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Factors associated with the number and timing of antenatal care visits among married women in Cameroon: evidence from the 2018 Cameroon Demographic and Health Survey

Published online by Cambridge University Press:  26 February 2021

Bright Opoku Ahinkorah ,
Abdul-Aziz Seidu Open the ORCID record for Abdul-Aziz Seidu [Opens in a new window] ,
Eugene Budu ,
Aliu Mohammed ,
Collins Adu ,
Ebenezer Agbaglo ,
Edward Kwabena Ameyaw  and
Sanni Yaya Open the ORCID record for Sanni Yaya [Opens in a new window]
Bright Opoku Ahinkorah
Affiliation:
School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia
Abdul-Aziz Seidu
Affiliation:
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana College of Public Health, Medical and Veterinary Services, James Cook University, Australia
Eugene Budu
Affiliation:
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana
Aliu Mohammed
Affiliation:
Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana
Collins Adu
Affiliation:
Department of Health Promotion, Education and Disability Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
Ebenezer Agbaglo
Affiliation:
Department of English, University of Cape Coast, Cape Coast, Ghana
Edward Kwabena Ameyaw
Affiliation:
School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia
Sanni Yaya*
Affiliation:
School of International Development and Global Studies, University of Ottawa, Ottawa, Canada The George Institute for Global Health, Imperial College London, London, United Kingdom
*
*Corresponding author. Email: [email protected]
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Abstract

Utilization of antenatal care (ANC) services, as part of reproductive health care, presents a lifesaving chance for health promotion and the early diagnosis and treatment of illnesses throughout pregnancy. This study examines the factors associated with the number and timing of ANC visits among married women in Cameroon using data from the 2018 Cameroon Demographic and Health Survey. The outcome variables were number of ANC visits, categorized as <8 visits or ≥8 visits, and the timing of first ANC visit, categorized as ≤3 months (early) or >3 months (late) (as per the new 2016 WHO recommendations). Descriptive statistics and binary logistic regression were used to analyse the data. Crude odds ratios (cOR) and adjusted odds ratios (aOR) and p-values with significance at <0.05 were used to interpret the results. The proportions of women who had ≥8 ANC visits and first ANC visit at ≤3 months gestation were 6.3% and 35.6% respectively. Women aged 35–39 at childbirth (aOR=3.99, 95% CI=1.30–12.23), middle wealth quintile women (aOR=3.22, 95% CI=1.01–10.27), women whose husbands had secondary (aOR=7.00, 95% CI=2.26–21.71) or higher (aOR=16.93, 95% CI=4.91–58.34) education were more likely to have ≥8 ANC visits. Early timing of first ANC visit was low among women with birth order 3–4 (aOR=0.63, 95% CI=0.46–0.85). Conversely, the likelihood of having early ANC visits was high among women whose pregnancies were intended (aOR=1.32, 95% CI=1.01–1.74), the richest women (aOR=3.89, 95% CI=2.30–6.57) and women whose husbands had secondary (aOR=2.41, 95% CI=1.70–3.64) or higher (aOR=3.12, 95% CI=2.40–7.46) education. The study highlights that age at childbirth, wealth, husband’s educational attainment, birth order and pregnancy intention could influence the utilization of ANC services among married women in Cameroon. Hence, to improve attendance and early initiation of ANC, interventions should be targeted at empowering women financially and removing all financial barriers associated with accessing ANC, improving ANC education among women and encouraging male involvement in ANC education.

