Factors associated with late antenatal care in health district in Gao, Mali

Authors

  • Adama Camara Direction régionale de santé et de l’hygiène publique de Gao/Mali
  • Nouhoum Telly Université des Sciences des Techniques et des Technologies de Bamako
  • Yehia Seydou Centre de Santé de Référence (CSRéf) de Gao/Mali
  • Hamadoun Sangho Département d’Enseignement et de Recherche en Santé Publique/ Faculté de Médecine et d’Odontostomatologie (FMOS)

Keywords:

case-control, late antenatal care, Mali

Abstract

Prenatal care is the service provided to pregnant women to ensure the best health conditions for women and fetuses during pregnancy. To be effective, antenatal care (ANC) must begin early in pregnancy; the first visit occurring before the third month of pregnancy. The objective was to study the factors associated with late attendance at the first prenatal visit. This matched case-control study included pregnant women seen at antenatal clinics. A total of 447 women were selected (cases = 149 controls = 298). Epi Info version 7.2.2.6 and SPSS version 25 were used to enter and analyze the data, respectively. The binary logistic regression model was used to estimate the Odds Ratios. Results: Occupation (housewife) ORa = 7 [1.20-46.43], means of travel ORa = 3.16 [1.11-9.03] and health insurance ORa = 6.32 [1.30-30.65] were significantly associated with late first antenatal care. In addition, those who had not planned their pregnancy ORa= 11.16 [5.49-22.68], and those who did not know the timing of ANC ORa= 5.36 [2.07-13.85] were likely to start their first visit late. The implementation of appropriate interventions such as health insurance, women's empowerment and awareness raising could improve early ANC service attendance.

References

Aboagye, Richard Gyan, Joshua Okyere, Bright Opoku Ahinkorah, Abdul-Aziz Seidu, Betregiorgis Zegeye, Hubert Amu, et Sanni Yaya. 2022. « Health Insurance Coverage and Timely Antenatal Care Attendance in Sub-Saharan Africa ». BMC Health Services Research 22(1):181. doi: 10.1186/s12913-022-07601-6.

Adugnaw, Zeleke Alem, Yeshaw Yigizie, Mekuriaw Liyew Alemneh, Antehunegn Tesema Getayeneh, Sewunet Alamneh Tesfa, Gabrie Worku Misganaw, Birhanu Teshale Achamyeleh, et Tadesse Tessema Zemenu. 2022. « Timely initiation of antenatal care and its associated factors among pregnant women in sub-Saharan Africa: A multicountry analysis of Demographic and Health Surveys - PubMed ». PloS One 17(1):e0262411. doi: 10.1371/journal.pone.0262411. eCollection 2022.

Direction régionale de la santé et de l’Hygiène publique de Gao. 2022. Annuaire statistique 2020 du système local d’information sanitaire de la Région de Gao. Gao, DRSHP, 106 pages.

Fetlework, Tadele, Getachew Nigusu, Fentie Kelema, et Amdisa Demuma. 2022. « Late initiation of antenatal care and associated factors among pregnant women in Jimma Zone Public Hospitals, Southwest Ethiopia, 2020 - PubMed ». BMC Health Services Research 22(1):632. doi: 10.1186/s12913-022-08055-6.

Guliani, Harminder, Ardeshir Sepehri, et John Serieux. 2014. « Determinants of Prenatal Care Use: Evidence from 32 Low-Income Countries across Asia, Sub-Saharan Africa and Latin America ». Health Policy and Planning 29(5):589‑602. doi: 10.1093/heapol/czt045.

Hanna, Gulema, et Berhane Yemane. 2017. « Timing of First Antenatal Care Visit and Its Associated Factors among Pregnant Women Attending Public Health Facilities in Addis Ababa, Ethiopia ». Ethiopian Journal of Health Sciences 27(2):139‑46. doi: 10.4314/ejhs. v27i2.6.

Joshi, Chandni, Siranda Torvaldsen, Ray Hodgson, et Andrew Hayen. 2014. « Factors associated with the use and quality of antenatal care in Nepal: a population-based study using the demographic and health survey data ». BMC Pregnancy and Childbirth 14:94. doi: 10.1186/1471-2393-14-94.

Manzi, Anatole, Fabien Munyaneza, Francisca Mujawase, Leonidas Banamwana, Felix Sayinzoga, Dana R. Thomson, Joseph Ntaganira, et Bethany L. Hedt-Gauthier. 2014. « Assessing Predictors of Delayed Antenatal Care Visits in Rwanda: A Secondary Analysis of Rwanda Demographic and Health Survey 2010 ». BMC Pregnancy and Childbirth 14:290. doi: 10.1186/1471-2393-14-290.

