Prevalence of Eight or More Antenatal Care Contacts: Findings From Multi-Country Nationally Representative Data

Ekholuenetale, Michael

doi:10.1177/2333794x211045822

Cited by 15 publications

(20 citation statements)

References 36 publications

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“…Secondly, the existence of structural challenges such as poor roads and transportation networks to health facilities could explain the poor utilization of the eight or more contacts [31]. Our findings are similar to those reported by a study that used Nigeria DHS data at 20.3% [32], but higher than what was reported in Benin (8%) [33], the pooled prevalence of 7.7% from DHS data of eight countries in SSA (Guinea 3.3%, Mali 3.5%, The Gambia 4.3%) [32], 6.8% from 36 SSA countries [34], and 13.0% DHS data of Asian and SSA countries [35]. As much as this shows that Sierra Leone has one of the highest proportions of utilization of eight or more ANC contacts compared to other countries in SSA, is still below the level recommended by WHO [15].…”

Section: Discussionsupporting

confidence: 90%

Status of the latest 2016 World Health Organization recommended frequency of antenatal care contacts in Sierra Leone: a nationally representative survey

Sserwanja¹,

Musaba

Kamara

et al. 2022

BMC Health Serv Res

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Background Timely and increased frequency of quality antenatal care (ANC) contacts is one of the key strategies aimed at decreasing maternal and neonatal deaths. In 2016, the World Health Organization (WHO) revised the ANC guidelines to recommend at least eight ANC contacts instead of four. This study aimed to determine the proportion of women who received eight or more ANC contacts and associated factors in Sierra Leone. Methods We used Sierra Leone Demographic and Health Survey (UDHS) 2019 data of 5,432 women aged 15 to 49 years who had a live birth, within three years preceding the survey. Multistage stratified sampling was used to select study participants. We conducted multivariable logistic regression to identify factors associated with utilisation of eight or more ANC contacts using SPSS version 25 complex samples package. Results Out of 5,432 women, 2,399 (44.8%) (95% CI: 43.1–45.7) had their first ANC contact in the first trimester and 1,197 (22.0%) (95% CI: 21.2–23.4) had eight or more ANC contacts. Women who had their first ANC contact after first trimester (adjusted odds ratio, aOR, 0.58, 95% CI 0.49–0.68) and women aged 15 to 19 years had less odds of having eight or more contacts (aOR 0.64, 95% CI 0.45 to 0.91). Working (aOR 1.33, 95%CI 1.10 to 1.62) and wealthier women had higher odds of having eight or more contacts compared to poorer ones and those not working respectively. Women residing in the southern region, those using internet and less parous (less than five) women were associated with higher odds of having eight or more ANC contacts. Women who had no big problem obtaining permission to go health facilities also had higher odds of having eight or more ANC contacts compared to those who had big problems. Conclusion Sierra Leone’s adoption of eight or more ANC contacts is low and less than half of the women initiate ANC in the first trimester. To ensure increased access to recommended ANC visits, timely ANC should be encouraged. Attributes of women empowerment such as workings status, socio-economic status, and decision-making should also be emphasized.

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Section: Discussionsupporting

confidence: 90%

Status of the latest 2016 World Health Organization recommended frequency of antenatal care contacts in Sierra Leone: a nationally representative survey

Sserwanja¹,

Musaba

Kamara

et al. 2022

BMC Health Serv Res

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“…This could have led to an underestimation of the prevalence of ANC8+, as it was not recommended before 2016. The prevalence of ANC8+ in our study was also higher than the overall prevalence of ANC8+ across 15 LMICs reported in a recent study [ 27 ]. The low compliance with ANC8+ across many of the countries in our study could have been due to several reasons.…”

Section: Discussioncontrasting

confidence: 80%

Association between early antenatal care and antenatal care contacts across low-and middle-income countries: effect modification by place of residence

Apanga

Kumbeni

2021

Epidemiol Health

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OBJECTIVES The relationship between receiving early antenatal care (ANC) and 8 or more antenatal contacts (ANC8+) has not been well characterised across low-and middle-income countries (LMICs). It is also unclear whether the association between early ANC and ANC8+ is modified by a woman’s place of residence. Our primary aim was to assess the relationship between early ANC and ANC8+ and to investigate whether this relationship was modified by place of residence. We also estimated the coverage of ANC8+ across LMICs. METHODS We analysed data on 207,388 mothers with a recent live birth using multiple indicator cluster surveys conducted between 2017 and 2020 in 30 LMICS. Modified Poisson regression with robust variance was used to evaluate the relationship between early ANC and ANC8+, whilst adjusting for country, clustering, stratification, and sampling weights. Effect modification by place of residence was assessed on additive and multiplicative scales. A meta-analysis was conducted to pool prevalence estimates of ANC8+ across all countries. RESULTS The overall prevalence of ANC8+ was 35.6%, ranging from 1.7% in Madagascar to 99.4% in Belarus. Early ANC was positively associated with ANC8+ (adjusted prevalence ratio [aPR], 2.61; 95% confidence interval [CI], 1.82 to 3.74). There was evidence of positive effect modification on additive (relative excess risk due to interaction, 0.39; 95% CI, 0.35 to 0.44) and multiplicative (aPR, 1.78; 95% CI, 1.08 to 2.95) scales. CONCLUSIONS Many LMICs may not have adopted the 2016 World Health Organization guidelines on ANC8+. Receiving early ANC was associated with a higher likelihood of ANC8+, particularly for women in rural areas.

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“…One study reported that the average number of antenatal care visits for women in Vietnam was 7.7 visits in urban areas and 4.4 visits in rural areas [42]. The WHO recently recommended a minimum of eight antenatal visits [43]. We did not report the number of antenatal care visits in our study as this information was not retrospectively available.…”

Section: Discussionmentioning

confidence: 93%

Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective Study

Dempsey

Nguyen²,

Nguyen³

et al. 2022

Children

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Every year, 2.4 million neonates die during their first month of life and even more suffer permanent injury. The main causes are intrapartum-related events, prematurity, and infection, with sub-Saharan Africa and southern Asia being the worst affected regions. With a focus on intrapartum-related events, we aimed to assess the neonatal demographic characteristics, clinical management, and outcomes among neonates born at the largest obstetric hospital in Hanoi, Vietnam. This was a retrospective cross-sectional study that included all the inborn neonates in November 2019, which was selected as a representative month. A total of 4554 neonates were born during the study period. Of these, 1.0% (n = 44) were stillbirths, 0.15% (n = 7) died in hospital, 0.61% (n = 28) received positive pressure ventilation at birth, and 0.15% (n = 7) were diagnosed with hypoxic ischemic encephalopathy. A total of 581 (13%) neonates were admitted to the neonatal unit, among which the most common diagnoses were prematurity (37%, n = 217) and infection (15%, n = 89). Except for the intrapartum-related events, our findings are consistent with the previously documented data on neonatal morbidity. The intrapartum-related events, however, were surprisingly low in number even in comparison to high-income countries. Research on the current clinical practice at Phu San Hanoi Hospital may bring further clarity to identify the success factors.

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Prevalence of Eight or More Antenatal Care Contacts: Findings From Multi-Country Nationally Representative Data

Cited by 15 publications

References 36 publications

Status of the latest 2016 World Health Organization recommended frequency of antenatal care contacts in Sierra Leone: a nationally representative survey

Status of the latest 2016 World Health Organization recommended frequency of antenatal care contacts in Sierra Leone: a nationally representative survey

Association between early antenatal care and antenatal care contacts across low-and middle-income countries: effect modification by place of residence

Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective Study

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