Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: A cross-sectional study

Ebonwu, Joy; Mumbauer, Alexandra; Uys, Margot; Wainberg, Milton L.; Medina‐Marino, Andrew

doi:10.1371/journal.pone.0191903

Cited by 93 publications

(140 citation statements)

References 17 publications

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“…The current study also upon controlling for confounders indicates that religion had no significant association with late ANC attendance. Other studies in South African and Zimbabwe suggest that culture and religion influence ANC attendance and that the practices attached to these beliefs tend to delay ANC initiation [20] [21].…”

Section: Association Between Socio-demographics and Late Anc Seeking mentioning

confidence: 95%

Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

Komuhangi¹

2020

OJN

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Background: Late antenatal care attendance among pregnant women at health facilities remains a significant public health problem. Globally, approximately 830 women die every day due to pregnancy-related complications and 99% of these deaths occur in developing countries whereby 86% of pregnant women access Antenatal Care (ANC) services at least once. Objective: The general objective of the study was to determine factors associated with late antenatal care seeking behavior among pregnant women at Kyenjojo general hospital. Methods: This was a descriptive cross sectional study design that considered quantitative data collection methods among pregnant women attending ANC. The sample size was determined using Kish and Leslie (1969) formula using a proportion of 37% (0.37) of women who sought late ANC. A systematic sampling technique was used to sample pregnant women on daily basis. Results: A total of 283 women participated in the study. Spouse's occupation was significantly associated with late ANC attendance (p = 0.026). On the other hand, education level of respondent (Fisher's = 8.363, p = 0.028*), religion (Fisher's = 5.77, p = 0.048*) and parity (Fisher's 10.312, p = 0.026*) revealed statistically significant association with late ANC attendance. In multivariate logistic regression, on occupation, women with unemployed spouses were significantly associated with 25% increase in attendance of late ANC compared to those in formal employment (AOR = 0.25, CI: 0.073-0.855, p = 0.027*). Conclusion: The Majority of pregnant women sought ANC at 90.1% (n = 255). There's a need for government to strengthen health promotion targeting women in rural communities.

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Section: Association Between Socio-demographics and Late Anc Seeking mentioning

confidence: 95%

Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

Komuhangi¹

2020

OJN

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“…In South Africa one it was demonstrated of the well documented risk factors for late uptake of ANC is cultural beliefs [36]. One of the midwives commented on the importance of health promotion and education to debunk myths within the community.…”

Section: Cultural and Social Dynamicsmentioning

confidence: 99%

Factors Shaping Uptake of Antenatal Care in Surabaya, Indonesia: a Qualitative Study

Jones

Damayanti²,

Wiseman

et al. 2020

Preprint

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Background: Antenatal Care (ANC) is a central plank in reducing maternal mortality in low and middle income countries. ANC provides pivotal education to all individuals involved and can be utilised as a preventative tool in avoiding complications during childbirth. Within Indonesia, the maternal mortality ratio (MMR) remains unacceptably high in comparison to high income country counterparts, with an ANC coverage of 77% for a minimum of 4 visits. Few studies within Indonesia have explored the experiences of pregnant women accessing ANC and the impact this has on uptake of ANC services.Methods:  Five focus group discussions (FGDs) with pregnant women were conducted at community health facilities within the city and urban areas of Surabaya, Indonesia, along with five semi-structured interviews with midwives employed at these health facilities. Results: Findings suggest individual circumstances, social and cultural dynamics and community and health care conditions shaping the uptake of ANC services. Fears of negative diagnosis prior to initial ANC appointment, personal beliefs and myths surrounding pregnancy, influence of husbands, family and friends and long waiting times with overcrowding leading to limited seating were shaping timely access and achieving 4 ANC visits. In addition, feeling comfortable with the quality of the service and receiving a friendly service from the practitioners was a theme across all FGDs. Finally, it was acknowledged feeling afraid of being referred to a hospital if deemed a high-risk pregnancy shaped return ANC visits. Conclusions:  Efforts to decrease maternal and infant mortality rates in Surabaya have largely centred on increasing ANC coverage. The findings of this study highlight several factors shaping the uptake of ANC services by mothers. However, with ANC coverage (minimum 4 visits) now at 77% of the population, findings suggest that future research should be directed towards the standard of quality of ANC services being delivered.

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“…However, the check-ups depend on adequate and timely antenatal care (ANC) services utilization. ANC attendance offers the mother the opportunity to undergo blood pressure check-ups [12,13]. Several studies have shown that the majority of women in sub-Saharan Africa book ANC services late [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Blood Pressure Checkup During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

Moshi

Tungaraza

2020

Preprint

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Background: Hypertensive Disorder of Pregnancy (HDP) is one of the leading causes of maternal mortality and morbidity amongst pregnant women in the world. Blood pressure check-ups during pregnancy constitute one of the strategies used to identify hypertensive disorders, hence timely management. Little is known about the factors associated with blood pressure check-ups in Tanzania.Method: The study used data from 2015 - 16 Tanzania Demographic and Health Survey and Malaria Indicators Survey (2015 - 16 TDHS - MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the association between early antenatal booking and maternal services utilization.Results: A total of 4997(72.17%) interviewed women were checked for blood pressure at least once. Having been adjusted for the confounders, the factors which influenced an uptake of blood pressure check-ups during pregnancy were timed for antenatal booking within first 12 weeks, AOR=1.496 at 95% CI= 1.297-1.726, p<0.001, age group [more than 34 years, (AOR=1.518 at 95% CI=1.149-2.006, p=0.003)], wealth index [middle income, (AOR=1.215 at 95% CI=1.053-1.468, p=0.008) and rich, (AOR=2.270 at 95% CI=1.907-2.702, p<0.001)] reference population being poor; education level [primary education, (AOR=1.275 at 95% CI=1.107-1.468, p=0.001); secondary education, (AOR=2.163 at 95% CI=1.688-2.774, p<0.001) and higher education, (AOR=9.929 at 95%CI=1.355-72.76, p=0.024)] reference population being no formal education; parity [para 2-4, (AOR=1.190 at 95% CI=1.003-1.412, p=0.046) and zones [Unguja Island, (AOR=3.934 at 95% CI=1.568-9.871, p=0.004), Pemba Island, (AOR=5.308 at 95%CI=1.808-15.58, p=0.002)] and Mainland Urban being the reference population.Conclusion: Blood pressure check-ups during pregnancy offer the opportunity for early detection, hence timely management of HDP. The study revealed that rural dwelling pregnant women had higher chance of not getting their BP checked. It was also revealed that maternal age, education level, place of residence, wealth index and timing of ANC services were significantly associated with blood pressure check-ups. The study recommends the need to explore significant factors associated with utilization of available free reproductive health services across all public health facilities. It also recommends the need to address prioritized intensive awareness programs and behavioral change interventions on the significance of BP check-ups among pregnant women of reproductive age.

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Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: A cross-sectional study

Cited by 93 publications

References 17 publications

Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

Factors Shaping Uptake of Antenatal Care in Surabaya, Indonesia: a Qualitative Study

Factors Associated with Blood Pressure Checkup During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

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