Practice, Knowledge and Perceptions of Antenatal Care Services among Pregnant Women and Nursing Mothers in Southwest Nigeria

Fagbamigbe, Adeniyi Francis; Akanbiemu, Francis Adegoke; Adebowale, Ayo Stephen; A, Aderonke Manuwa Olumide; Korter, Grace Oluwatoyin

doi:10.12966/ijmch.05.02.2013

Cited by 7 publications

(8 citation statements)

References 14 publications

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“…We found that pregnant women with higher education were twelve times more likely to achieve the recommended eight ANC contacts than women with no education. Similar findings have been reported in the literature to be associated with higher numbers of ANC contacts [ 2 , 51 , 52 , 56 , 57 ]. The differences in meeting the WHO recommended standard of a minimum of 8 contacts reflected the wide gap in educational attainment among the women.…”

Section: Discussionsupporting

confidence: 91%

Sub-national analysis and determinants of numbers of antenatal care contacts in Nigeria: assessing the compliance with the WHO recommended standard guidelines

Fagbamigbe

Olaseinde

Setlhare

2021

BMC Pregnancy Childbirth

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Background Nigeria has unimpressive maternal and child health indicators. Compliance with the WHO guidelines on the minimum number of antenatal care (ANC) contacts could improve these indicators. We assessed the compliance with WHO recommended standards on ANC contacts in Nigeria and identify the associated factors. Methods Nationally representative cross-sectional data during pregnancy of 21,785 most recent births within five years preceding the 2018 Nigeria Demographic Health Survey was used. The number of ANC contacts was categorised into “None”, “1–3”, “4–7” and “8 or more” contacts based on subsequent WHO guidelines. Descriptive statistics, bivariable and multivariable multinomial logistic regression was used at p = 0.05. Results About 25 % of the women had no ANC contact, 58 % had at least 4 contacts while only 20 % had 8 or more ANC contacts. The highest rate of 8 or more ANC contacts was in Osun (80.2 %), Lagos (76.8 %), and Imo (72.0 %) while the lowest rates were in Kebbi (0.2 %), Zamfara (1.1 %) and Yobe (1.3 %). Respondents with higher education were twelve times (adjusted relative risk (aRR): 12.46, 95 % CI: 7.33–21.2), having secondary education was thrice (aRR: 2.91, 95 % CI: 2.35–3.60), and having primary education was twice (aRR: 2.17, 95 % CI: 1.77–2.66) more likely to make at least 8 contacts than those with no education. Respondents from households in the richest and middle wealth categories were 129 and 67 % more likely to make 8 or more ANC contacts compared to those from households in the lowest wealth category respectively. The likelihood of making 8 ANC contacts was 89 and 47 % higher among respondents from communities in the least and middle disadvantaged groups, respectively, compared to the most disadvantaged group. Other significant variables were spouse education, health care decision making, media access, ethnicity, religion, and other community factors. Conclusions Compliance with WHO guidelines on the minimum number of ANC contacts in Nigeria is poor. Thus, Nigeria has a long walk to attaining sustainable development goal’s targets on child and maternal health. We recommend that the maternal and child health programmers should review existing policies and develop new policies to adopt, implement and tackle the challenges of adherence to the WHO recommended minimum of 8 ANC contacts. Women's education, socioeconomic status and adequate mobilization of families should be prioritized. There is a need for urgent intervention to narrow the identified inequalities and substantial disparities in the characteristics of pregnant women across the regions and states.

