Knowledge of pregnancy complications and utilization of antenatal care services in Rwanda

Kpienbaareh, Daniel; Kofinti, Raymond Elikplim; Konkor, Irenius; Amoak, Daniel; Kansanga, Moses Mosonsieyiri; Luginaah, Isaac

doi:10.1002/hpm.3434

Cited by 9 publications

(8 citation statements)

References 47 publications

(106 reference statements)

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“…At the same time, our results highlight that women with an adequate understanding of MTCT of HIV are more likely to deliver at a health facility with skilled birth attendants than those with inadequate knowledge. These findings are consistent with a study conducted in Rwanda, where it was revealed that having adequate knowledge of the complications involved in pregnancy, including the likelihood of MTCT of HIV, resulted in the utilisation of ANC services 17 …”

Section: Discussionsupporting

confidence: 91%

“…First, it has been suggested that healthcare workers in poor‐resource countries, including Cameroon, often have limited resources, serving as a critical barrier from accessing necessary information and training on the MTCT of HIV needed to counsel women 18 . Secondly, expectant mothers with adequate knowledge of MTCT of HIV are provided crucial information, such as pregnancy complications that may arise due to their serostatus, making them more receptive to ANC services 17 . Indeed, in Cameroon, there is a policy to provide free healthcare services, including ANC for HIV‐positive pregnant women, as part of efforts to enhance vulnerable populations' access to health services 19 .…”

Section: Discussionmentioning

confidence: 99%

“…18 Secondly, expectant mothers with adequate knowledge of MTCT of HIV are provided crucial information, such as pregnancy complications that may arise due to their serostatus, making them more receptive to ANC services. 17 Indeed, in Cameroon, there is a policy to provide free healthcare services, including ANC for HIV-positive pregnant women, as part of efforts to enhance vulnerable populations' access to health services. 19 In this way, the free services offered to these pregnant women may incentivise them to utilise ANC services suitably.…”

Section: Discussionmentioning

confidence: 99%

“…These findings are consistent with a study conducted in Rwanda, where it was revealed that having adequate knowledge of the complications involved in pregnancy, including the likelihood of MTCT of HIV, resulted in the utilisation of ANC services. 17 There are several explanations for why sufficient knowledge of MTCT of HIV is associated with the adequate use of ANC services in Cameroon. First, it has been suggested that healthcare workers in poor-resource countries, including Cameroon, often have limited resources, serving as a critical barrier from accessing necessary information and training on the MTCT of HIV needed to counsel women.…”

Section: Discussionmentioning

confidence: 99%

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The association between mother‐to‐child HIV transmission knowledge and antenatal care utilisation in Cameroon

Dhillon

Amoak

Sano

et al. 2023

Health Planning & Management

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While the health benefits of antenatal care (ANC) utilisation for mothers and their infants have been well documented, very few studies have explored the association between mother‐to‐child transmission (MTCT) knowledge of human immunodeficiency virus (HIV) and mothers' utilisation of ANC in HIV endemic regions such as Cameroon. To address this void in the literature, we use the 2018 Cameroon Demographic and Health Survey to examine the association between mother's knowledge of MTCT of HIV and the three strands of ANC utilisation (i.e., number of ANC visits, timing to first ANC visit, and place of delivery). We found that women with adequate MTCT knowledge were more likely to have four to seven ANC visits (relative risk ratio [RRR] = 1.39, p < 0.001) and more than eight ANC visits (RRR = 1.43, p < 0.05), compared to their counterparts with inadequate knowledge. Similarly, women with adequate MTCT knowledge were more likely to attend ANC within the first trimester (odds ratio [OR] = 1.16, p < 0.05) and to give birth in a health facility (OR = 1.37, p < 0.001) than their counterparts with inadequate MTCT of HIV knowledge. These results remained robust after controlling for theoretically relevant variables. Based on these findings, we discussed several implications for policymakers and recommendations for future research.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The association between mother‐to‐child HIV transmission knowledge and antenatal care utilisation in Cameroon

Dhillon

Amoak

Sano

et al. 2023

Health Planning & Management

Self Cite

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“…In addition, a slight decline in maternal mortality has been observed in the two most recent RDHS [ 15 , 16 ]. Women’s unenlightenment on pregnancy complications [ 17 ] and the perceived barriers to utilizing health care [ 18 ] were found to be hindering ANC attendance in Rwanda.…”

Section: Introductionmentioning

confidence: 99%

Determinants of timing, adequacy and quality of antenatal care in Rwanda: a cross-sectional study using demographic and health surveys data

