ArticlePloS one2014
Factors associated with four or more antenatal care visits and its decline among pregnant women in Tanzania between 1999 and 2010.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 3 of them syntheses that pooled it.
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Who cites it
119 citing papers in PubMed, 3 syntheses or guidelines pooled it, 212 citations in OpenAlex.
- Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review.BMJ open · 2019Pooled it
- Effects of unintended pregnancy on maternal healthcare services utilization in low- and lower-middle-income countries: systematic review and meta-analysis.International journal of public health · 2019Pooled it
- Factors affecting utilization of antenatal care in Ethiopia: A systematic review and meta-analysis.PloS one · 2019Pooled it
- New Antenatal Model in Africa and India (NAMAI) study: implementation research to improve antenatal care using WHO recommendations.Health research policy and systems · 2023Trial
- Multilevel modified Poisson regression analysis of barriers to healthcare access among pregnant women in high and very high maternal mortality sub-Saharan African countries: insights from demographic and health surveys data.Archives of public health = Archives belges de sante publique · 2026Article
- Trends, determinants and inequality of utilization of maternal healthcare services in Bangladesh: an analysis of demographic and health surveys from 2004 to 2022.BMC pregnancy and childbirth · 2026Article
- Influence of socioeconomic factors on maternal and child health outcomes in Bangladesh: evidence from the 2022 demographic and health survey.BMC pediatrics · 2026Article
- Article
- Effective coverage for maternal health: operationalising effective coverage cascades for antenatal care and nutrition interventions for pregnant women in seven low- and middle-income countries.Journal of global health · 2025Article
- Beyond averages: dissecting urban-rural disparities in skilled antenatal care utilization in Bangladesh - a conway-maxwell-poisson regression analysis.BMC pregnancy and childbirth · 2025Article
- Trends and determinants of maternal health services utilization in India from 2015 to 2021.Scientific reports · 2025Article
- Article
- Socio-demographic correlates of booking antenatal care in first trimester among pregnant women in Tanzania. Insights from Tanzania demographic health survey 2022.Frontiers in reproductive health · 2025Article
- Spatial patterns and predictors of antenatal care interruption in war-torn Tigray, northern Ethiopia: Spatial modelling approach.PloS one · 2025Article
- Spatial disparities of antenatal care utilization among pregnant women in sub-Saharan Africa-Bayesian geo-additive modelling approach.Frontiers in public health · 2025Article
- Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Multilevel modelling of factors associated with eight or more antenatal care contacts in low and middle-income countries: findings from national representative data.Annals of medicine and surgery (2012) · 2024Article
- Assessing Maternal Satisfaction: Patient-Centered Care, Hospital Environment, and Information-Seeking in Chanika Hospital in Tanzania.Journal of personalized medicine · 2024Article
- Four antenatal care visits by four months of pregnancy and four vital tests for pregnant mothers: impact of a community-facility health systems strengthening intervention in Migori County, Kenya.BMC pregnancy and childbirth · 2024Article
- Understanding Antenatal Care Service Quality for Malaria in Pregnancy through Supportive Supervision Data in Tanzania.The American journal of tropical medicine and hygiene · 2024Article
59 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In Tanzania, the coverage of four or more antenatal care (ANC 4) visits among pregnant women has declined over time. We conducted an exploratory analysis to identify factors associated with utilization of ANC 4 and ANC 4 decline among pregnant women over time. We used data from 8035 women who delivered within two years preceding Tanzania Demographic and Health Surveys conducted in 1999, 2004/05 and 2010. Multivariate logistic regression models were used to examine the association between all potential factors and utilization of ANC 4; and decline in ANC 4 over time. Factors positively associated with ANC 4 utilization were higher quality of services, testing and counseling for HIV during ANC, receiving two or more doses of SP (Sulphadoxine Pyrimethamine)/Fansidar for preventing malaria during ANC and higher educational status of the woman. Negatively associated factors were residing in a zone other than Eastern zone, never married woman, reported long distance to health facility, first ANC visit after four months of pregnancy and woman's desire to avoid pregnancy. The factors significantly associated with decline in utilization of ANC 4 were: geographic zone and age of the woman at delivery. Strategies to increase ANC 4 utilization should focus on improvement in quality of care, geographic accessibility, early ANC initiation, and services that allow women to avoid pregnancy. The interconnected nature of the Tanzanian Health System is reflected in ANC 4 decline over time where introduction of new programs might have had unintended effects on existing programs. An in-depth assessment of the recent policy change towards Focused Antenatal Care and its implementation across different geographic zones, including its effect on the perception and understanding among women and performance and counseling by health providers can help explain the decline in ANC 4.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.