ArticleArchives of public health = Archives belges de sante publique2024
Factors associated with timely initiation of antenatal care among reproductive age women in The Gambia: a multilevel fixed effects analysis.
Article in Archives of public health = Archives belges de sante publique, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
- Factors Influencing Timing of First Antenatal Care Visit Among Bangladeshi Women: Application of Accelerated Failure Time Models Using Demographic Health Survey 2022.Health science reports · 2026Article
- Maternal factors associated with antenatal care attendance: Nationally representative cross-sectional survey in Mexico.Journal of family medicine and primary care · 2026Article
- Assessing the barriers to maternal, newborn and child health service utilization in internally displaced people (IDPs): a community-based cross-sectional study in Banadir, Somalia.Conflict and health · 2026Article
- Article
- Sociodemographic determinants and regional disparities of first-trimester antenatal care initiation among Nigerian women: a multilevel analysis of 2018 NDHS data.Frontiers in global women's health · 2025Article
- Timely initiation of new antenatal care contact model and its associated factors among pregnant women at Munessa health facilities, Ethiopia: a facility-based cross-sectional study.Frontiers in medicine · 2025Article
- More than just visits: Timing, frequency, and determinants of effective antenatal care in Bangladesh - BDHS 2007 to 2017-18.PloS one · 2025Article
- Timely Initiation of Antenatal Care and its Determinants Among Pregnant Women in Ethiopia: A Cross-Sectional Study.SAGE open nursingArticle
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10 authors.
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Abstract
backgroundA significant factor impacting the incidence of maternal and neonatal fatalities is the timely initiation of antenatal care (ANC) services in healthcare facilities. Despite the recommendations by the World Health Organization and the numerous benefits of timely initiation of ANC, studies have revealed that the overall prevalence of timely ANC initiation in 36 sub-Saharan African countries remains low and women in The Gambia also initiate ANC late. However, no known study in The Gambia has focused on assessing the factors associated with timely initiation of ANC at the time of writing this paper. Thus, this study aimed to assess the prevalence and factors associated with the timely initiation of ANC among reproductive-age women in The Gambia.
methodsA cross-sectional survey design was used in this study and conducted among 5,734 reproductive-age women using data from the 2019-2020 Gambia Demographic and Health Survey (GDHS). Using STATA version 14.0, we conducted the analysis using descriptive and inferential statistics. Multilevel logistic regression models were fitted to determine the factors associated with timely ANC utilization and adjusted odds ratios were used to present the results with statistical significance set at p < 0.05.
resultsThe overall prevalence of timely initiation of ANC services among reproductive-age women in The Gambia was 43.0%. We found that women aged 30-34 [aOR = 1.79, 95% CI = 1.30-2.47], those who were married [aOR = 2.69, 95% CI = 1.85-3.90] as well as women from the richest households [aOR = 1.63, 95% CI = 1.20, 2.20] had higher odds of seeking timely ANC services as compared to their counterparts. Also, those who had given birth to two children [aOR = 0.74, 95% CI = 0.6 -0.91] had lower odds of initiating timely ANC as compared to those who had given birth only once. Women who reside in rural areas [aOR = 1.72, 95%CI = 1.34, 2.20] also had higher odds of seeking timely ANC services than those residing in urban areas.
conclusionIndividual-level factors such as maternal age, marital status, parity, wealth status, place of residence, and religion were associated with the timely initiation of ANC services among reproductive-age women. These factors ought to be considered in efforts to increase the timely initiation of ANC among reproductive-age women in The Gambia.
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