Abdiwahab; Ismail, Abdiwahid Mohamed; Abdulrahman, Abdullah Abdulrizak; Muse, Abdulkadir Mohamed

doi:10.11648/j.ejpm.20210901.15

Cited by 5 publications

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“…Evidence reports more than 70-90% of Somali pregnant women to visit healthcare facilities at different stages of their pregnancy [4,37,38], with very few expectant mothers attending their first ANC during the first trimester of gestation [32]. Approximately, 50% of these women have been reported to observe their first ANC during the second trimester, while 25% during the third trimester of gestation [32].…”

Section: Resultsmentioning

confidence: 99%

“…Healthcare facilities at different levels (primary healthcare centers, hospitals, or private facilities) were found to be easily accessible to most Somali pregnant women with a distance range of fewer than 30 minutes to 1 hour [38] or less than 5KM [2]. However, most expectant mothers preferred private facilities.…”

Section: Resultsmentioning

confidence: 99%

“…However, most expectant mothers preferred private facilities. A discouraging element for some pregnant women was that most needed to travel on foot to get these services, and a few used public or private transportation [38].…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, of the women who attended ANC, only a few decided on their own to attend ANC. At the same time, most of them were advised or motivated by their husbands or family members as well as encouraged by friends [38].…”

Section: Resultsmentioning

confidence: 99%

“…This research stated that approximately 80% of the study participants lived within a distance of 5 kilometers or below from the healthcare facilities. However, a discouraging factor is that most women needed to travel on foot to get these services [38]. Also, most of these women preferred private facilities [2].…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

The Utilization of Antenatal Care Services among the Pregnant Women in Somalia: A Scoping Review

Ali¹,

ABM²,

Aimakhu³

2023

TOPHJ

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Background: Women in Somalia suffer from one of the highest maternal mortality rates in the world. The good utilization of antenatal care (ANC) services significantly minimizes maternal and child mortality. The study aimed to identify the utilization of antenatal care services among pregnant women in Somalia. Methodology: We performed a scoping review based on the York methodology. This methodology entails a thorough search of published academic articles, conference proceedings, and grey literature via PubMed, Scopus, Google, and Google Scholar, focusing on English-language material. Results: Findings revealed that a significant number of Somali pregnant women utilize the ANC services, though not to the required number of visits as recommended by the WHO. Financial constraints, poor attitude of the healthcare providers, partner's attitude toward ANC services, lack of accessibility due to ANC services being far away, long waiting times, family matters, lack of awareness or media exposure, gravida, parity, and a good number of them believing that ANC is not necessary for their health were among the reasons given for an inadequate visit or non-utilization of the ANC services. Conclusion: The motivation to utilize ANC services, the initiation of visits within the early stages of pregnancy, and the completion of the required number of visits during pregnancy are crucial in preventing pregnancy-related issues and reducing maternal mortality. This must be encouraged among Somali women.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The Utilization of Antenatal Care Services among the Pregnant Women in Somalia: A Scoping Review

Ali¹,

ABM²,

Aimakhu³

2023

TOPHJ

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Number of antenatal care utilization and associated factors among pregnant women in Ethiopia: zero-inflated Poisson regression of 2019 intermediate Ethiopian Demography Health Survey

et al. 2022

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Background The frequency of antenatal care utilization enhances the effectiveness of the maternal health programs to maternal and child health. The aim of the study was to determine the number of antenatal care and associated factors in Ethiopia by using 2019 intermediate EDHS. Methods Secondary data analysis was done on 2019 intermediate EDHS. A total of 3916.6 weighted pregnant women were included in the analysis. Zero-inflated Poisson regression analysis was done by Stata version 14.0. Incident rate ratio and odds ratio with a 95% confidence interval were used to show the strength and direction of the association. Result About one thousand six hundred eighty eight (43.11%) women were attending four and more antenatal care during current pregnancy. Attending primary education (IRR = 1.115, 95% CI: 1.061, 1.172), secondary education (IRR = 1.211, 95% CI: 1.131, 1.297) and higher education (IRR = 1.274, 95% CI: 1.177, 1.378), reside in poorer household wealth index (IRR = 1.074, 95% CI: 1.01, 1.152), middle household wealth index (IRR = 1.095, 95% CI: 1.018, 1.178), rich household wealth index (IRR = 1.129, 95% CI: 1.05, 1.212) and richer household wealth index (IRR = 1.186, 95% CI: 1.089, 1.29) increases the number of antenatal care utilization. The frequency of antenatal care was less likely become zero among women attending primary (AOR = 0.434, 95% CI: 0.346, 0.545), secondary (AOR = 0.113, 95% CI: 0.053, 0.24), higher educational level (AOR = 0.052, 95% CI: 0.007, 0.367) in the inflated part. Conclusion The number of antenatal care utilization is low in Ethiopia. Being rural, poorest household index, uneducated and single were factors associated with low number of antenatal care and not attending antenatal care at all. Improving educational coverage and wealth status of women is important to increase the coverage and frequency of antenatal care.

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Antenatal Care Service Utilization and Its Associated Factors Among Somali Women

Muse,

Kang

2023

Int J Childbirth

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BACKGROUND:Maternal morbidity and mortality remain high in developing regions due to the consequences of pregnancy and childbirth. There is evidence that antenatal care (ANC) is one of the most effective strategies for reducing maternal mortality in a global context. Thus, this study aimed to evaluate ANC service utilization among Somali women and the effects of general and pregnancy-related characteristics of women, healthcare facility accessibility, and the decision-making status of women on ANC services utilization.METHODS:A descriptive cross-sectional study was conducted with 255 Somali women, aged 15–49 years, living in Somalia, who have been married and have a history of childbirth using a convenience sampling procedure through an online survey. The data were analyzed using Statistical Package for Social Science 28 and frequency, percentage, chi-square, and Fisher’s exact test were conducted.RESULTS:About 89.9% of participants had a history of ANC utilization. The educational level of the woman (χ² = 8.901,p= .003), their working status (χ² = 5.452,p= .020), husband’s educational level (χ² = 8.539,p= .003), monthly household income (χ² = 25.870,p< .001), and distance to health facilities (χ² = 18.738,p< .001) showed statistically significant differences in the ANC service utilization among participants.CONCLUSION:Women with secondary or higher educational levels who are working, with educated husbands, have a good household income, and live near the health facility indicated a higher proportion of ANC service utilization. Thus, the study suggests that educating women, supporting the Somali households’ socioeconomic status, increasing the availability of different types of health facilities, and dispatching health workers to areas where health facilities are sparse are equally needed.

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Antenatal Care: Utilization Rate and Barriers in Bosaso-Somalia, 2019

Cited by 5 publications

References 0 publications

The Utilization of Antenatal Care Services among the Pregnant Women in Somalia: A Scoping Review

The Utilization of Antenatal Care Services among the Pregnant Women in Somalia: A Scoping Review

Number of antenatal care utilization and associated factors among pregnant women in Ethiopia: zero-inflated Poisson regression of 2019 intermediate Ethiopian Demography Health Survey

Antenatal Care Service Utilization and Its Associated Factors Among Somali Women

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