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. 2020 Sep 25;15(9):e0239855.
doi: 10.1371/journal.pone.0239855. eCollection 2020.

Individual-, household-, and community-level factors associated with eight or more antenatal care contacts in Nigeria: Evidence from Demographic and Health Survey

Michael Ekholuenetale  1 , Faith Owunari Benebo  2 , Ashibudike Francis Idebolo  3
Affiliations

Individual-, household-, and community-level factors associated with eight or more antenatal care contacts in Nigeria: Evidence from Demographic and Health Survey

Michael Ekholuenetale et al. PLoS One. .

Abstract

Introduction: Antenatal care (ANC) is a vital mechanism for women to obtain close attention during pregnancy and prevent death-related issues. Moreover, it improves the involvement of women in the continuum of health care and to survive high-risk pregnancies. This study was conducted to determine the prevalence of and identify the associated factors of eight or more ANC contacts in Nigeria.

Methods: We used a nationally representative cross-sectional data from Nigeria Demographic and Health Survey-2018. A total sample of 7,936 women were included in this study. Prevalence was measured in percentages and the factors for eight or more ANC contacts were examined using multilevel multivariable binary logistic regression model. The level of significance was set at P<0.05.

Results: The prevalence of eight or more ANC contacts in Nigeria was approximately 17.4% (95% CI: 16.1%-18.7%). Women with at least secondary education were 2.46 times as likely to have eight or more ANC contacts, when compared with women with no formal education. Women who use media were 2.37 times as likely to have eight or more ANC contacts, when compared with women who do not use media. For every unit increase in the time (month) of ANC initiation, there was 53% reduction in the odds of eight or more ANC contacts. Rural women had 60% reduction in the odds of eight or more ANC contacts, when compared with their urban counterparts. Women from North East and North West had 74% and 79% reduction respectively in the odds of eight or more ANC contacts, whereas women from South East, South South and South West were 2.68, 5.00 and 14.22 times respectively as likely to have eight or more ANC contacts when compared with women from North Central.

Conclusion: The coverage of eight or more ANC contacts was low and can be influenced by individual-, household-, and community-level factors. There should be concerted efforts to improve maternal socioeconomic status, as well as create awareness among key population for optimal utilization of ANC.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Prevalence of eight or more ANC contacts in Nigeria.
See this image and copyright information in PMC

References

    1. Lomazzi M, Borisch B, Laaser U. The Millennium Development Goals: experiences, achievements and what’s next. Glob Health Action [Internet]. 2014. February 13 [cited 2020 Apr 26];7 Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3926985/ - PMC - PubMed
    1. World Health Organization, UNICEF, United Nations, Department of Economic and Social Affairs, Population Division, World Bank. Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division [Internet]. 2015 [cited 2019 Apr 3]. Available from: http://www.who.int/reproductivehealth/publications/monitoring/maternal-m...
    1. Kumar S, Kumar N, Vivekadhish S. Millennium Development Goals (MDGs) to Sustainable Development Goals (SDGs): Addressing Unfinished Agenda and Strengthening Sustainable Development and Partnership. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine. 2016. March;41(1):1. - PMC - PubMed
    1. Rosa W. Transforming Our World: The 2030 Agenda for Sustainable Development. In: A New Era in Global Health [Internet]. New York, NY: Springer Publishing Company; 2017. [cited 2019 Feb 14]. Available from: http://connect.springerpub.com/lookup/doi/10.1891/9780826190123.ap02 - DOI
    1. Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. The Lancet. 2016. January;387(10017):462–74. - PMC - PubMed

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