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Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population based study

Artikel i vetenskaplig tidskrift
Författare Akashi Andrew Rurangirwa
I. Mogren
L. Nyirazinyoye
J. Ntaganira
Gunilla Krantz
Publicerad i Bmc Pregnancy and Childbirth
Volym 17
ISSN 1471-2393
Publiceringsår 2017
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för folkhälsoepidemiologi
Språk en
Länkar 10.1186/s12884-017-1328-2
Ämnesord Antenatal care utilization, Recently delivered women, Rwanda, sub-saharan africa, prenatal-care, health-services, newborn health, disorders, countries, barriers, nigeria, carthy j, 1992, studies in family planning, v23, p23
Ämneskategorier Omvårdnad, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Reproduktionsmedicin och gynekologi

Sammanfattning

Background: In Rwanda, a majority of pregnant women visit antenatal care (ANC) services, however not to the extent that is recommended. Association between socio-demographic or psychosocial factors and poor utilization of antenatal care services (<= 2 visits during the course of pregnancy irrespective of the timing) among recently pregnant women in Rwanda were investigated. Methods: This population-based, cross sectional study included 921 women who gave birth within the past 13 months. Data was obtained using an interviewer-administered questionnaire. For the analyses, bi-and multivariable logistic regression was used and odds ratios were presented with their 95% confidence intervals. Results: About 54% of pregnant women did not make the recommended four visits to ANC during pregnancy. The risk of poor utilization of ANC services was higher among women aged 31 years or older (AOR, 1.78; 95% CI: 1.14, 2.78), among single women (AOR, 2.99; 95% CI: 1.83, 4.75) and women with poor social support (AOR, 1.71; 95% CI: 1.09, 2.67). No significant associations were found for school attendance or household assets (proxy for socio-economic status) with poor utilization of ANC services. Conclusion: Older age, being single, divorced or widowed and poor social support were associated with poor utilization of ANC services. General awareness in communities should be raised on the importance of the number and timing of ANC visits. ANC clinics should further be easier to access, transport should be available, costs minimized and opening hours may be extended to facilitate visits for pregnant women.

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