ArticleFrontiers in global women's health2025
Antenatal care visits and associated factors in Senegal: a multilevel poisson regression analysis of the 2023 DHS survey.
Article in Frontiers in global women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Correlates of antenatal care visits among expectant mothers in Malawi: application of generalised estimating equations and likelihood-based poisson and negative binomial mixed models.Reproductive health · 2026Article
- Determinants of adequate antenatal care for underage mothers in Indonesia: Urban-rural inequities.Journal of family & community medicineArticle
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12 authors.
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Abstract
Background: Maternal health is crucial for women's well-being during pregnancy, childbirth, and postpartum. Antenatal care (ANC) is essential for monitoring health and preventing complications, yet only 35.5% of women in low- and middle-income regions attend the recommended ANC visits. This study explores the socioeconomic and regional factors influencing ANC visits in Senegal. Methods: Data from the 2023 Senegal Demographic and Health Survey (DHS) on maternal health were analyzed. A stratified two-stage sampling design selected 400 enumeration areas, and 4,543 women aged 15-49 participated. Independent variables included age, education, wealth, healthcare access, and region. Multilevel Poisson regression in Stata 17 was used to assess factors affecting ANC visits, considering both individual and community-level variables to examine regional disparities and healthcare access. Results: Among the 4,543 women, 97.63% attended at least one ANC visit, but only 7.69% completed eight or more. Wealth, media access, education, and regional location significantly influenced ANC attendance. Women from middle-income households attended 6% more visits (AIRR: 1.06, 95% CI: 1.02-1.11), and those from wealthy households attended 8% more (AIRR: 1.08, 95% CI: 1.03-1.14). Women with media access attended 11% more visits (AIRR: 1.11, 95% CI: 1.06-1.15). Regional disparities were evident, with women in Thiès (AIRR: 0.80, 95% CI: 0.73-0.87), Matam (AIRR: 0.83, 95% CI: 0.75-0.92), and Kédougou (AIRR: 0.83, 95% CI: 0.75-0.91) attending fewer visits compared to those in Dakar. Conclusions: This study identifies significant socioeconomic and regional disparities in ANC utilization in Senegal. Wealth, education, media access, and regional location strongly influence ANC attendance. Targeted policies focusing on maternal health education, healthcare infrastructure, and financial support, particularly in underserved areas, are necessary to improve ANC access and maternal and child health outcomes.
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