Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
Department of Health Systems and Policy, University of Gondar, Gondar, Ethiopia
BMJ Open. 2022 Mar 10;12(3):e049379. doi: 10.1136/bmjopen-2021-049379.
To reduce maternal mortality, the WHO has been introducing several antenatal care (ANC) measures. Pregnancy-related preventable morbidity and mortality, on the other hand, remain alarmingly high. This study was conducted to estimate the magnitude and the factors associated with eight or more ANC visits in sub-Saharan Africa.
A population-based, cross-sectional investigation was conducted.
Sub-Saharan African countries.
A total of 300 575 women from recent Demographic and Health Surveys (DHS) conducted in 36 sub-Saharan African countries from 2006 to 2018 were included in this study.
The data were sourced from sub-Saharan African countries' recent DHS data set from 2006 to 2018. A multilevel logistic regression model was fitted to identify factors associated with ANC use. Adjusted OR, with 95% CI and a p value of less than 0.05, was employed to determine parameters linked to ANC use.
The pooled magnitude of eight or more ANC visits in sub-Saharan African countries was 6.8% (95% CI 6.7% to 6.9%). Residence, maternal education, husband's education, maternal occupation, wealth index, media exposure, contraceptive use and desired pregnancy were all positively associated with eight or more ANC visits in the multilevel logistic regression analysis, whereas birth order was negatively associated with eight or more ANC visits.
Compliance with the WHO guidelines on the minimum number of ANC contacts in sub-Saharan Africa is poor. We recommend that mother and child health programmes review existing policies and develop new policies to adopt, execute and address the obstacles to maintaining the WHO-recommended minimum of eight ANC interactions. Women's education, economic position, media exposure and family planning uptake should be prioritised and improved. Urgent intervention is required to meet the minimum of eight ANC contacts in sub-Saharan Africa.
为了降低孕产妇死亡率，世界卫生组织一直在推行几项产前保健（ANC）措施。然而，与妊娠相关的可预防发病率和死亡率仍然高得惊人。本研究旨在评估撒哈拉以南非洲地区进行 8 次或更多 ANC 检查的规模和相关因素。
这是一项基于人群的横断面调查。
撒哈拉以南非洲国家。
本研究共纳入了 2006 年至 2018 年期间在 36 个撒哈拉以南非洲国家进行的最近的人口与健康调查（DHS）中的 300575 名妇女。
数据来自撒哈拉以南非洲国家最近的 DHS 数据集，时间范围为 2006 年至 2018 年。使用多水平逻辑回归模型来确定与 ANC 使用相关的因素。使用调整后的比值比（OR）、95%置信区间（CI）和 P 值<0.05 来确定与 ANC 使用相关的参数。
撒哈拉以南非洲国家进行 8 次或更多 ANC 检查的总体比例为 6.8%（95%CI 6.7%至 6.9%）。居住地、母亲教育程度、丈夫教育程度、母亲职业、财富指数、媒体接触、避孕措施和期望怀孕在多水平逻辑回归分析中均与进行 8 次或更多 ANC 检查呈正相关，而出生顺序则与进行 8 次或更多 ANC 检查呈负相关。
撒哈拉以南非洲地区遵循世界卫生组织关于最低 ANC 接触次数指南的情况不佳。我们建议母婴健康计划审查现有政策，并制定新政策，以采取、执行并解决维持世界卫生组织建议的最少 8 次 ANC 互动的障碍。应优先考虑并改善妇女教育、经济地位、媒体接触和计划生育的普及。迫切需要采取干预措施，以满足撒哈拉以南非洲地区最少 8 次 ANC 接触的要求。
