ArticleJournal of epidemiology and global health2013
Determinants of access to antenatal care and birth outcomes in Kumasi, Ghana.
Article in Journal of epidemiology and global health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.
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Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effect of antenatal care on low birth weight: a systematic review and meta-analysis in Africa, 2022.Frontiers in public health · 2023Pooled it
- Inequalities in Access and Utilization of Maternal, Newborn and Child Health Services in sub-Saharan Africa: A Special Focus on Urban Settings.Maternal and child health journal · 2022Pooled it
- Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review.BMJ open · 2019Pooled it
- Factors influencing antenatal care utilisation in Madang Province, Papua New Guinea: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Assessing antenatal care utilization, socioeconomic inequalities and low birth weight outcomes: a population-based analysis using the 2022 Ghana demographic and health survey data.BMC pediatrics · 2026Article
- Effect of completing eight or more antenatal care contacts on adverse pregnancy outcomes in a district hospital in Ghana: A propensity score-matched and doubly robust analysis.Global epidemiology · 2026Article
- "If there is no data, how do we improve?" Exploring health workers' perspective on stillbirth recording in the Ashanti Region of Ghana.BMC pregnancy and childbirth · 2026Article
- Association between out-of-pocket health expenditures and low birth weight in Eastern Ethiopia: a generalized structural equation modeling (GSEM).BMC public health · 2025Article
- Reproductive health characteristics among women living in severe poverty in urban Haiti.Reproductive health · 2025Observational
- Determinants of adverse birth outcomes among pregnant women in Kintampo municipal hospital, Ghana.Frontiers in global women's health · 2025Article
- Effect of antenatal care on birth outcomes in the Gambia: A propensity score matching analysis.PLOS global public health · 2025Article
- Antenatal Care Practices: A Population-Based Multicenter Study from Saudi Arabia.International journal of women's health · 2024Article
- Intimate partner violence and antenatal care utilization predictors in Uganda: an analysis applying Andersen's behavioral model of healthcare utilization.BMC public health · 2023Article
- Health insurance coverage and access to child and maternal health services in West Africa: a systematic scoping review.International health · 2023Article
- Determining factors associated with the prevalence of knowledge, attitude, and practice in seeking skilled maternal healthcare services among women in a remote area of Gesha district.BMC health services research · 2022Article
- Pregnancy outcomes among women who gave birth at health institutions: A cross-sectional study.Health science reports · 2022Article
- Antenatal care attendance and low birth weight of institutional births in sub-Saharan Africa.BMC pregnancy and childbirth · 2022Article
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- Lifetime adverse pregnancy outcomes and associated factors among antenatal care booked women in Central Gondar zone and Gondar city administration, Northwest Ethiopia.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
This study aimed to investigate factors that influence antenatal care utilization and their association with adverse pregnancy outcomes (defined as low birth weight, stillbirth, preterm delivery or small for gestational age) among pregnant women in Kumasi. A quantitative cross-sectional study was conducted of 643 women aged 19-48 years who presented for delivery at selected public hospitals and private traditional birth attendants from July-November 2011. Participants' information and factors influencing antenatal attendance were collected using a structured questionnaire and antenatal records. Associations between these factors and adverse pregnancy outcomes were assessed using chi-square and logistic regression. Nineteen percent of the women experienced an adverse pregnancy outcome. For 49% of the women, cost influenced their antenatal attendance. Cost was associated with increased likelihood of a woman experiencing an adverse outcome (adjusted OR=2.15; 95% CI=1.16-3.99; p=0.016). Also, women with >5 births had an increased likelihood of an adverse outcome compared with women with single deliveries (adjusted OR=3.77; 95% CI=1.50-9.53; p=0.005). The prevalence of adverse outcomes was lower than previously reported (44.6 versus 19%). Cost and distance were associated with adverse outcomes after adjusting for confounders. Cost and distance could be minimized through a wider application of the Ghana National Health Insurance Scheme.
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