ArticleBMC pregnancy and childbirth2014
Assessing predictors of delayed antenatal care visits in Rwanda: a secondary analysis of Rwanda demographic and health survey 2010.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 3 of them syntheses that pooled it.
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Who cites it
79 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Health transformation toward universal healthcare coverage amidst conflict: examining the impact of international cooperation in Niger.Frontiers in public health · 2024Pooled it
- Association between pregnancy intention and late initiation of antenatal care among pregnant women in Ethiopia: a systematic review and meta-analysis.Systematic reviews · 2020Pooled it
- Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review.BMJ open · 2019Pooled it
- The Effect and Feasibility of mHealth-Supported Surgical Site Infection Diagnosis by Community Health Workers After Cesarean Section in Rural Rwanda: Randomized Controlled Trial.JMIR mHealth and uHealth · 2022Trial
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- Time to initiation of antenatal care and its predictors among pregnant women across 35 sub-Saharan African countries (2011-2024): A multilevel mixed-effects acceleration failure time model of multination population survey data.Reproductive health · 2026Article
- Maternal health inequity in Somalia: A multivariate analysis of poverty and service utilization using nationwide cross-sectional survey data.Public health in practice (Oxford, England) · 2025Article
- Geospatial variation and determinants of incomplete antenatal care follow-up in ethiopia: a spatial and geographically weighted regression analysis.BMC pregnancy and childbirth · 2025Article
- Late initiation of antenatal care and its associated factors among pregnant women in Benin: a facility based cross-sectional study.BMC pregnancy and childbirth · 2025Article
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- Factors associated with late antenatal care booking in selected health facilities of Zoba Maekel, Eritrea: a cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Prevalence and determinants of late first antenatal care initiation in western Ethiopia: findings from a multi-centered cross-sectional study.Frontiers in reproductive health · 2025Article
- Joint predictors of antenatal care contacts and timing of antenatal care initiation among women of reproductive age in Ethiopia.PloS one · 2025Article
- Article
- Evolution and determinants of antenatal care services utilization among women of reproductive age in Rwanda: a scoping review.BMC health services research · 2024Article
- Late antenatal care booking and associated factors among pregnant women in Ethiopia: evidence from 2019 performance monitoring for action data analysis.BMC pregnancy and childbirth · 2024Article
- Effect of social capital on enrolment of informal sector occupational groups in the national health insurance scheme in Ghana: a cross-sectional survey.BMC health services research · 2024Article
- Article
- 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
19 more citing papers are in PubMed but not listed here.
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly initiation of antenatal care (ANC) can reduce common maternal complications and maternal and perinatal mortality. Though Rwanda demonstrated a remarkable decline in maternal mortality and 98% of Rwandan women receive antenatal care from a skilled provider, only 38% of women have an ANC visit in their first three months of pregnancy. This study assessed factors associated with delayed ANC in Rwanda.
methodsThis is a cross-sectional study using data collected during the 2010 Rwanda DHS from 6,325 women age 15-49 that had at least one birth in the last five years. Factors associated with delayed ANC were identified using a multivariable logistic regression model using manual backward stepwise regression. Analysis was conducted in Stata v12 applying survey commands to account for the complex sample design.
resultsSeveral factors were significantly associated with delayed ANC including having many children (4-6 children, OR = 1.42, 95% CI: 1.22, 1.65; or more than six children, OR = 1.57, 95% CI: 1.24, 1.99); feeling that distance to health facility is a problem (OR = 1.20, 95% CI: 1.04, 1.38); and unwanted pregnancy (OR = 1.41, 95% CI: 1.26, 1.58). The following were protective against delayed ANC: having an ANC at a private hospital or clinic (OR = 0.29, 95% CI: 0.15, 0.56); being married (OR = 0.85, 95% CI: 0.75, 0.96), and having public mutuelle health insurance (OR = 0.81, 95% CI: 0.71, 0.92) or another type of insurance (OR = 0.33, 95% CI: 0.23, 0.46).
conclusionThis analysis revealed potential barriers to ANC service utilization. Distance to health facility remains a major constraint which suggests a great need of infrastructure and decentralization of maternal ANC to health posts and dispensaries. Interventions such as universal health insurance coverage, family planning, and community maternal health system are underway and could be part of effective strategies to address delays in ANC.
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