Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey

Shibre, Gebretsadik; Zegeye, Betregiorgis; Idriss-Wheeler, Dina; Oladimeji, Olanrewaju; Yaya, Sanni

doi:10.1186/s12889-020-09320-1

Cited by 33 publications

(41 citation statements)

References 33 publications

(42 reference statements)

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“…More specifically, we found that the likelihood of taking deworming medication was higher among pregnant married women who had attended secondary school compared to pregnant married women who had no formal education. BioMed Research International Several studies confirm that there is a significant association between maternal educational status and maternal health service utilization such as ANC [33,34] and uptake of deworming medication [28]. The possible reason for better uptake of maternal health service among educated women might be due to higher health knowledge among educated women as compared to noneducated [35].…”

Section: Discussionmentioning

confidence: 99%

“…Having a better socioeconomic situation as a woman facilitates not only access or affordability of transport costs but also helpful in buying the medication whenever the health facilities have supply problem or not available in dispensary or drug store [36]. Evidence shows that the early beginning of ANC service [55] and higher uptake of ANC service are seen among pregnant married women in better socioeconomic status as compared to women in lower economic status [33,34,55,56].…”

Section: Discussionmentioning

confidence: 99%

“…Besides, married women are less likely to use maternal health services including uptake of deworming medication due to low autonomy or participation in decision-making within the household [29,30] and gender inequality or male dominance [29][30][31][32]. Regarding socioeconomic factors, for instance, noneducated pregnant women are less likely to take deworming medication due to poor awareness and utilization of maternal health services, including antenatal care (ANC) that comprises supplementation of deworming medication [33][34][35]. Women in the poorest household are more likely to be challenged by the problem of affordability of transportation to health facility [36].…”

Section: Introductionmentioning

confidence: 99%

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Utilization of Deworming Drugs and Its Individual and Community Level Predictors among Pregnant Married Women in Cameroon: A Multilevel Modeling

Zegeye¹,

Ameyaw

Seidu

et al. 2021

BioMed Research International

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Background. Although deworming pregnant women is one of the strategies to reduce parasites (roundworms and hookworms) causing anemia and related perinatal and maternal complications, utilization of deworming medication among pregnant women in Cameroon is suboptimal. Comprehensive assessment of individual, household (including women’s autonomy), and community-level factors associated with utilization of deworming medication has not been done so far. Therefore, we investigated the individual/household and community-level factors associated with deworming among pregnant married women in Cameroon. Methods. Our study was limited to pregnant women because they have a greater risk due to increased chances of anemia. We used data from the 2018/19 Cameroon Demographic and Health Survey. Analysis on 5,013 pregnant married women was carried out using multilevel logistic regression. Odds ratios with a 95% confidence interval (CI) were reported. Results. Our findings showed that about 29.8% of pregnant married women received deworming medications. The individual/household level predictors of deworming medications utilization identified in this study were women’s educational level, wealth quintile, and skilled antenatal care. Distance to health facility and region were identified as community-level predictors of deworming medications utilization. Higher odds of receiving deworming medication occurred among educated and wealthier pregnant married women as well as among pregnant married women who had skilled antenatal care or lived in the south region, whereas lower odds were observed among pregnant married women living in the north region. Conclusion. Access to education and economic empowerment of pregnant married women in remote areas and the north region should be the primary focus of the Cameroon government to enhance deworming coverage in the country.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Utilization of Deworming Drugs and Its Individual and Community Level Predictors among Pregnant Married Women in Cameroon: A Multilevel Modeling

Zegeye¹,

Ameyaw

Seidu

et al. 2021

BioMed Research International

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“…They can pay for the consultation, medication, and other expenses associated with ANC services [27]. On the other hand, families with good socioeconomic status usually have their means of transportation, making it easier for pregnant women to come to the ANC service at any time [28].…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Difference of Husband's Involvement in Antenatal Care in Rural Indonesia

