Antenatal care utilization and its associated factors in Somalia: a cross-sectional study
Abstract Background WHO recommends attending minimum four ANC consultations during pregnancy to ensure early detection of complications. The objective of this study was to quantify ANC attendance and factors associated with it. Methods Participants were randomly selected using the WHO Cluster survey...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05871-4 |
| _version_ | 1797451133672751104 |
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| author | Alli Miikkulainen Ibrahim Abdirahman Mohamud Majda Aqazouz Bishara Abdullahi Suleiman Omar Sheikh Mohamud Abdifatah Ahmed Mohamed Rodolfo Rossi |
| author_facet | Alli Miikkulainen Ibrahim Abdirahman Mohamud Majda Aqazouz Bishara Abdullahi Suleiman Omar Sheikh Mohamud Abdifatah Ahmed Mohamed Rodolfo Rossi |
| author_sort | Alli Miikkulainen |
| collection | DOAJ |
| description | Abstract Background WHO recommends attending minimum four ANC consultations during pregnancy to ensure early detection of complications. The objective of this study was to quantify ANC attendance and factors associated with it. Methods Participants were randomly selected using the WHO Cluster survey methodology in Southern and Central Somalia. A paper-print questionnaire was used to collect all data. Outcomes of interest were: access to at least one ANC consultation, completion of at least four ANC consultations, initiation of breastfeeding and place of delivery, while exposures included factors related to the latest pregnancy and demographic characteristics. Associations were assessed through logistic regression. Results Seven hundred ninety-two women answered the questionnaire; 85% attended at least one and 23% at least four ANC consultations, 95% started breastfeeding and 51% had an institutional delivery. Encouragement to attend ANC increased the odds of attending at least one consultation (aOR = 8.22, 95%CI 4.36–15.49), while negative attitude of husband or family decreased the odds (aOR = 0.33, 95%CI 0.16–0.69). Knowing there is a midwife increased the odds of at least four visits (aOR = 1.87, 95%CI 1.03–3.41). Attending at least four consultations increased the odds of delivering in a health structure (aOR = 1.50, 95%CI 1.01–2.24), and attending at least one consultation was associated with higher odds of initiating breastfeeding (aOR = 2.69, 95%CI 1.07–6.74). Conclusions Family has a strong influence in women’s ANC attendance, which increases the likelihood of institutional delivery and initiating breastfeeding. Women and families need to have access to information about benefits and availability of services; potential solutions can include health education and outreach interventions. |
| first_indexed | 2024-03-09T14:50:27Z |
| format | Article |
| id | doaj.art-7a048bd79afb479d965ae4421a367f56 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-09T14:50:27Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-7a048bd79afb479d965ae4421a367f562023-11-26T14:31:16ZengBMCBMC Pregnancy and Childbirth1471-23932023-08-0123111710.1186/s12884-023-05871-4Antenatal care utilization and its associated factors in Somalia: a cross-sectional studyAlli Miikkulainen0Ibrahim Abdirahman Mohamud1Majda Aqazouz2Bishara Abdullahi Suleiman3Omar Sheikh Mohamud4Abdifatah Ahmed Mohamed5Rodolfo Rossi6International Committee of the Red Cross SomaliaInternational Committee of the Red Cross SomaliaInternational Committee of the Red Cross RegionalInternational Committee of the Red Cross SomaliaSomali Red Crescent SocietyFederal Ministry of HealthInternational Committee of the Red CrossAbstract Background WHO recommends attending minimum four ANC consultations during pregnancy to ensure early detection of complications. The objective of this study was to quantify ANC attendance and factors associated with it. Methods Participants were randomly selected using the WHO Cluster survey methodology in Southern and Central Somalia. A paper-print questionnaire was used to collect all data. Outcomes of interest were: access to at least one ANC consultation, completion of at least four ANC consultations, initiation of breastfeeding and place of delivery, while exposures included factors related to the latest pregnancy and demographic characteristics. Associations were assessed through logistic regression. Results Seven hundred ninety-two women answered the questionnaire; 85% attended at least one and 23% at least four ANC consultations, 95% started breastfeeding and 51% had an institutional delivery. Encouragement to attend ANC increased the odds of attending at least one consultation (aOR = 8.22, 95%CI 4.36–15.49), while negative attitude of husband or family decreased the odds (aOR = 0.33, 95%CI 0.16–0.69). Knowing there is a midwife increased the odds of at least four visits (aOR = 1.87, 95%CI 1.03–3.41). Attending at least four consultations increased the odds of delivering in a health structure (aOR = 1.50, 95%CI 1.01–2.24), and attending at least one consultation was associated with higher odds of initiating breastfeeding (aOR = 2.69, 95%CI 1.07–6.74). Conclusions Family has a strong influence in women’s ANC attendance, which increases the likelihood of institutional delivery and initiating breastfeeding. Women and families need to have access to information about benefits and availability of services; potential solutions can include health education and outreach interventions.https://doi.org/10.1186/s12884-023-05871-4Antenatal carePregnancyBreastfeedingHealth facility deliverySomalia |
| spellingShingle | Alli Miikkulainen Ibrahim Abdirahman Mohamud Majda Aqazouz Bishara Abdullahi Suleiman Omar Sheikh Mohamud Abdifatah Ahmed Mohamed Rodolfo Rossi Antenatal care utilization and its associated factors in Somalia: a cross-sectional study BMC Pregnancy and Childbirth Antenatal care Pregnancy Breastfeeding Health facility delivery Somalia |
| title | Antenatal care utilization and its associated factors in Somalia: a cross-sectional study |
| title_full | Antenatal care utilization and its associated factors in Somalia: a cross-sectional study |
| title_fullStr | Antenatal care utilization and its associated factors in Somalia: a cross-sectional study |
| title_full_unstemmed | Antenatal care utilization and its associated factors in Somalia: a cross-sectional study |
| title_short | Antenatal care utilization and its associated factors in Somalia: a cross-sectional study |
| title_sort | antenatal care utilization and its associated factors in somalia a cross sectional study |
| topic | Antenatal care Pregnancy Breastfeeding Health facility delivery Somalia |
| url | https://doi.org/10.1186/s12884-023-05871-4 |
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