Factors associated with incomplete prenatal care: A multilevel comparative analysis of data from the demographic and health surveys of Burkina Faso and Mali
Keywords:
Incomplete prenatal care, associated factors, Burkina Faso, MaliAbstract
Prenatal care (PNC) constitutes a platform for providing important health services, including health promotion, screening, diagnosis, and disease prevention. It serves to identify risks, prevent, and manage pathologies related to or discovered during pregnancy. The objective of this study is to determine, beyond individual characteristics, the contextual factors that influence the completeness of prenatal care, while conducting a comparative analysis of these factors in two neighboring countries sharing a similar sociocultural and politico-health context. The multilevel logistic regression model was used to determine the factors associated with incomplete PNC in both countries. The prevalence of incomplete PNC was 26.69% for Burkina Faso and 42.99% for Mali. Respectively, 14.51% and 20.50% of the variation in incomplete prenatal care among women is attributable to enumeration areas. After adjustment, the analysis showed a significant decrease in the risk of incomplete prenatal care (PNC) when, in both countries, women were between 25 and 49 years old, their partners had a secondary education or higher, they were wealthy, and distance from a health center was a problem. This study concludes that there are common factors in both countries that influence the completeness of PNC. Therefore, it is important to combat poverty, promote education, and reduce inequalities in health coverage to improve women's access to PNC.
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