Skilled antenatal care services utilisation in sub-Saharan Africa: a pooled analysis of demographic and health surveys from 32 countries
Abstract Background Each day, an estimated 800 women die from preventable pregnancy and childbirth related complications, where 99% of these avoidable deaths happen in low-and middle-income countries. Skilled attendance during antenatal care (ANC) plays a role in reducing maternal and child mortalit...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-11-01
|
| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-05137-5 |
| _version_ | 1797988381768024064 |
|---|---|
| author | Kwamena Sekyi Dickson Joshua Okyere Bright Opoku Ahinkorah Abdul-Aziz Seidu Tarif Salihu Vincent Bediako Bernard Afriyie Owusu Eugene Budu Wonder Agbemavi Jane Odurowaah Edjah Eugene Kofuor Maafo Darteh |
| author_facet | Kwamena Sekyi Dickson Joshua Okyere Bright Opoku Ahinkorah Abdul-Aziz Seidu Tarif Salihu Vincent Bediako Bernard Afriyie Owusu Eugene Budu Wonder Agbemavi Jane Odurowaah Edjah Eugene Kofuor Maafo Darteh |
| author_sort | Kwamena Sekyi Dickson |
| collection | DOAJ |
| description | Abstract Background Each day, an estimated 800 women die from preventable pregnancy and childbirth related complications, where 99% of these avoidable deaths happen in low-and middle-income countries. Skilled attendance during antenatal care (ANC) plays a role in reducing maternal and child mortality. However, the factors that predict the utilisation of skilled ANC services in sub-Saharan Africa (SSA) remains sparsely investigated. Therefore, we examined women’s utilisation of skilled ANC services in SSA. Methods The research used pooled data from the most recent Demographic and Health Surveys conducted in 32 countries in SSA between January 1, 2010, and December 31, 2019. Binary logistic regression was used to examine the predictors of skilled ANC services utilisation. The results are presented as crude and adjusted odds ratios (aOR) with 95% confidence interval (CI). Results The prevalence of skilled ANC services utilisation in SSA was 76.0%, with the highest and lowest prevalence in Gambia (99.2%) and Burundi (8.4%), respectively. Lower odds of ANC from skilled providers was found among women aged 45–49 compared to those aged 20–24 (aOR = 0.86, CI = 0.79–0.94); widowed women compared to married women (aOR = 0.84, CI = 0.72–0.99); women who consider getting permission to visit the health facility as a big problem compared to those who consider that as not a big problem (aOR = 0.74, CI = 0.71–0.77); women who consider getting money needed for treatment as not a big problem compared to those who consider that as a big problem (aOR = 0.84, CI = 0.72–0.99); and women who consider distance to the health facility as a big problem compared to those who consider that as not a big problem (aOR = 0.75, CI = 0.72–0.77). Conclusion SSA has relatively high prevalence of skilled ANC services utilisation, however, there are substantial country-level disparities that need to be prioritised. Increasing maternal reproductive age being widowed and far distance to health facility were factors that predicted lower likelihood of skilled ANC services utilisation. There is, therefore, the need to intensify female formal education, invest in community-based healthcare facilities in rural areas and leverage on the media in advocating for skilled ANC services utilisation. |
| first_indexed | 2024-04-11T08:03:14Z |
| format | Article |
| id | doaj.art-005e4378a7f048db9d93e488960bd83a |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T08:03:14Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-005e4378a7f048db9d93e488960bd83a2022-12-22T04:35:38ZengBMCBMC Pregnancy and Childbirth1471-23932022-11-0122111010.1186/s12884-022-05137-5Skilled antenatal care services utilisation in sub-Saharan Africa: a pooled analysis of demographic and health surveys from 32 countriesKwamena Sekyi Dickson0Joshua Okyere1Bright Opoku Ahinkorah2Abdul-Aziz Seidu3Tarif Salihu4Vincent Bediako5Bernard Afriyie Owusu6Eugene Budu7Wonder Agbemavi8Jane Odurowaah Edjah9Eugene Kofuor Maafo Darteh10Department of Population and Health, University of Cape CoastDepartment of Population and Health, University of Cape CoastSchool of Public Health, Faculty of Health, University of Technology SydneyCentre for Gender and Advocacy, Takoradi Technical UniversityDepartment of Population and Health, University of Cape CoastDepartment of Population and Health, University of Cape CoastDepartment of Population and Health, University of Cape CoastKorle Bu Teaching HospitalDepartment of Population and Health, University of Cape CoastGuidance and Counselling Centre, University of Cape CoastDepartment of Population and Health, University of Cape CoastAbstract Background Each day, an