Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey

PloS One
Emmanuel Olorunleke AdewuyiYun Zhao

Abstract

Antenatal care (ANC) is a major public health intervention aimed at ensuring safe pregnancy outcomes. In Nigeria, the recommended minimum of four times ANC attendance is underutilized. This study investigates the prevalence and factors associated with underutilization of ANC services with a focus on the differences between rural and urban residences in Nigeria. We analyzed the 2013 Nigeria Demographic and Health Survey dataset with adjustment for the sampling weight and the cluster design of the survey. The prevalence of underutilization of ANC was assessed using frequency tabulation while associated factors were examined using Chi-Square test and multivariable logistic regression analysis. The prevalence of underutilization of ANC was 46.5% in Nigeria, 61.1% in rural residence and 22.4% in urban residence. The North-West region had the highest prevalence of ANC underuse in Nigeria at 69.3%, 76.6% and 44.8% for the overall, rural and urban residences respectively. Factors associated with greater odds of ANC underuse in rural residence were maternal non-working status, birth interval < 24 months, single birth type, not listening to radio at all, lack of companionship to health facility and not getting money for health services. ...Continue Reading

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Citations

Sep 22, 2019·Medicina·Dušanka KrajnovićNataša Bogavac-Stanojević
Dec 7, 2019·BMC Pregnancy and Childbirth·James OrwaMarleen Temmerman
Feb 14, 2020·PloS One·Agung Dwi LaksonoRatna Dwi Wulandari
Oct 9, 2019·BMJ Open·Ijeoma Nkem Okedo-AlexChigozie Jesse Uneke
Aug 25, 2020·BMC Health Services Research·Donghua ZhouShangfeng Tang
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Dec 11, 2020·Risk Management and Healthcare Policy·Michael Amera TizazuAsalif Beyene Haile
Jan 17, 2021·International Journal of Environmental Research and Public Health·Jamie RobermanOyelola A Adegboye
Mar 28, 2021·BMC Pregnancy and Childbirth·Li LinVivian Yawei Guo
Aug 3, 2021·Health Care for Women International·Collins Ejakhianghe Maximilian Okoror, Vivian Ossaidiom Omuemu
Nov 5, 2021·PloS One·Obasanjo Afolabi BolarinwaBright Opoku Ahinkorah
Jan 16, 2022·BMC Pregnancy and Childbirth·Assaye BelayWegayehu Enbeyle

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Software Mentioned

MEASURE
Statistical Package for Social Sciences ( SPSS )

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