ArticleBMC health services research2016
Antenatal care use in urban areas in two European countries: Predisposing, enabling and pregnancy-related determinants in Belgium and the Netherlands.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Modeling predictors of incomplete antenatal care utilization among reproductive-age women in Ethiopia using machine learning algorithms and SHAP interpretation.PLOS digital health · 2026Article
- Health mediation mechanisms influencing healthcare utilization of underserved populations: a qualitative study in 2 districts in France.BMC health services research · 2025Article
- Perspective of pregnant women on feasibility of integrating cervical cancer screening into antenatal care in the Netherlands: a questionnaire study.European journal of public health · 2025Article
- Spatial clustering and determinants of zero-utilization of antenatal care among pregnant women in Ethiopia.Scientific reports · 2025Article
- Regional disparities in antenatal care utilization among pregnant women and its determinants in Ethiopia.Frontiers in global women's health · 2024Article
- Self-reported continuity and coordination of antenatal care and its association with obstetric near miss in Uasin Gishu county, Kenya.African journal of primary health care & family medicine · 2023Article
- Continuity of care among diabetic patients in Accra, Ghana.Frontiers in public health · 2023Article
- Social determinants of inadequate prenatal care utilization in sheltered homeless mothers in the Greater Paris area in France.Frontiers in public health · 2023Article
- Implementation barriers and enablers of midwifery group practice for vulnerable women: a qualitative study in a tertiary urban Australian health service.BMC health services research · 2022Article
- Utilisation of supplementary prenatal screening and diagnostics in Germany: cross-sectional study using data from the KUNO Kids Health Study.BMC pregnancy and childbirth · 2022Article
- Antenatal Care Initiation Among Pregnant Women in the United Arab Emirates: The Mutaba'ah Study.Frontiers in public health · 2020Article
- Intimate partner violence constrains timely utilisation of antenatal care services among Armenian women: Results from a nationally representative sample.International journal of critical illness and injury scienceArticle
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Authors and funding
5 authors.
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Abstract
backgroundExamining determinants of antenatal care (ANC) is important to stimulate equitable distribution of ANC across Europe. This study (1) compares ANC utilisation in Belgium and the Netherlands and (2) identifies predisposing, enabling and pregnancy-related determinants.
methodsSecondary data analysis is performed using data from Belgium, and the Netherlands. The content and timing of care during pregnancy (CTP) tool measured ANC use. Non-parametric tests and ordinal logistic regression are performed to gain insight in the determinants of health care use.
resultsDutch women receive appropriate ANC more often than Belgian women. Multivariate analysis showed that lower education, unemployment, lower continuity of care and non-attendance of antenatal classes are associated with a lower likelihood of having more appropriate ANC.
conclusionsPredisposing and pregnancy related variables are most important to influence the content and timing of ANC, irrespective of the country women live in. Lower health literacy in socially vulnerable women might explain the predisposing determinants of health care use in both countries. Stimulating accessibility to antenatal courses or organising public education are recommendations for practice. Regarding pregnancy-related determinants, improving continuity of care can optimise ANC use in both countries.
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