Uwimana

Elhoumed

Gebremedhin

et al. 2023

BMC Health Serv Res

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Background Antenatal care (ANC) is a recommended intervention to lessen maternal and neonatal mortality. The increased rate in ANC coverage in most Sub-Saharan African countries is not considerably reducing the maternal and neonatal mortality. This disconnection has raised concerns to study further the trend and determinants of the ANC timing and quality. We aimed to assess the determinants and trend of the timing, the adequacy and the quality of antenatal care in Rwanda. Method A population-based cross-sectional study design. We used data from the 2010,2015 and 2020 Rwanda demographic and health surveys (RDHS). The study included 18,034 women aged 15–49 years. High quality ANC is when a woman had her first ANC visit within 3 months of pregnancy, had 4 or more ANC visits, received services components of ANC during the visits by a skilled provider. Bivariate analysis and multivariable logistic regression were used to assess the ANC (timing and adequacy), the quality of the content of ANC services and the associated factors. Results The uptake of antenatal services increased in the last 15 years. For instance, the uptake of adequate ANC was 2219(36.16%), 2607(44.37%) and 2925(48.58%) respectively for 2010;2015 and 2020 RDHS. The uptake of high quality ANC from 205(3.48%) in 2010 through 510(9.47%) in 2015 to 779(14.99%) in 2020. Women with unwanted pregnancies were less likely to have timely first ANC (aOR:0.76;95%CI:0.68,0.85) compared to planned pregnancies, they were also less likely to achieve a high-quality ANC (aOR: 0.65;95%CI:0.51,0.82) compared to the planned pregnancies. Mothers with a secondary and higher education were 1.5 more likely to achieve a high-quality ANC (aOR:1.50;95%CI:1.15,1.96) compared to uneducated mothers. Increasing maternal age is associated with reduced odds of update of ANC component services (aOR:0.44;95%CI:0.25,0.77) for 40 years and above when referred to teen mothers). Conclusion Low-educated mothers, advanced maternal age, and unintended pregnancies are the vulnerable groups that need to be targeted in order to improve ANC-related indicators. One of the credible measures to close the gap is to strengthen health education, promote family planning, and promote service utilization.

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Predicting maternal healthcare seeking behaviour in Afghanistan: exploring sociodemographic factors and women’s knowledge of severity of illness

Tawfiq

Azimi

Feroz

et al. 2023

BMC Pregnancy Childbirth

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Background Little is known whether women’s knowledge of perceived severity of illness and sociodemographic characteristics of women influence healthcare seeking behavior for maternal health services in Afghanistan. The aim of this study was to address this knowledge gap. Methods Data were used from the Afghanistan Health Survey 2018. Women’s knowledge in terms of danger signs or symptoms during pregnancy was assessed. The signs or symptoms were bleeding, swelling of the body, headache, fever, or any other danger sign or symptom (e.g., high blood pressure). A categorical variable of knowledge score was created. The outcome variables were defined as ≥ 4 ANC vs. 0–3 ANC; ≥ 4 PNC vs. 0–3 PNC visits; institutional vs. non-institutional deliveries. A multivariable generalized linear model (GLM) was used. Results Data were used from 9,190 ever-married women, aged 13–49 years, who gave birth in the past two years. It was found that 56%, 22% and 2% of women sought healthcare for institutional delivery, ≥ 4 ANC, ≥ 4 PNC visits, respectively, and that women’s knowledge is a strong predictor of healthcare seeking [odds ratio (OR)1.77(1.54–2.05), 2.28(1.99–2.61), and 2.78 (2.34–3.32) on knowledge of 1, 2, and 3–5 signs or symptoms, respectively, in women with ≥ 4 ANC visits when compared with women who knew none of the signs or symptoms. In women with ≥ 4 PNC visits, it was 1.80(1.12–2.90), 2.22(1.42–3.48), and 3.33(2.00–5.54), respectively. In women with institutional deliveries, it was 1.49(1.32–1.68), 2.02(1.78–2.28), and 2.34(1.95–2.79), respectively. Other strong predictors were women’s education level, multiparity, residential areas (urban vs. rural), socioeconomic status, access to mass media (radio, TV, the internet), access of women to health workers for birth, and decision-making for women where to deliver. However, age of women was not a strong predictor. Conclusion Our findings suggest that pregnant women’s healthcare seeking behaviour is influenced by women’s knowledge of danger signs and symptoms during pregnancy, women’s education, socioeconomic status, access to media, husband’s, in-laws’ and relatives’ decisions, residential area, multiparity, and access to health workers. The findings have implications for promoting safe motherhood and childbirth practices through improving women’s knowledge, education, and social status.

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Knowledge of pregnancy complications and utilization of antenatal care services in Rwanda

Cited by 9 publications

References 47 publications

The association between mother‐to‐child HIV transmission knowledge and antenatal care utilisation in Cameroon

The association between mother‐to‐child HIV transmission knowledge and antenatal care utilisation in Cameroon

Determinants of timing, adequacy and quality of antenatal care in Rwanda: a cross-sectional study using demographic and health surveys data

Predicting maternal healthcare seeking behaviour in Afghanistan: exploring sociodemographic factors and women’s knowledge of severity of illness

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