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Section: Discussionsupporting

confidence: 91%

Sub-national analysis and determinants of numbers of antenatal care contacts in Nigeria: assessing the compliance with the WHO recommended standard guidelines

Fagbamigbe

Olaseinde

Setlhare

2021

BMC Pregnancy Childbirth

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“…The determinants of women having knowledge of ANC services included; woman's age, woman's educational status, husband's educational status, religion, ethnicity, and the number of children. Our study finding is consistent with a study conducted in the southwest of Nigeria [44] but disagrees with a study conducted in Mozambique where the researchers found women's knowledge of ANC services not to have significant importance in their utilisation of ANC services [45]. It is established that women with good knowledge of ANC services have a better understanding and acceptance of the services provided during ANC [46].…”

Section: Plos Onesupporting

confidence: 65%

Women’s knowledge and its associated factors regarding optimum utilisation of antenatal care in rural Ghana: A cross-sectional study

et al. 2020

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Introduction Improving maternal health is a global public health challenge especially in sub-Saharan Africa. The optimum utilisation of antenatal care (ANC) by pregnant women is known to improve maternal health outcomes. Maternal morbidity and mortality rates in Ghana remain unacceptably high, particularly in rural settings where skilled delivery care often times is disproportionally low. This study assessed factors associated with optimum utilisation of antenatal care in rural Ghana. Methods A cross-sectional design was applied to collect data among eligible participants between October 2018 and January 2019. A total of 322 women who gave birth and attended the postnatal clinic were recruited for the study. Consecutive sampling was employed in recruiting participants. The associations between the dependent variables (ANC service utilisation and knowledge of ANC) and independent variables (socio-demographic characteristics) were examined using ordinary least squares logistic regression at 95% confidence interval in STATA version 14.0. Results Of the 322 participants, 69.0% reported utilising at least four or more times ANC services. Determinants of women attending ANC for four or more times was significantly associated with age [OR = 4.36 (95%CI: 2.16-8.80), p<0.

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“…Fagbamigbe et al observed that participants who received information about ANC services from healthcare workers had better knowledge than those who received it from other sources such as friends, relatives and news media. 42 Participants in this study believed that they were required to present for ANC when the baby was well formed and moving. Other studies have also found misconceptions amongst women (e.g.…”

Section: Discussionmentioning

confidence: 99%

Late registration for antenatal care by pregnant women with previous history of caesarean section

Ramotsababa

Setlhare

2021

African Journal of Primary Health Care & Family Medicine

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Background: Despite good access to antenatal care (ANC) services for most women, and regular training of healthcare workers in obstetrics and gynaecology, many pregnant women with a previous history of caesarean section (C/S) still presented late for ANC services at Letsholathebe II Memorial Hospital (LIIMH) in Maun, Botswana. This may increase morbidity and mortality in women with previous C/S delivery and neonates. Knowing why women with previous C/S present late for ANC may help in the formulation of interventions that decrease morbidity and mortality amongst these women and neonates.Aim: The aim of this study was to explore the reasons why pregnant women with a previous history of C/S registered late for ANC, at LIIMH.Setting: This study was performed at LIIMH, a district hospital situated in Maun, Botswana.Methods: This was a descriptive qualitative study. Consenting pregnant women with previous C/S who presented at LIIMH after the 20 weeks of pregnancy were interviewed until data saturation. The data was analysed for themes.Results: The reasons for late registration at LIIMH include lack of information, misconception on the appropriate booking time and venue, dissatisfaction with the quality of ANC clinic services, use of alternative ANC providers, delayed referral, and pregnancy experience.Conclusion: Lack of knowledge of ANC delivery venue, using alternative ANC providers, and dissatisfaction with ANC clinic services, contributed to late registration. Pregnant women with previous history of C/S should be informed about ANC, delivery plans, and the assistance of alternative ANC providers should be explored.

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Practice, Knowledge and Perceptions of Antenatal Care Services among Pregnant Women and Nursing Mothers in Southwest Nigeria

Cited by 7 publications

References 14 publications

Sub-national analysis and determinants of numbers of antenatal care contacts in Nigeria: assessing the compliance with the WHO recommended standard guidelines

Sub-national analysis and determinants of numbers of antenatal care contacts in Nigeria: assessing the compliance with the WHO recommended standard guidelines

Women’s knowledge and its associated factors regarding optimum utilisation of antenatal care in rural Ghana: A cross-sectional study

Late registration for antenatal care by pregnant women with previous history of caesarean section

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