estimated 800 women die from preventable pregnancy and childbirth related complications, where 99% of these avoidable deaths happen in low-and middle-income countries. Skilled attendance during antenatal care (ANC) plays a role in reducing maternal and child mortality. However, the factors that predict the utilisation of skilled ANC services in sub-Saharan Africa (SSA) remains sparsely investigated. Therefore, we examined women’s utilisation of skilled ANC services in SSA. Methods The research used pooled data from the most recent Demographic and Health Surveys conducted in 32 countries in SSA between January 1, 2010, and December 31, 2019. Binary logistic regression was used to examine the predictors of skilled ANC services utilisation. The results are presented as crude and adjusted odds ratios (aOR) with 95% confidence interval (CI). Results The prevalence of skilled ANC services utilisation in SSA was 76.0%, with the highest and lowest prevalence in Gambia (99.2%) and Burundi (8.4%), respectively. Lower odds of ANC from skilled providers was found among women aged 45–49 compared to those aged 20–24 (aOR = 0.86, CI = 0.79–0.94); widowed women compared to married women (aOR = 0.84, CI = 0.72–0.99); women who consider getting permission to visit the health facility as a big problem compared to those who consider that as not a big problem (aOR = 0.74, CI = 0.71–0.77); women who consider getting money needed for treatment as not a big problem compared to those who consider that as a big problem (aOR = 0.84, CI = 0.72–0.99); and women who consider distance to the health facility as a big problem compared to those who consider that as not a big problem (aOR = 0.75, CI = 0.72–0.77). Conclusion SSA has relatively high prevalence of skilled ANC services utilisation, however, there are substantial country-level disparities that need to be prioritised. Increasing maternal reproductive age being widowed and far distance to health facility were factors that predicted lower likelihood of skilled ANC services utilisation. There is, therefore, the need to intensify female formal education, invest in community-based healthcare facilities in rural areas and leverage on the media in advocating for skilled ANC services utilisation.https://doi.org/10.1186/s12884-022-05137-5SkilledAntenatal careSub-Saharan AfricaPublic healthSocial demography |
| spellingShingle | Kwamena Sekyi Dickson Joshua Okyere Bright Opoku Ahinkorah Abdul-Aziz Seidu Tarif Salihu Vincent Bediako Bernard Afriyie Owusu Eugene Budu Wonder Agbemavi Jane Odurowaah Edjah Eugene Kofuor Maafo Darteh Skilled antenatal care services utilisation in sub-Saharan Africa: a pooled analysis of demographic and health surveys from 32 countries BMC Pregnancy and Childbirth Skilled Antenatal care Sub-Saharan Africa Public health Social demography |
| title | Skilled antenatal care services utilisation in sub-Saharan Africa: a pooled analysis of demographic and health surveys from 32 countries |
| title_full | Skilled antenatal care services utilisation in sub-Saharan Africa: a pooled analysis of demographic and health surveys from 32 countries |
| title_fullStr | Skilled antenatal care services utilisation in sub-Saharan Africa: a pooled analysis of demographic and health surveys from 32 countries |
| title_full_unstemmed | Skilled antenatal care services utilisation in sub-Saharan Africa: a pooled analysis of demographic and health surveys from 32 countries |
| title_short | Skilled antenatal care services utilisation in sub-Saharan Africa: a pooled analysis of demographic and health surveys from 32 countries |
| title_sort | skilled antenatal care services utilisation in sub saharan africa a pooled analysis of demographic and health surveys from 32 countries |
| topic | Skilled Antenatal care Sub-Saharan Africa Public health Social demography |
| url | https://doi.org/10.1186/s12884-022-05137-5 |
| work_keys_str_mv | AT kwamenasekyidickson skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT joshuaokyere skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT brightopokuahinkorah skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT abdulazizseidu skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT tarifsalihu skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT vincentbediako skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT bernardafriyieowusu skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT eugenebudu skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT wonderagbemavi skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT janeodurowaahedjah skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries AT eugenekofuormaafodarteh skilledantenatalcareservicesutilisationinsubsaharanafricaapooledanalysisofdemographicandhealthsurveysfrom32countries |