Evidence map›Paper›PMID 37524555›Full record

ArticleBMJ open2023

Factors associated with first antenatal care (ANC) attendance within 12 weeks of pregnancy among women in Lira City, Northern Uganda: a facility-based cross-sectional study.

Walter Acup, Marc Sam Opollo, Betty Nancy Akullo, Marvin Musinguzi, Eustes Kigongo, Bosco Opio, Amir Kabunga

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Walter AcupDepartment of Community Health, Lira University, Lira, Uganda walteraacup@gmail.com.ORCID 0000-0002-6222-3598
Marc Sam OpolloDepartment of Community Health, Lira University, Lira, Uganda.
Betty Nancy AkulloDepartment of Community Health, Lira University, Lira, Uganda.
Marvin MusinguziDepartment of Community Health, Lira University, Lira, Uganda.
Eustes KigongoDepartment of Environmental Health and Disease Control, Lira University, Lira, Uganda.ORCID 0000-0001-9748-693X
Bosco OpioDepartment of Epidemiology and Biostatistics, Lira University, Lira, Uganda.
Amir KabungaDepartment of Psychiatry, Lira University, Lira, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed at assessing factors associated with first antenatal care (ANC) attendance within 12 weeks of pregnancy among women in Lira City.

designA cross-sectional study. SETTINGS: The study was conducted in health facilities offering ANC services in Lira City, Northern Uganda.

participantsThe study was among 368 pregnant mothers attending their first ANC in the three selected facilities (Lira Regional Referral Hospital, Ober Health Center IV and Pentecostal Assembly of God Mission Health Center IV) in Lira City. PRIMARY AND SECONDARY OUTCOME MEASURES: Level of first ANC attendance within 12 weeks of pregnancy and associated factors.

resultsEarly ANC attendance was 36.1%. Women who were: unmarried (adjusted OR (aOR): 0.40, 95% CI: 0.16 to 0.99), took >2 hours to reach a health facility (aOR: 0.21, 95% CI: 0.07 to 0.62), or not visited by village health teams or healthcare workers at home (aOR: 0.33, 95% CI: 0.12 to 0.92) were less likely to attend their first ANC early. On the other hand, women who were: not knowing first that ANC guides parents on infant care (aOR: 2.22, 95% CI: 1.06 to 4.67); pregnant without consent of spouse (aOR: 4.29, 95% CI: 1.75 to 10.55); attending ANC from a private facility (aOR: 2.89, 95% CI: 1.27 to 6.15); and having two to three healthcare workers present at the ANC clinic (aOR: 1.79, 95% CI: 1.03 to 3.13) were more likely to attend ANC early.

conclusionsDespite the fact that the WHO recommends that all women begin ANC within 12 weeks after conception, Lira City in Northern Uganda had a low overall incidence of timely ANC initiation. Being unmarried, distance to reach a health facility, and being visited by village health teams or healthcare workers at home were all linked to timely ANC commencement. As a result, intervention efforts should concentrate on the highlighted determinants in order to promote ANC initiation in Lira City, Northern Uganda. This can be accomplished by providing information and education to the community on the timing and necessity of ANC in Northern Uganda.

Indexed as

Ambulatory Care FacilitiesPrenatal CareCross-Sectional StudiesEducational StatusFemaleHumansPatient Acceptance of Health CarePregnancyUgandaHealth Services AccessibilityMaternal medicineReproductive medicine

Identifiers

PMID37524555
PMCPMC10391812

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.