ArticleThe Pan African medical journal2026
Utilisation of eight antenatal care contacts among adolescent and adult mothers at a referral hospital in Western Kenya: a comparative cross-sectional study.
Article in The Pan African medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Utilisation of eight antenatal care contacts among adolescent and adult mothers at a referral hospital in Western Kenya: a comparative cross-sectional study.The Pan African medical journal · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: the World Health Organization (WHO) recommends eight antenatal care (ANC) contacts. Kenya adopted this new model in 2022, yet adherence remains low. This study investigated factors influencing the frequency of eight ANC contacts among adolescent and adult mothers in Kenya, using Andersen and Newman's Behavioural Model for Health Services Utilisation. Methods: we conducted a comparative analytical cross-sectional study at Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH), Kisumu, Kenya, involving a stratified sample of 73 adolescents and 219 adult mothers. We collected data using a questionnaire and the Mother and Child Health Handbook. We used descriptive statistics, the Mann-Whitney U test, chi-square test and multivariable logistic regression analysis. Results: adolescent mothers were less likely to have insurance coverage (74%) compared to adult mothers (90.9%) (p = 0.001) and reported distance to the ANC facility as a barrier (42.5%, p = 0.016). Adherence to eight contacts was low (10.5% for adult mothers and 8.2% for adolescent mothers), with median ANC contacts of 5.00 IQR 3-6 and 4.00 IQR 3-5.5, respectively. Mothers with high-risk pregnancies (AOR = 2.3281, 95% CI: 1.469-3.908, p = 0.005) were more likely to complete eight ANC contacts. Conclusion: the low adherence rates highlight a key gap in care for non-high-risk pregnancies, whose low compliance appears driven by a reduced perceived need. Health systems must revise antenatal clinical pathways to increase the perceived value of frequent contacts for all mothers and integrate financial support, such as health insurance enrolment, to address economic barriers, especially for adolescents.
Indexed as
Identifiers
What OpenQuestion holds
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.