The relationship between time spent during the first ANC contact, home visits and adherence to ANC contacts in Ghana

Kumbeni, Maxwell Tii; Apanga, Paschal Awingura; Yeboah, Eugene Osei; Kolog, Jonas Timbire; Awuni, Baba

doi:10.1080/16549716.2021.1956754

Cited by 12 publications

(17 citation statements)

References 23 publications

(33 reference statements)

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“…For instance, early initiation of ANC visits and completion of 4ANC visits as per protocol [ 63 ]. In Ghana, women had higher odds of eight ANC contacts if providers spent longer the appointment (more than 20 min) time in the first ANC visit, and women received home visits from skilled providers [ 89 ]. Nonetheless, despite universal 4ANC visits and receiving care from trained personnel in Oman, only 75% attended ANC visits in their 1st trimester [ 78 ].…”

Section: Resultsmentioning

confidence: 99%

“…In Zambia, despite high first ANC visit, only three in five attended 4ANC visits, and one-third received optimal quality service [ 37 ]. Despite high first ANC visit, high quality and coverage gaps occurred, and women low proportion of women completed 4ANC visits [ 89 , 93 , 94 ] [ 57 , 94 ]. In Latin America (e.g., Brazil and Mexico), there was low uptake of 4ANC visits and recommended interventions [ 11 , 77 ].…”

Section: Resultsmentioning

confidence: 99%

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Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

Khatri

Mengistu

Assefa

2022

BMC Pregnancy Childbirth

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Background High-quality antenatal care (ANC) provides a lifesaving opportunity for women and their newborns through providing health promotion, disease prevention, and early diagnosis and treatment of pregnancy-related health issues. However, systematically synthesised evidence on factors influencing the quality of ANC services is lacking. This scoping review aims to systematically synthesize the factors influencing in provision and utilisation of quality ANC services. Methods We conducted a scoping review of published evidence on the quality of ANC services. We searched records on four databases (PubMed, Scopus, Embase, and Google scholar) and grey literature from 1 to 2011 to 30 August 2021. We analysed data using Braun and Clarke’s thematic analysis approach. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guideline for the review. We explained themes using the Donabedian healthcare quality assessment model (input-process-output). Results Several inputs- and process-related factors contributed to suboptimal quality of ANC in many low and lower- or middle-income countries. Input factors included facility readiness (e.g., lack of infrastructure, provision of commodities and supplies, health workforce, structural and intermediary characteristics of pregnant women, and service delivery approaches). Processes-related factors included technical quality of care (e.g., lack of skilled adequate and timely care, and poor adherence to the guidelines) and social quality (lack of effective communication and poor client satisfaction). These input and process factors have also contributed to equity gaps in utilisation of quality ANC services. Conclusion Several input and process factors influenced the provision and utilization of optimum quality ANC services. Better health system inputs (e.g., availability of trained workforces, commodities, guidelines, context-specific programs) are essential to creating enabling facility environment for quality ANC services. Care processes can be improved by ensuring capacity-building activities for workforces (training, technical support visits), and mentoring staff working at peripheral facilities. Identifying coverage of quality ANC services among disadvantaged groups could be the initial step in designing and implementing targeted program approaches.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

Khatri

Mengistu

Assefa

2022

BMC Pregnancy Childbirth

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“…The district lies between latitudes 10 0 47″ and 10 0 57″ north and longitudes 0 0 31″ and 1 0 15″ west. Approximately, 9995 women are of reproductive age and 970 deliveries were conducted in 2020 [20]. The district has an estimated 100 midwives and community health nurses who offer antenatal care across several healthcare facilities.…”

Section: Study Settingmentioning

confidence: 99%

The moderating role of partners’ education on early antenatal care in northern Ghana

