Centre For Gender and Advocacy, Takoradi Technical University, Takoradi, Ghana.
Department of Estate Management, Faculty of Built and Natural Environment, Takoradi Technical University, Takoradi, Ghana.
BMC Public Health. 2022 Jun 4;22(1):1118. doi: 10.1186/s12889-022-13306-6.
Type of occupation has been linked to early antenatal care visits whereby women in different occupation categories tend to have different timing for antenatal care visits. Different occupations require varying levels of commitment, remuneration and energy requirements. This study, therefore, sought to investigate the association between the type of occupation and early antenatal care visits in sub-Saharan Africa.
This is a secondary analysis of Demographic and Health Survey data from 29 countries in sub-Saharan Africa conducted between 2010 and 2018. The study included 131,912 working women. We employed binary logistic regression models to assess the association between type of occupation and timely initiation of antenatal care visits.
The overall prevalence of early initiation of antenatal care visits was 39.9%. Early antenatal care visit was high in Liberia (70.1%) but low in DR Congo (18.6%). We noted that compared to managerial workers, women in all other work categories had lower odds of early antenatal care visit and this was prominent among agricultural workers [aOR = 0.74, CI = 0.69, 0.79]. Women from Liberia [aOR = 3.14, CI = 2.84, 3.48] and Senegal [aOR = 2.55, CI = 2.31, 2.81] had higher tendency of early antenatal care visits compared with those from Angola.
The findings bring to bear some essential elements worth considering to enhance early antenatal care visits within sub-Saharan Africa irrespective of the type of occupation. Women in the agricultural industry need much attention in order to bridge the early antenatal care visit gap between them and workers of other sectors. A critical review of the maternal health service delivery in DR Congo is needed considering the low rate of early antenatal care visits.
职业类型与早期产前护理就诊有关，不同职业类别的女性往往有不同的产前护理就诊时间。不同的职业需要不同程度的承诺、薪酬和精力要求。因此，本研究旨在调查职业类型与撒哈拉以南非洲地区早期产前护理就诊之间的关系。
这是对 2010 年至 2018 年期间在撒哈拉以南非洲地区进行的 29 个国家的人口与健康调查数据的二次分析。该研究包括 131912 名在职妇女。我们采用二元逻辑回归模型评估职业类型与及时开始产前护理就诊之间的关联。
早期开始产前护理就诊的总体流行率为 39.9%。利比里亚的早期产前护理就诊率较高（70.1%），而刚果民主共和国较低（18.6%）。我们注意到，与管理工人相比，所有其他工作类别的女性进行早期产前护理就诊的可能性较低，而农业工人更为明显[比值比（aOR）=0.74，95%置信区间（CI）=0.69，0.79]。与安哥拉的女性相比，来自利比里亚（aOR=3.14，95%CI=2.84，3.48）和塞内加尔（aOR=2.55，95%CI=2.31，2.81）的女性更早开始产前护理就诊的可能性更高。
这些发现提出了一些值得考虑的基本要素，无论职业类型如何，都可以在撒哈拉以南非洲提高早期产前护理就诊率。农业行业的女性需要更多关注，以缩小她们与其他行业工人之间的早期产前护理就诊差距。鉴于早期产前护理就诊率较低，刚果民主共和国的孕产妇保健服务提供需要进行批判性审查。