Mlf

et al. 2020

Preprint

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Background: To reduce maternal mortality, the Indonesian government campaigned for a health promotion program based on the family approach, namely “Suami Siaga” (Husband Alert). Study aims to analyze the effect of socioeconomic on the husband's involvement in ANC in rural Indonesia.Methods: The study employed data from the 2017 IDHS. Samples of 7,156 respondents were obtained. Besides the socioeconomic, other variables analyzed in this study were age, education, occupation, and parity. The final stage was employed binary logistic regression.Results: Families with the poorer socioeconomic status, the possibility of husbands being involved in ANC was 2.154 times compared to the poorest. Families with the middle socioeconomic status were more likely to have their husbands involved in ANC 2.785 times compared to the poorest. Families with a richer socioeconomic status were more likely to have their husbands involved in ANC 2.901 times compared to the poorest. Meanwhile, families with poorer socioeconomic status, the possibility of their husbands being involved in ANC was 5.299 times compared to the poorest. The results of this analysis inform that all socioeconomic statuses have a higher likelihood of husband involvement in ANC than the poorest families. The better the socioeconomic, the higher the possibility of the husband to be involved in ANC. Apart from socioeconomic, 3 other variables were also found as determinants of the husband's involvement in ANC in rural Indonesia, namely education, occupation, and parity.Conclusions: The socioeconomic status was a determinant of the husband's involvement in ANC in rural Indonesia.

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“…Concerning contextual factors; distance from a health facility, service waiting time, and client welcomed appreciation were associated with ANC services utilization. Besides, women's knowledge regarding ANC, the presence of electricity in households, and housing conditions were associated with ANC services utilization (8,9,(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)10,(28)(29)(30)(31)(32)(11)(12)(13)(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

Determinants of Numbers on Antenatal Care Visits in Rural Ethiopia: A Multilevel Negative Binomial Regression Analysis

Azanaw¹,

Gebremariam²,

Dagnew³

et al. 2021

Preprint

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Introduction: Antenatal care (ANC) is an umbrella term used to describe medical care and procedures that are carried out for pregnant women. Data on the number of antenatal care visits can help policymakers to show the gap in service provision. So, the paper determines associated factors of the number of antenatal care visits among women who gave birth in the last five years in rural Ethiopia.Methods: Total weighted sample of 6611 women who gave birth in the 5 years preceding the survey were included from the nationally representative 2016 Ethiopian Demographic and Health Survey. We used multi-level negative binomial regression analysis to consider the hierarchal nature of the data. In the multivariable analysis, variables with a p-value < 0.05 were considered to be significantly associated with the number of antenatal care visits. Results: Overall, 27.3% (95% CI: 14.63, 15.76) of women had at least four antenatal care visits during their pregnancy in rural Ethiopia. Age group 25-29 years (adjusted incidence rate ratio (AIRR)=1.13,95% CI:1.02,1.26), household rich wealth status (AIRR=1.17, 95% CI:1.04,1.31), women’s educational status (primary, AIRR=1.19,95% CI:1.08,1.32; Secondary, AIRR= 1.30,95% CI:1.08,1.55; above secondary, AIRR=1.35, 95%CI:1.07,1.71), partner educational status (primary, AIRR=1.16, 95%CI:1.05,1.28; secondary, AIRR=1.22,95% CI:1.08,1.38), and autonomy to decision to their care (AIRR=1.25,95%CI:1.10,1.42) were positively associated individual-level factors with number of antenatal care visits whereas having a birth order of five or more (AIRR=0.80,95% CI: 0.69,0.94) was a negatively associated factor with number of antenatal care visits. Among community-level variables; being in higher community level literacy (AIRR=1.35, 95% CI: 1.14, 1.59) and higher poverty level (AIRR=0.77, 95% CI: 0.64, 0.92) were significantly associated factors with the number of antenatal care visits. Conclusions and recommendations: The level of antenatal care visits in rural areas was low. Age of women, wealth status, women's educational status, partner educational status, autonomy to decision making in health care, and birth order were the most important associated factors with the number of antenatal care visits. Furthermore, poverty and literacy are also important determinants at the community level. Addressing economic and educational interventions for rural women should be given the top priority.

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Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey

Cited by 33 publications

References 33 publications

Utilization of Deworming Drugs and Its Individual and Community Level Predictors among Pregnant Married Women in Cameroon: A Multilevel Modeling

Utilization of Deworming Drugs and Its Individual and Community Level Predictors among Pregnant Married Women in Cameroon: A Multilevel Modeling

Socioeconomic Difference of Husband's Involvement in Antenatal Care in Rural Indonesia

Determinants of Numbers on Antenatal Care Visits in Rural Ethiopia: A Multilevel Negative Binomial Regression Analysis

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