ArticleBMJ open2022
Individual-level and community-level factors associated with eight or more antenatal care contacts in sub-Saharan Africa: evidence from 36 sub-Saharan African countries.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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34 citing papers in PubMed.
- Maternal health literacy among pregnant women attending antenatal care in Ghana: a cross-sectional study.Global epidemiology · 2026Article
- Adherence to the WHO Eight-Contact Antenatal Care Model and Associated Factors Among Postpartum Mothers in Sululta District, Ethiopia: A Cross-Sectional Study.Health science reports · 2026Article
- A multilevel modelling approach to understanding antenatal care utilisation in Uganda.BMC pregnancy and childbirth · 2026Article
- Article
- Maternal factors associated with inadequate antenatal contacts in the central hospital of Yaoundé, Cameroon.BMC pregnancy and childbirth · 2025Article
- Compliance with ≥ 8 antenatal care contacts and its associated factors among postnatal women attending public health facilities in Nekemte town, Western Ethiopia: a cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Article
- Inequalities in antenatal care service utilization in Nepal: evidence from nationally representative Nepal multiple indictor cluster surveys 2014 and 2019.BMC public health · 2025Article
- The association of women's empowerment dimensions and antenatal care utilization in Ethiopia; facility based cross-sectional study.BMC women's health · 2025Article
- Predicting delayed antenatal care initiation among pregnant women in East Africa: using machine learning algorithms.Frontiers in global women's health · 2025Article
- Antenatal care visits and associated factors in Senegal: a multilevel poisson regression analysis of the 2023 DHS survey.Frontiers in global women's health · 2025Article
- Spatial disparities of antenatal care utilization among pregnant women in sub-Saharan Africa-Bayesian geo-additive modelling approach.Frontiers in public health · 2025Article
- Prevalence and associated factors of eight antenatal care contacts among mothers who give birth in Shebel Berenta district, East Gojjam zone, northeast Ethiopia, 2024.Frontiers in reproductive health · 2025Article
- Article
- Inadequacy of antenatal care attendance and its determinants amongst pregnant women in Ethiopia based on the 2019 Mini-Ethiopian demographic health survey: secondary data analysis.BMC pregnancy and childbirth · 2024Article
- Multilevel and geographically weighted regression analysis of factors associated with full immunization among children aged 12-23 months in Ethiopia.Scientific reports · 2024Article
- Trends and inequalities in antenatal care coverage in Benin (2006-2017): an application of World Health Organization's Health Equity Assessment Toolkit.BMC health services research · 2024Article
- Only 9% of mothers have eight and more ANC visit in 14 sub-saharan African countries; evidence from the most recent DHS 2018-2023: a multilevel analysis.BMC public health · 2024Article
- 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
- Spatial-temporal patterns and predictors of timing and inadequate antenatal care utilization in Zambia: A Generalized Linear Mixed Model (GLMM) investigation from 1992 to 2018.PLOS global public health · 2024Article
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Abstract
objectiveTo reduce maternal mortality, the WHO has been introducing several antenatal care (ANC) measures. Pregnancy-related preventable morbidity and mortality, on the other hand, remain alarmingly high. This study was conducted to estimate the magnitude and the factors associated with eight or more ANC visits in sub-Saharan Africa.
designA population-based, cross-sectional investigation was conducted.
settingSub-Saharan African countries.
participantsA total of 300 575 women from recent Demographic and Health Surveys (DHS) conducted in 36 sub-Saharan African countries from 2006 to 2018 were included in this study.
methodsThe data were sourced from sub-Saharan African countries' recent DHS data set from 2006 to 2018. A multilevel logistic regression model was fitted to identify factors associated with ANC use. Adjusted OR, with 95% CI and a p value of less than 0.05, was employed to determine parameters linked to ANC use.
resultsThe pooled magnitude of eight or more ANC visits in sub-Saharan African countries was 6.8% (95% CI 6.7% to 6.9%). Residence, maternal education, husband's education, maternal occupation, wealth index, media exposure, contraceptive use and desired pregnancy were all positively associated with eight or more ANC visits in the multilevel logistic regression analysis, whereas birth order was negatively associated with eight or more ANC visits.
conclusionsCompliance with the WHO guidelines on the minimum number of ANC contacts in sub-Saharan Africa is poor. We recommend that mother and child health programmes review existing policies and develop new policies to adopt, execute and address the obstacles to maintaining the WHO-recommended minimum of eight ANC interactions. Women's education, economic position, media exposure and family planning uptake should be prioritised and improved. Urgent intervention is required to meet the minimum of eight ANC contacts in sub-Saharan Africa.
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