ArticleGlobal health action2020
Interrelationships between early antenatal care, health facility delivery and early postnatal care among women in Uganda: a structural equation analysis.
Article in Global health action, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Utilization of maternal healthcare services in low- and middle-income countries: a systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- A multilevel modelling approach to understanding antenatal care utilisation in Uganda.BMC pregnancy and childbirth · 2026Article
- Observational
- Exploration of facilitators and barriers to the implementation of the eight-contact antenatal care model in healthcare facilities in Nigeria.Maternal health, neonatology and perinatology · 2026Article
- Child's disability status and postnatal healthcare utilization among forcibly displaced women in Pakistan: A Secondary data analysis.PLOS global public health · 2026Article
- Article
- Factors associated with completion of maternal health services, a cross-sectional study among women at an outpatient facility in Northern Uganda.BMC health services research · 2025Article
- Factors influencing early postnatal care use among postpartum women in Afghanistan.Scientific reports · 2024Article
- The nexus between maternal antenatal care attendance, newborn postnatal care and neonatal mortality in India: a matched case-control study.BMC pregnancy and childbirth · 2024Article
- Utilization of Antenatal Care and Skilled Birth Delivery Services in Sub-Saharan Africa: A Systematic Scoping Review.International journal of environmental research and public health · 2024Article
- Individual and community-level factors associated with women's utilization of postnatal care services in Uganda, 2016: a multilevel and spatial analysis.BMC health services research · 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
- How equitable is utilization of maternal health services in Uganda? Implications for achieving universal health coverage.BMC health services research · 2023Article
- To what extent is antenatal care in public health facilities associated with delivery in public health facilities? Findings from a cross-section of women who had facility deliveries in Nigeria.BMC public health · 2023Article
- Late initiation of antenatal care among pregnant women in Addis Ababa city, Ethiopia: a facility based cross-sectional study.BMC women's health · 2023Article
- Assessment of Safe Motherhood Health Service Coverage, Birth Defects Detection and Child Disability Prevention Using Lot Quality Assurance Sampling in Central Uganda.The East African health research journal · 2023Article
- Effectiveness of eight or more antenatal contacts on health facility delivery and early postnatal care in low- and middle-income countries: a propensity score matching.Frontiers in medicine · 2023Article
- Towards a positive postnatal experience in Sub-Saharan African countries: the receipt of adequate services during the immediate postpartum period: a multilevel analysis.Frontiers in public health · 2023Article
- Factors associated with Women's timing of first antenatal care visit during their last pregnancy: evidence from 2016 Uganda demographic health survey.BMC pregnancy and childbirth · 2022Article
- What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria.BMC pregnancy and childbirth · 2022Article
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Abstract
backgroundEarly medical checkups during and after delivery are key strategies to detect, prevent and treat maternal health concerns. Knowledge of interrelationships between early Antenatal Care (ANC), skilled delivery and early postnatal care (EPNC) is essential for focused and well-targeted interventions. This paper investigated the interconnectedness between maternal health services in Uganda.
objectiveThis study examines the predictors of interrelationships between early antenatal care, health facility delivery and early postnatal care.
methodsWe used a sample of 10,152 women of reproductive ages (15-49), who delivered a child five years prior to the 2016 Uganda Demographic and Health Survey. A generalized Structural Equation Model and STATA 13.0 software were used.
resultsEarly ANC was a mediating factor for health facility delivery (aOR=1.04; 95% CI=1.01-1.14) and EPNC (aOR=1.1; 95% CI=1.05-1.26). Increased odds of early ANC utilization was directly associated with: Adult women aged 35-49 (aOR=1.18; 95% CI=1.10-1.35), having completed primary seven (aOR=1.68; 95% CI=1.56-1.84); distance to a health facility (aOR=1.35; 95% CI=1.23-1.73) and costs (aOR=1.85; 95% CI=1.31-2.12) not being a problem, available community workers (aOR=1.06; 95% CI=1.04-1.17), pregnancy complications (aOR=2.04; 95% CI=1.85-2.26) and desire for pregnancy (aOR=1.15; 95% CI=1.07-1.36). Through early ANC utilization, being married (aOR=1.16; (=1.04*1.10)), no distance issues ((aOR=1.40; (=1.04*1.35)) and complications (aOR=2.12; (=1.04*2.04)) indirectly influenced utilization of health facility delivery. Women aged 20-34 (aOR=1.01; (=0.92*1.1)), completing primary seven (aOR=1.85; (=1.69*1.1)) and no cost problems (aOR=2.04; (=1.85*1.1)) indirectly influenced EPNC.
conclusionEarly antenatal care was a mediating factor for health facility delivery and EPNC; and hence, there is need for more focus on factors for increased early antenatal care utilization. Women with higher education and those with no cost problems were more likely to have early ANC utilization, skilled delivery and EPNC; therefore there is need to design and implement policies targeting social and economically disadvantaged women.
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