ArticlePLOS global public health2022
Trends and determinants of late antenatal care initiation in three East African countries, 2007-2016: A population based cross-sectional analysis.
Article in PLOS global public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 19 citations in OpenAlex.
- Trial
- 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
- Bridging data gaps in pregnancy outcomes: a four-year review of gestational Age records and delivery trends in Kilimanjaro region, Tanzania.Frontiers in reproductive health · 2026Article
- Estimating due date in twin pregnancy by second- and third-trimester ultrasound.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025Article
- Delay in timing of first antenatal care utilisation among women of reproductive age in sub-Saharan Africa: a multilevel mixed effect analysis.Journal of health, population, and nutrition · 2025Article
- Unhealthy weight control behaviors and its determinants among female adolescents in Hawassa city, Sidama region, Ethiopia, 2023: school based study.Journal of eating disorders · 2025Article
- Trends and factors associated with delays in the first prenatal consultation in Guinea.Journal of public health in Africa · 2025Article
- Predicting delayed antenatal care initiation among pregnant women in East Africa: using machine learning algorithms.Frontiers in global women's health · 2025Article
- Article
- Understanding mother-to-child transmission of HIV among mothers engaged in HIV care in Kenya: a case report.International breastfeeding journal · 2024Article
- Factors Associated with Late Antenatal Initiation among Women in Malawi.International journal of environmental research and public health · 2024Article
- Knowledge, Attitudes, and Subjective Norms Associated with COVID-19 Vaccination among Pregnant Women in Kenya: An Online Cross-Sectional Pilot Study Using WhatsApp.International journal of environmental research and public health · 2024Article
- Extremely uncommon torsion and communicating ruptured rudimentary horn pregnancy at third trimester: A case report.SAGE open medical case reports · 2024Article
- Rudimentary horn pregnancy, a differential diagnosis of an intraabdominal pregnancy: a case report.Journal of medical case reports · 2023Article
- The magnitude and determinants of delayed initiation of antenatal care among pregnant women in Gambia; evidence from Gambia demographic and health survey data.BMC public health · 2023Article
- A mixed-method study examined the reasons why pregnant women late initiate antenatal care in Northeast Ethiopia.PloS one · 2023Article
- Predictors of Late Antenatal Care Initiation: A Multicentre Cross-Sectional Study in Ghana.SAGE open nursingArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Early antenatal care is critical for the mother and newborn's health. Antenatal care is often delayed in Sub-Saharan Africa. The study aims to examine the trends and determinants of late antenatal care initiation in the Democratic Republic of Congo, Kenya, and Tanzania from 2007-2016. The study employed Demographic Health Surveys data of reproductive-age women seeking antenatal care in the Democratic Republic of Congo (2007-2013/14), Kenya (2008-2014), and Tanzania (2010-2015/16). Bivariate and multivariate analysis was conducted per survey, taking sampling weights into account. The determinants of late antenatal care initiation were measured using multivariate logistic regression models and the trends were assessed using prediction scores. Late antenatal care initiation declined in Tanzania (60.9%-49.8%) and Kenya (67.8%-60.5%) but increased in the Democratic Republic of Congo (56.8%-61.0%) between surveys. In the Democratic Republic of Congo, higher birth order was associated with antenatal care initiation delays from 2007-2014, whilst rural residency (AOR:1.28;95%CI:1.09-1.52), lower maternal education (AOR:1.29;95%CI:1.13-1.47) and lower-income households (AOR:1.30;95%CI:1.08-1.55) were linked to antenatal care initiation delays in 2014. In Kenya, lower maternal education and lower-income households were associated with antenatal care initiation delays from 2008-2014, whilst rural residency (AOR:1.24;95%CI:1.11-1.38) and increased birth order (AOR:1.12; 95%CI:1.01-1.28) were linked to antenatal care initiation delays in 2014. In Tanzania, higher birth order and larger households were linked to antenatal care initiation delays from 2010-2016, whilst antenatal care initiation delays were associated with lower maternal education (OR:1.51;95%CI:1.16-1.97) in 2010 and lower-income households (OR:1.45;95%CI:1.20-1.72) in 2016. Except for the Democratic Republic of Congo, the sub-region is making progress in reducing antenatal care delays. Women from various geographic, educational, parity, and economic groups exhibited varying levels of delayed antenatal care uptake. Increasing women's access to information platforms and strengthening initiatives that enhance female education, household incomes, and localise services may enhance early antenatal care utilisation.
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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.