Maternal health services utilisation by Kenyan adolescent mothers: Analysis of the Demographic Health Survey 2014

Banke-Thomas, Aduragbemi; Banke-Thomas, Oluwasola; Kivuvani, Mwikali; Ameh, Charles

doi:10.1016/j.srhc.2017.02.004

Cited by 27 publications

(33 citation statements)

References 11 publications

(18 reference statements)

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“…In 19 studies, the relationship between maternal education and overall uptake of ANC was reported. The lack of formal education and lower educational levels were predictors of poor ANC use among women in these studies in 19 of the studies 9 25 46 47 49–51 53 58–68. However, one of the studies found that more educated women were less likely to use ANC from skilled medical providers23 (table 2).…”

Section: Resultsmentioning

confidence: 75%

“…In two studies, Christians were more likely to use ANC services compared with non-Christians 54 77. Women who had no religion were less likely to attend ANC in two studies27 66 (table 2).…”

Section: Resultsmentioning

confidence: 98%

“…Three studies showed that within-country ethnic differences influenced attending at least one ANC visit in different countries61 66 75 (table 2).…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies showed high socioeconomic level positively influenced attendance of at least one ANC visit 51 60 63 65–67 71 80 88…”

Section: Resultsmentioning

confidence: 99%

“…Living in communities where a government health facility was situated increased the odds of attending at least one ANC visit 78. Three studies reported increased likelihood of attending at least one ANC visit based on residence in specified geographical regions/locations within the countries where the studies were conducted62 66 80 (table 2).…”

Section: Resultsmentioning

confidence: 99%

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Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review

et al. 2019

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ObjectivesTo identify the determinants of antenatal care (ANC) utilisation in sub-Saharan Africa.DesignSystematic review.Data sourcesDatabases searched were PubMed, OVID, EMBASE, CINAHL and Web of Science.Eligibility criteriaPrimary studies reporting on determinants of ANC utilisation following multivariate analysis, conducted in sub-Saharan Africa and published in English language between 2008 and 2018.Data extraction and synthesisA data extraction form was used to extract the following information: name of first author, year of publication, study location, study design, study subjects, sample size and determinants. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist for reporting a systematic review or meta-analysis protocol was used to guide the screening and eligibility of the studies. The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies was used to assess the quality of the studies while the Andersen framework was used to report findings.Results74 studies that met the inclusion criteria were fully assessed. Most studies identified socioeconomic status, urban residence, older/increasing age, low parity, being educated and having an educated partner, being employed, being married and Christian religion as predictors of ANC attendance and timeliness. Awareness of danger signs, timing and adequate number of antenatal visits, exposure to mass media and good attitude towards ANC utilisation made attendance and initiation of ANC in first trimester more likely. Having an unplanned pregnancy, previous pregnancy complications, poor autonomy, lack of husband’s support, increased distance to health facility, not having health insurance and high cost of services negatively impacted the overall uptake, timing and frequency of antenatal visits.ConclusionA variety of predisposing, enabling and need factors affect ANC utilisation in sub-Saharan Africa. Intersectoral collaboration to promote female education and empowerment, improve geographical access and strengthened implementation of ANC policies with active community participation are recommended.

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Section: Resultsmentioning

confidence: 75%

“…In two studies, Christians were more likely to use ANC services compared with non-Christians 54 77. Women who had no religion were less likely to attend ANC in two studies27 66 (table 2).…”

Section: Resultsmentioning

confidence: 98%

“…Three studies showed that within-country ethnic differences influenced attending at least one ANC visit in different countries61 66 75 (table 2).…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies showed high socioeconomic level positively influenced attendance of at least one ANC visit 51 60 63 65–67 71 80 88…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review

et al. 2019

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Trends, regional inequalities and determinants in the utilization of prenatal care and skilled birth attendant in Ethiopia: A multilevel analysis

Woldeamanuel¹,

Aga²

2021

Clinical Epidemiology and Global Health

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Background: Ethiopia has made a substantial reduction in maternal mortality over the last two decades. However, maternal health care utilization among 15-49 aged women remains low despite this progress. The study aimed to examine trends, regional inequalities, and potential determinants associated with prenatal care utilization and a skilled birth attendant from 2000 to 2016 in Ethiopia. Methods: Nationally representative data extracted from the 2000 to 2016 Ethiopia Demographic and Health Surveys (EDHS), conducted every five years among 15-49 age women in Ethiopia. We used multilevel logistic analysis incorporating the demographic, socioeconomic, and health variables that are independently associated with prenatal care (PNC) and skilled birth attendant (SBA) use. Results:The prevalence of prenatal care utilization was relatively stagnant between 2000 and 2011 but showed an overall increase nationwide from 26.7% to 62.4% between 2000 and 2016 (p-value < 0.001). The prevalence of skilled birth assistance increased only by 16.5% in the past fifteen years, from 5.6% in 2000 to 22.1% in 2016. Rural type of residence, lower maternal education, lower household wealth index, lower partner's education, an immense distance of getting medical help were steadily significantly associated with prenatal health care use and skilled birth attendants. Further, male household heads, younger age women, and no covered health insurance were associated with lower odds of skilled birth attendant use. Conclusions: Though overall prenatal care and skilled birth attendant use prevalence have improved nationally, the regional disparity is uneven. Therefore, to sustain the progress equals more attention is needed for Afar, Somali, and Oromia regions to increase maternal health care services utilization in Ethiopia.

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Adolescent maternal health services utilization and associated barriers in Sub-Saharan Africa: A comprehensive systematic review and meta-analysis before and during the sustainable development goals

Tolossa,

Gold,

Dheresa

et al. 2024

Heliyon

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Maternal health services utilisation by Kenyan adolescent mothers: Analysis of the Demographic Health Survey 2014

Abstract: Adolescent MHS utilisation is not optimum in Kenya. More work that includes affordable care provision, cultural re-orientation, targeted mass-media campaigns and male involvement in care need to be done with emphasis on the most disadvantaged areas.

Cited by 27 publications

References 11 publications

Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review

Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review

Trends, regional inequalities and determinants in the utilization of prenatal care and skilled birth attendant in Ethiopia: A multilevel analysis

Adolescent maternal health services utilization and associated barriers in Sub-Saharan Africa: A comprehensive systematic review and meta-analysis before and during the sustainable development goals

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