Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population based study

BMC Pregnancy and Childbirth
Akashi Andrew RurangirwaGunilla Krantz

Abstract

In Rwanda, a majority of pregnant women visit antenatal care (ANC) services, however not to the extent that is recommended. Association between socio-demographic or psychosocial factors and poor utilization of antenatal care services (≤2 visits during the course of pregnancy irrespective of the timing) among recently pregnant women in Rwanda were investigated. This population-based, cross sectional study included 921 women who gave birth within the past 13 months. Data was obtained using an interviewer-administered questionnaire. For the analyses, bi-and multivariable logistic regression was used and odds ratios were presented with their 95% confidence intervals. About 54% of pregnant women did not make the recommended four visits to ANC during pregnancy. The risk of poor utilization of ANC services was higher among women aged 31 years or older (AOR, 1.78; 95% CI: 1.14, 2.78), among single women (AOR, 2.99; 95% CI: 1.83, 4.75) and women with poor social support (AOR, 1.71; 95% CI: 1.09, 2.67). No significant associations were found for school attendance or household assets (proxy for socio-economic status) with poor utilization of ANC services. Older age, being single, divorced or widowed and poor social support were associated...Continue Reading

References

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Citations

Feb 20, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Sunday E AdajiOladapo S Shittu
Apr 29, 2018·Journal of Health, Population, and Nutrition·Regis HitimanaAnni-Maria Pulkki-Brännström
May 13, 2018·International Journal for Equity in Health·Takondwa MwaseManuela De Allegri
Oct 9, 2019·BMJ Open·Ijeoma Nkem Okedo-AlexChigozie Jesse Uneke
Apr 7, 2019·Health Research Policy and Systems·Regis HitimanaAnni-Maria Pulkki-Brännström
Nov 21, 2018·BMC Health Services Research·Akashi Andrew RurangirwaGunilla Krantz
Aug 9, 2020·International Journal of Reproductive Medicine·Sita ChhetriLaxmi Rajbanshi
Nov 14, 2020·International Journal of Environmental Research and Public Health·Ziad El-KhatibSanni Yaya
Jun 19, 2021·Journal of Multidisciplinary Healthcare·Melkalem Mamuye AzanawSofonyas Abebaw Tiruneh
Jul 27, 2021·Obstetrics and Gynecology International·Muhammad Haroon StanikzaiHadia Sayam

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Software Mentioned

Epi
Statistical Package of Social Sciences

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