Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa

Access to quality care before, during, and after childbirth remains an effective means of reducing maternal and neonatal mortality. Therefore, the study identified factors influencing the utilization of prenatal care services among women of childbearing age in South Africa. This is a retrospective s...

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Main Authors: Putunywa Zandrina Nxiweni, Kelechi Elizabeth Oladimeji, Mirabel Nanjoh, Lucas Banda, Felix Emeka Anyiam, Francis Leonard Mpotte Hyera, Teke R. Apalata, Jabu A. Mbokazi, Olanrewaju Oladimeji
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Women
Subjects:
Online Access:https://www.mdpi.com/2673-4184/2/3/27
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author Putunywa Zandrina Nxiweni
Kelechi Elizabeth Oladimeji
Mirabel Nanjoh
Lucas Banda
Felix Emeka Anyiam
Francis Leonard Mpotte Hyera
Teke R. Apalata
Jabu A. Mbokazi
Olanrewaju Oladimeji
author_facet Putunywa Zandrina Nxiweni
Kelechi Elizabeth Oladimeji
Mirabel Nanjoh
Lucas Banda
Felix Emeka Anyiam
Francis Leonard Mpotte Hyera
Teke R. Apalata
Jabu A. Mbokazi
Olanrewaju Oladimeji
author_sort Putunywa Zandrina Nxiweni
collection DOAJ
description Access to quality care before, during, and after childbirth remains an effective means of reducing maternal and neonatal mortality. Therefore, the study identified factors influencing the utilization of prenatal care services among women of childbearing age in South Africa. This is a retrospective study based on secondary data from the South African Demographic Health Survey (DHS) conducted from 1998 to 2016. In South Africa, 21.0% of mothers had used ANC services. Higher odds of seeking prenatal care were found in women aged 35 years and older (cOR = 1.26, 95% CI; 1.08–1.47, <i>p</i> = 0.003), married or cohabiting (cOR = 1.13, 95% CI; 1.004–1.27) observed, <i>p</i> = 0.043), higher level of education (tertiary education: cOR = 0.55, <i>p</i> = 0.001), female residents in urban areas (cOR = 1.35, 95% CI; 1.20–1.52, <i>p</i> = 0.001), higher wealth index (cOR = 1.32, 95% CI; 1.15–1.51, <i>p</i> = 0.001), employed (cOR = 1.48, 95% CI; 1.29–1.70, <i>p</i> = 0.001) and media exposure (cOR = 1.27, 95% CI; 1.12–1.44), <i>p</i> = 0.001). The findings of this study provide insight into the need to make maternal health services more accessible, more widely used, and of a higher quality. This requires effective strategic policies that promote patronage to reduce maternal mortality and improve newborn outcomes in South Africa.
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spelling doaj.art-a15dad2ceb644c7cbd1960c6bb6e8d272023-11-23T19:33:10ZengMDPI AGWomen2673-41842022-09-012328530310.3390/women2030027Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South AfricaPutunywa Zandrina Nxiweni0Kelechi Elizabeth Oladimeji1Mirabel Nanjoh2Lucas Banda3Felix Emeka Anyiam4Francis Leonard Mpotte Hyera5Teke R. Apalata6Jabu A. Mbokazi7Olanrewaju Oladimeji8Department of Public Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South AfricaDepartment of Public Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South AfricaMedical Education Unit, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South AfricaDepartment of Public Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South AfricaFaculty of Health Sciences, Durban University of Technology, Durban 4003, South AfricaDepartment of Public Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South AfricaDepartment of Laboratory Medicine and Pathology, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South AfricaOffice of the Dean, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South AfricaDepartment of Public Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South AfricaAccess to quality care before, during, and after childbirth remains an effective means of reducing maternal and neonatal mortality. Therefore, the study identified factors influencing the utilization of prenatal care services among women of childbearing age in South Africa. This is a retrospective study based on secondary data from the South African Demographic Health Survey (DHS) conducted from 1998 to 2016. In South Africa, 21.0% of mothers had used ANC services. Higher odds of seeking prenatal care were found in women aged 35 years and older (cOR = 1.26, 95% CI; 1.08–1.47, <i>p</i> = 0.003), married or cohabiting (cOR = 1.13, 95% CI; 1.004–1.27) observed, <i>p</i> = 0.043), higher level of education (tertiary education: cOR = 0.55, <i>p</i> = 0.001), female residents in urban areas (cOR = 1.35, 95% CI; 1.20–1.52, <i>p</i> = 0.001), higher wealth index (cOR = 1.32, 95% CI; 1.15–1.51, <i>p</i> = 0.001), employed (cOR = 1.48, 95% CI; 1.29–1.70, <i>p</i> = 0.001) and media exposure (cOR = 1.27, 95% CI; 1.12–1.44), <i>p</i> = 0.001). The findings of this study provide insight into the need to make maternal health services more accessible, more widely used, and of a higher quality. This requires effective strategic policies that promote patronage to reduce maternal mortality and improve newborn outcomes in South Africa.https://www.mdpi.com/2673-4184/2/3/27antenatal care utilizationantenatal care servicesSouth Africamaternal health
spellingShingle Putunywa Zandrina Nxiweni
Kelechi Elizabeth Oladimeji
Mirabel Nanjoh
Lucas Banda
Felix Emeka Anyiam
Francis Leonard Mpotte Hyera
Teke R. Apalata
Jabu A. Mbokazi
Olanrewaju Oladimeji
Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa
Women
antenatal care utilization
antenatal care services
South Africa
maternal health
title Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa
title_full Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa
title_fullStr Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa
title_full_unstemmed Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa
title_short Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa
title_sort factors influencing the utilization of antenatal services among women of childbearing age in south africa
topic antenatal care utilization
antenatal care services
South Africa
maternal health
url https://www.mdpi.com/2673-4184/2/3/27
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