Apanga

Kumbeni

Sakeah

et al. 2022

BMC Pregnancy Childbirth

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Background Early antenatal care (ANC) is essential for improving maternal and child health outcomes. The primary aims of this study were to 1) estimate the association between partners’ education attainment and early ANC, and 2) determine whether partners’ level of education modified the relationship between mothers’ education, mothers’ age, planned pregnancy, employment status and early ANC. Methods Data were obtained from a cross-sectional study conducted from April to May 2021 among 519 mothers with a live birth in the past year in the Nabdam district in the Upper East Region in northern Ghana. Generalized estimating equations were used to assess whether partners’ level of education modified the relationship between mothers’ education, mothers’ age, planned pregnancy, employment status and early ANC. Effect modification was assessed on the additive and multiplicative scales using adjusted prevalence ratios (aPR) and corresponding 95% confidence intervals. Results Mothers whose partners had secondary or higher education had a 26% higher prevalence of early ANC compared to mothers whose partners had less than a secondary level of education (aPR: 1.26, 95% CI: 1.05,1.51). There was evidence of effect modification by partners’ education on the relationship between planned pregnancy and early ANC on both the additive (Relative excess risk due to interaction [RERI]: 0.61, 95% CI: 0.07,0.99), and multiplicative (ratio of PRs: 1.64, 95% CI: 1.01,2.70) scales. Among mothers whose partners had less than secondary education, mothers who had teenage pregnancy (i.e., aged 18–19 years old during pregnancy) were less likely to have early ANC compared to those who did not have teenage pregnancy (aPR: 0.71, 95% CI: 0.53,0.97). Among mothers whose partners had a secondary or higher education, early ANC was more prevalent among employed mothers compared to those who were unemployed (aPR: 1.27, 95% CI: 1.02,1.57). Conclusions Our findings suggest that whilst mothers whose partners had a secondary or higher education were more likely to initiate early ANC, supporting such women to plan their pregnancies can further increase the coverage of early ANC.

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“…This has re ected positively in the number of women who make at least one ANC visit (98 percent) and four or more (90 percent) with skilled health professionals [18]. However, with regards to the WHO's recommended eight visits, Kumbeni and colleagues [19] recorded 31.2 percent while using a weighted sample, Ekholuenetale, Nzoputam and Barrow [20] on the other hand recorded 41.9 percent.…”

Section: Introductionmentioning

confidence: 99%

“…For instance, Ekholuenetale, Nzoputam and Barrow [20] investigated the prevalence and socioeconomic differences of eight or more ANC contacts. Afulani [13] examined the in uence of ANC quality on stillbirth; Afaya et al [21] assessed the factors associated with optimum utilisation of ANC in rural Ghana; whilst Kumbeni et al [19] investigated the impact of time spent during rst ANC contact and home visits on eight or more ANC contacts. However, to the best of our knowledge, none of the previous studies examined women's noncompliance with the WHO's recommended eight ANC contacts using geospatial analysis.…”

Section: Introductionmentioning

confidence: 99%

Non-adherence to WHO’s recommended antenatal care visits: Geospatial analysis of the 2017 Maternal Health Survey

Dickson

Boateng

Adde

et al. 2022

Preprint

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Introduction: Evidence shows that most women in Ghana do not meet the minimum antenatal care visits as recommended by WHO with only 31.2%-41.9% of them meeting the recommendation. To the best of our knowledge, no study in Ghana has examined women’s noncompliance with the WHO’s recommended eight antenatal visits using geospatial analysis, as this study sets out to do. Methods We sourced data from the recent version of the Ghana Maternal Health Survey which was executed in 2017. A sample of 10,077 women with complete data participated in this study. The link between the explanatory variables and the outcome variable was investigated using binary and multivariate logistic regression models and Spatial analyses such as spatial autocorrelation (Moran's I), hotspot, cluster and outlier analysis, and geographically weighted regression were conducted using ArcMap version 10.7. Results Districts found in the north-eastern and south-western parts of the country were more likely to experience noncompliance with ANC. Women staying within the middle belt without health insurance were more likely (17–29%) to be noncompliant with ANC. Women with low community socioeconomic status were found to be more likely (17–34%) to be noncompliant with ANC in the eastern parts of Ghana. Conclusion The study has shown that in order to achieve targets one and three of Sustainable Development Goal 3, the government of Ghana, the Ministry of Health, together with the Ghana Health Service may have to intensify health education in the identified areas to highlight the importance of adherence to the WHO recommendations on ANC visits.

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The relationship between time spent during the first ANC contact, home visits and adherence to ANC contacts in Ghana

Cited by 12 publications

References 23 publications

Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

Input, process, and output factors contributing to quality of antenatal care services: a scoping review of evidence

The moderating role of partners’ education on early antenatal care in northern Ghana

Non-adherence to WHO’s recommended antenatal care visits: Geospatial analysis of the 2017 Maternal Health Survey

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