Factors associated with antenatal care service utilization among women with children under five years in Sunyani Municipality, Ghana

Abstract

Background: Maternal and neonatal mortality remains a public health burden around the globe most especially in developing countries. A well utilized antenatal care (ANC) is however among the identified interventions to reduce this burden of maternal and neonatal mortality rates. A lot of factors therefore predispose, enable and cause mothers to identify the need to utilize this service (ANC). Aims/objectives: The aim of this study was to determine factors associated with the utilization of ANC service among postpartum mothers in the Sunyani municipality. Methods: This study employed descriptive cross-sectional survey design. A semi-structured questionnaire consisting of demographic profile of the respondents, their knowledge about ANC services and the level of ANC utilization. Logistic regression analysis techniques and chi-square were used for the categorical variables to examine the associations between the dependent and independent variables. Data analysis was done using the Statistical Package for Social Science software (SPSS) version 22. Results: Majority (87%) of postpartum mothers in the Sunyani municipality attended ANC at least once during their last pregnancy of which 95.6% had four or more visits and 77.1% initiated their ANC attendance within their first trimester. It was further observed that 97.3% of the mothers had good knowledge about ANC. Marital status and ANC knowledge were found to be significantly associated with ANC attendance. Husbands were found to be poorly involved in ANC services in the Sunyani municipality. Conclusion: Marital status and ANC knowledge predisposes most mothers to utilize ANC services. Hence, health education activities about ANC services and its importance should be channeled more to areas where ANC utilization is low.

Individual and contextual factors associated with maternal healthcare utilisation in Mali: a cross-sectional study using Demographic and Health Survey data

“…40 The prevalence of ANC4 + reported in this study is relatively lower than the 95.6%, 52.44%, 58.53% and 90.4% ANC4 + reported in other SSA countries. [41][42][43][44] Again, the prevalence of PNC observed in this study is comparatively lower than that in studies in Ghana (74%), 45 Ethiopia (51.2%) 46 and the pooled prevalence in SSA (52.48%). 47 The prevalence of SBA is higher than that of a previous study reporting 39.9% of SBA in Mali.…”

“…The overall prevalence of maternal healthcare utilisation was 45.6% for ANC4+, 74.7% for SBA and 25.5% for PNC which are higher than (30% ANC4 + and 38% SBA) those reported in the 2001 DHS 40. The prevalence of ANC4 + reported in this study is relatively lower than the 95.6%, 52.44%, 58.53% and 90.4% ANC4 + reported in other SSA countries 41–44. Again, the prevalence of PNC observed in this study is comparatively lower than that in studies in Ghana (74%),45 Ethiopia (51.2%)46 and the pooled prevalence in SSA (52.48%) 47.…”

Are Ethiopian women getting the recommended maternal health services? The analysis of Ethiopian mini Demographic and Health Survey 2019

“…Staying in a secured partnership is suggested to provide adherence to the services, financial support, and accompaniment to ANC clinics which enhances a positive service utilization either by married women or for those women who were in a partnership for some time as compared to women who were never in a relationship 48,49 . This finding is also supported by other studies 50–52 . To address those pregnant women out of the union by reducing the associated stigma, and discrimination; societal advocacy to raise awareness shall be an important issue of concern.…”

Spatial distribution and predictive factors of antenatal care in Burundi: A spatial and multilevel baseline analysis for the third burundian demographic and health survey

“…According to the previous studies, women’s education, education level of the woman, husband’s education education level of her husband, place of residence, planned pregnancy, family income and household wealth index have been reported as determinants of antenatal care use [ 5 , 19 ]. Several other studies have also shown that living in rural areas, low education level, low economic welfare quintile, low income, and being single predispose women to avoid using antenatal care services [ 20 – 22 ].…”