Okedo-Alex, Ijeoma Nkem, Ifeyinwa Chizoba Akamike, Obumneme Benaiah Ezeanosike, et Chigozie Jesse Uneke. 2019. « Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review ». BMJ Open 9(10): e031890. doi: 10.1136/bmjopen-2019-031890.

Peters, David H., Anu Garg, Gerry Bloom, Damian G. Walker, William R. Brieger, et M. Hafizur Rahman. 2008. « Poverty and Access to Health Care in Developing Countries ». Annals of the New York Academy of Sciences 1136(1):161‑71. doi: 10.1196/annals.1425.011.

Prual, A., A. Toure, D. Huguet, et Y. Laurent. 2000. « The Quality of Risk Factor Screening during Antenatal Consultations in Niger ». Health Policy and Planning 15(1):11‑16. doi: 10.1093/heapol/15.1.11.

Sangho, Hamadoun, Mariam Guindo Traoré, Olga Joos, Haoua Dembélé Keita, Assa Sidibé Keita, et Melinda K. Munos. 2015. « [Formative research on community-based vital events registration in Mali] ». Sante Publique (Vandoeuvre-Les-Nancy, France) 27(4):565‑74.

Tariku, A., Y. Melkamu, et Z. Kebede. 2010. « Previous Utilization of Service Does Not Improve Timely Booking in Antenatal Care: Cross Sectional Study on Timing of Antenatal Care Booking at Public Health Facilities in Addis Ababa ». Ethiop J Santé Dev 24(3):226‑33. doi: 10.4314/ejhd.v24i3.68390.

Testa, J., C. Ouédraogo, A. Prual, L. De Bernis, B. Koné, et Groupe MOMA. 2002. « [Determinants of risk factors associated with severe maternal morbidity: application during antenatal consultations] ». Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction 31(1):44‑50.

Venyuy, Mbinkar Adeline, Samuel Nambile Cumber, Claude Ngwayu Nkfusai, Fala Bede, Yunga Patience Ijang, Emerson Wepngong, Solange Ngo Bama, Joyce Mahlako Tsoka-Gwegweni, et Pierre Marie Tebeu. 2020. « Determinants to late antenatal clinic start among pregnant women: the case of Saint Elizabeth General Hospital, Shisong, Cameroon ». The Pan African Medical Journal 35(1):112. doi: 10.11604/pamj.2020.35.112.18712.

Wolde, Haileab Fekadu, Adino Tesfahun Tsegaye, et Malede Mequanent Sisay. 2019. « Late initiation of antenatal care and associated factors among pregnant women in Addis Zemen primary hospital, South Gondar, Ethiopia ». Reproductive Health 16:73. doi: 10.1186/s12978-019-0745-2.

World Health Organization (2016) WHO. s. d. « New Guidelines on Antenatal Care for a Positive Pregnancy Experience ». Consulté (https://www.who.int/news/item/07-11-2016-new-guidelines-on-antenatal-care-for-a-positive-pregnancy-experience).

World Health Organization(WHO). s. d. « Global Database on Maternal Health Indicators, 2017 Update [Online Database]. » WHO | Regional Office for Africa. Consulté (https://www.afro.who.int/health-topics/maternal-health).

Yaya, Sanni, et Bishwajit Ghose. 2019. « Global Inequality in Maternal Health Care Service Utilization: Implications for Sustainable Development Goals ». Health Equity 3(1):145‑54. doi: 10.1089/heq.2018.0082.

Downloads

Published

2023-10-22

How to Cite

Camara, A. ., Telly, N., Seydou, Y. ., & Sangho , H. . (2023). Factors associated with late antenatal care in health district in Gao, Mali. Revue Africaine Des Sciences Sociales Et De La Santé Publique, 5(2), 124-133. Retrieved from https://revue-rasp.org/index.php/rasp/article/view/425

Issue

Vol. 5 No. 2 (2023): July - December 2023

Section

Articles

ARK

http://www.revue-rasp.org/index/ark:/00000/RASP.v5i2.10

License

Copyright (c) 2023 Adama Camara, Nouhoum Telly, Yehia Seydou, Hamadoun Sangho

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

https://creativecommons.org/licenses/by/4.0/

You are free to:

  • Adapt — remix, transform, and build upon the material for any purpose, even commercially.
  • The licensor cannot revoke these freedoms as long as you follow the license terms