A secondary analysis of the factors associated with women´s adequate utilization of antenatal care services during their last pregnancy in Uganda
Abstract Background Adequate antenatal care services (ANC) use is critical to identifying and reducing pregnancy risks. Despite the importance placed on adequate antenatal care service utilization, women in Uganda continue to underutilize antenatal care services. The primary goal of this study is to...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05994-8 |
| _version_ | 1797451121040556032 |
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| author | Moses Festo Towongo Enock Ngome Kannan Navaneetham Gobopamang Letamo |
| author_facet | Moses Festo Towongo Enock Ngome Kannan Navaneetham Gobopamang Letamo |
| author_sort | Moses Festo Towongo |
| collection | DOAJ |
| description | Abstract Background Adequate antenatal care services (ANC) use is critical to identifying and reducing pregnancy risks. Despite the importance placed on adequate antenatal care service utilization, women in Uganda continue to underutilize antenatal care services. The primary goal of this study is to identify the factors associated with women’s adequate utilization of antenatal care services in Uganda. Methods Secondary data from the 2016 Uganda Demographic and Health Survey were used in this study. The study sample consists of 9,416 women aged 15 to 49 who reported giving birth in the five years preceding the survey. The adequate use of antenatal care services is the dependent variable. A woman who used antenatal care services at least four times is considered to have adequately used antenatal care services. We used univariate, bivariate, and multilevel logistic regression modelling to identify the factors associated with adequate utilization of antenatal care services. STATA version 14.2 was used to analyze the data. Results The prevalence of adequate utilization of antenatal care services in Uganda was found to be 61.4%. Women with secondary or higher education were 32.0% (AOR = 1.32, 95% CI;1.07–1.63), employed women were 26.0% (AOR = 1.26, 95% CI;1.10–1.44), women who received high-quality antenatal care content were 78.0% (AOR = 1.78, 95% CI;1.58–2.02), and women who belong to the rich category of the wealth index bracket were 27.0% (AOR = 1.27, 95% CI;1.09–1.49), more likely to use antenatal care services adequately. Finally, the study discovered that women from less diverse ethnic communities were 15.0% (AOR, 0.85, 95%CI; 0.73–0.99) less likely to use antenatal care services adequately. Conclusion Women’s adequate utilization of antenatal care was influenced by both community and individual-level characteristics. Policymakers must use a multi-sectoral approach to develop policies that address both individual and community-level characteristics. |
| first_indexed | 2024-03-09T14:50:20Z |
| format | Article |
| id | doaj.art-5f88fa0293fe47bc94c4ce284534d8ce |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-09T14:50:20Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-5f88fa0293fe47bc94c4ce284534d8ce2023-11-26T14:31:36ZengBMCBMC Pregnancy and Childbirth1471-23932023-09-0123111210.1186/s12884-023-05994-8A secondary analysis of the factors associated with women´s adequate utilization of antenatal care services during their last pregnancy in UgandaMoses Festo Towongo0Enock Ngome1Kannan Navaneetham2Gobopamang Letamo3Department of Population Studies, University of BotswanaDepartment of Population Studies, University of BotswanaDepartment of Population Studies, University of BotswanaDepartment of Population Studies, University of BotswanaAbstract Background Adequate antenatal care services (ANC) use is critical to identifying and reducing pregnancy risks. Despite the importance placed on adequate antenatal care service utilization, women in Uganda continue to underutilize antenatal care services. The primary goal of this study is to identify the factors associated with women’s adequate utilization of antenatal care services in Uganda. Methods Secondary data from the 2016 Uganda Demographic and Health Survey were used in this study. The study sample consists of 9,416 women aged 15 to 49 who reported giving birth in the five years preceding the survey. The adequate use of antenatal care services is the dependent variable. A woman who used antenatal care services at least four times is considered to have adequately used antenatal care services. We used univariate, bivariate, and multilevel logistic regression modelling to identify the factors associated with adequate utilization of antenatal care services. STATA version 14.2 was used to analyze the data. Results The prevalence of adequate utilization of antenatal care services in Uganda was found to be 61.4%. Women with secondary or higher education were 32.0% (AOR = 1.32, 95% CI;1.07–1.63), employed women were 26.0% (AOR = 1.26, 95% CI;1.10–1.44), women who received high-quality antenatal care content were 78.0% (AOR = 1.78, 95% CI;1.58–2.02), and women who belong to the rich category of the wealth index bracket were 27.0% (AOR = 1.27, 95% CI;1.09–1.49), more likely to use antenatal care services adequately. Finally, the study discovered that women from less diverse ethnic communities were 15.0% (AOR, 0.85, 95%CI; 0.73–0.99) less likely to use antenatal care services adequately. Conclusion Women’s adequate utilization of antenatal care was influenced by both community and individual-level characteristics. Policymakers must use a multi-sectoral approach to develop policies that address both individual and community-level characteristics.https://doi.org/10.1186/s12884-023-05994-8Individual-levelCommunity-levelAdequate ANC servicesUganda |
| spellingShingle | Moses Festo Towongo Enock Ngome Kannan Navaneetham Gobopamang Letamo A secondary analysis of the factors associated with women´s adequate utilization of antenatal care services during their last pregnancy in Uganda BMC Pregnancy and Childbirth Individual-level Community-level Adequate ANC services Uganda |
| title | A secondary analysis of the factors associated with women´s adequate utilization of antenatal care services during their last pregnancy in Uganda |
| title_full | A secondary analysis of the factors associated with women´s adequate utilization of antenatal care services during their last pregnancy in Uganda |
| title_fullStr | A secondary analysis of the factors associated with women´s adequate utilization of antenatal care services during their last pregnancy in Uganda |
| title_full_unstemmed | A secondary analysis of the factors associated with women´s adequate utilization of antenatal care services during their last pregnancy in Uganda |
| title_short | A secondary analysis of the factors associated with women´s adequate utilization of antenatal care services during their last pregnancy in Uganda |
| title_sort | secondary analysis of the factors associated with women´s adequate utilization of antenatal care services during their last pregnancy in uganda |
| topic | Individual-level Community-level Adequate ANC services Uganda |
| url | https://doi.org/10.1186/s12884-023-05994-8 |
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