Keywords

CameroonNumber of antenatal careTiming of antenatal care
Type
Research Article
Information
Journal of Biosocial Science , Volume 54 , Issue 2 , March 2022 , pp. 322 - 332
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Adekanle, DA and Isawumi, AI (2008) Late antenatal care booking and its predictors among pregnant women in South Western Nigeria. Online Journal of Health and Allied Sciences 7(1), 1–6.Google Scholar
Aliyu, AA and Dahiru, T (2017) Predictors of delayed Antenatal Care (ANC) visits in Nigeria: secondary analysis of 2013 Nigeria Demographic and Health Survey (NDHS). The Pan African Medical Journal 26(124), 1–13.CrossRefGoogle Scholar
Arthur, E (2012) Wealth and antenatal care use: implications for maternal health care utilisation in Ghana. Health Economics Review 2(14), 1–8.CrossRefGoogle ScholarPubMed
Bonono, RC and Ongolo-Zogo, P (2012) Optimizing the Use of Antenatal Care Services in Cameroon. Centre for Development of Best Practices in Health, Central Hospital Yaoundé, Cameroon.Google Scholar
Chanda, SK, Ahammed, B, Howlader, MH, Ashikuzzaman, M, Shovo, TEA and Hossain, MT (2020) Factors associating different antenatal care contacts of women: a cross-sectional analysis of Bangladesh Demographic and Health Survey 2014 data. PloS One 15(4), 1–17.CrossRefGoogle ScholarPubMed
Edie, GEHE, Obinchemti, TE, Tamufor, EN, Njie, MM, Njamen, TN and Achidi, EA (2015) Perceptions of antenatal care services by pregnant women attending government health centres in the Buea Health District, Cameroon: a cross sectional study. Pan African Medical Journal 21(45), 1–9.Google ScholarPubMed
Finlayson, K and Downe, S (2013) Why do women not use antenatal services in low- and middle-income countries? A meta–synthesis of qualitative studies. PLoS Medicine 10(1), 1–12.CrossRefGoogle Scholar
Halle-Ekane, GE, Obinchemti, TE, Nzang, J-LN, Mokube, NM, Njie, MM, Njamen, TN and Nasah, BT (2014) Assessment of the content and utilization of antenatal care services in a rural community in Cameroon: a cross-sectional study. Open Journal of Obstetrics and Gynecology 4, 846–856.CrossRefGoogle Scholar
INS & ICF (2020) Enquête Démographique et de Santé du Cameroun 2018. INS and ICF Yaoundé, Cameroon, and Rockville, MD, USA.Google Scholar
INS, Ministère de la Planification de la Programmation du Développement et de L’Aménagement du Territoire and ORC Macro (2011) Enquête Démographique et de Santé et a Indicateurs Multiples IDSMICS. Rapport Préliminaire, INS, Yaoundé.Google Scholar
Manyeh, AK, Amu, A Williams, J et al. (2020) Factors associated with the timing of antenatal clinic attendance among first-time mothers in rural southern Ghana. BMC Pregnancy and Childbirth 20(47), 1–7.CrossRefGoogle ScholarPubMed
Manzi, A, Munyanez, F, Mujawase, F, Banamwana, L, Sayinzoga, F, Thomson, DR et al. (2014) Assessing predictors of delayed antenatal care visits in Rwanda: a secondary analysis of Rwanda Demographic and Health Survey. BMC Pregnancy and Childbirth 14(290), 1–8.CrossRefGoogle ScholarPubMed
Nisingizwe, MP, Tuyisenge, G, Hategeka, C et al. (2020) Are perceived barriers to accessing healthcare associated with inadequate antenatal care visits among women of reproductive age in Rwanda? BMC Pregnancy and Childbirth 20(88), 1–10.CrossRefGoogle ScholarPubMed
Okedo-Alex, NI, Akamike, CI, Ezeanosike, OB and Uneke, CJ (2019) Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review. BMJ Open 9(10), 1–14CrossRefGoogle ScholarPubMed
Pell, C, Meñaca, A, Were, F, Afrah, NA, Chatio, S, Manda-Taylor, L and Ouma, P (2013) Factors affecting antenatal care attendance: results from qualitative studies in Ghana, Kenya and Malawi. PloS One 8(1), e53747.CrossRefGoogle ScholarPubMed
Shibre, G, Zegeye, B, Idriss-Wheeler, D, Ahinkorah, BO, Oladimeji, O and Yaya, S (2020) Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 Demographic and Health Survey. BMC Public Health 20(1), 1–10.CrossRefGoogle ScholarPubMed
Simkhada, B, Teijlingen, ERV, Porter, M and Simkhada, P (2008) Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. Journal of Advanced Nursing 61(3), 244–260.CrossRefGoogle ScholarPubMed
Sultana, A (2010) Patriarchy and women’s subordination: a theoretical analysis. Arts Faculty Journal 4, 1–18.Google Scholar
Tarekegn, SM, Lieberman, LS and Giedraitis, V (2014) Determinants of maternal health service utilization in Ethiopia: analysis of the 2011 Ethiopian Demographic and Health Survey. BMC Pregnancy and Childbirth 14(161), 1–13.CrossRefGoogle ScholarPubMed
Tiruaynet, K and Muchie, K F (2019) Determinants of utilization of antenatal care services in Benishangul Gumuz Region, Western Ethiopia: a study based on Demographic and Health Survey. BMC Pregnancy and Childbirth 19(115), 1–5.CrossRefGoogle ScholarPubMed
Tolefac, PN, Halle-Ekane, GE, Agbor, VN, Sama, CB, Ngwasiri, C and Tebeu, PM (2017) Why do pregnant women present late for their first antenatal care consultation in Cameroon? Maternal Health, Neonatology and Perinatology 3(1), 1–6.CrossRefGoogle ScholarPubMed
Tweheyo, R, Konde-Lule, J, Tumwesigye, NM and Sekandi, JN (2010) Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda. BMC Pregnancy and Childbirth 10(53), 1–9.CrossRefGoogle ScholarPubMed
UNICEF (2020) Antenatal Care. URL: https://data.unicef.org/topic/maternal-health/antenatal-care (accessed 6th September 2020).Google Scholar
United Nations (2015) Sustainable Development Goals. United Nations, New York.Google Scholar
WHO (2002) WHO Antenatal Care Randomized Trial: Manual for Implementation of the New Model. World Health Organization, Geneva.Google Scholar
WHO (2010) Trends in Maternal Mortality 1990 to 2008: Estimates Developed by WHO, UNICEF, UNFPA and the World Bank. World Health Organization, Geneva.Google Scholar
WHO (2014) Trends in Maternal Mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. World Health Organization, Geneva. URL: https://apps.who.int/iris/handle/10665/327595 (accessed 6th September 2020).Google Scholar
WHO (2016) Who Recommendations on Antenatal Care for a Positive Pregnancy Experience. World Health Organization, Geneva.Google Scholar
WHO (2019) WHO/Maternal Mortality Country Profiles WHO; 2014. World Health Organization, Geneva.Google Scholar
Yaya, S and Ghose, B (2019) Global inequality in maternal health care service utilization: implications for sustainable development goals. Health Equity 3(1), 145–154.CrossRefGoogle ScholarPubMed
Yaya, S, Bishwajit, G, Ekholuenetale, M, Shah, V, Kadio, B and Udenigwe, O (2017) Timing and adequate attendance of antenatal care visits among women in Ethiopia. PLoS One 12(9), e0184934.CrossRefGoogle ScholarPubMed