Badolo Hermann, Bado Aristide Romaric, Bazié Herman, Bacyé Yisso Fidèle, Konseiga Romaine, Hien Hervé
Institut national de santé publique, Ouagadougou, Burkina Faso.
IRSS, Centre national de la recherche scientifique et technologique, Ouagadougou, Burkina Faso.
Front Public Health. 2025 Apr 16;13:1526255. doi: 10.3389/fpubh.2025.1526255. eCollection 2025.
Antenatal care (ANC) is a critical determinant of maternal and infant wellbeing and is a reliable method for reducing maternal and infant mortality. Antenatal care use is considered adequate when the first ANC takes place in the first trimester and the woman completes at least four ANC in accordance with WHO recommendations during her pregnancy. Despite the increasing of the proportion of women having completed at least four ANC in Burkina Faso, the data show that WHO recommendations are far from being respected. This study aimed to determine the evolution of individual, family and community factors associated with the adequate use of ANC in Burkina Faso between 2010 and 2021.
The data used in this study is procured from the Demographic and Health Surveys carried out in Burkina Faso in 2010 and 2021. Binary logistic regression analysis was used to analyze factors associated with the use of antenatal care. Adjusted odds ratios (AOR) were estimated to assess the strength of associations, and 95% confidence intervals were used for significance testing. A proportion test was used to examine differences in ANC utilization between 2010 and 2021 in Burkina Faso.
In our study sample, 22.92% (95% CI: 22.11-23.74) of the respondents in 2010 had adequate ANC use, compared to 46.34% (95% CI: 45.12-47.58) in 2021. The results demonstrate the influence of the woman's individual characteristics, the household and the community characteristics on the adequate ANC use in Burkina Faso. Regarding the woman's individual characteristics, age, educational level, marital status, occupation and modern contraceptive methods use were significantly associated with adequate ANC use in 2010 and 2021. The household wellbeing quintile, the degree of exposure to the media and the region of residence were significantly associated with adequate antenatal care use in 2010 and 2021.
This study notes that Burkina Faso has made enormous progress in improving the coverage of antenatal care between 2010 and 2021, and indicates several factors including individual, family and community factors influencing adequate ANC use. For optimal efficacy, interventions promoting the adoption of antenatal care services must take these outcomes into account.
产前保健是母婴健康的关键决定因素，也是降低母婴死亡率的可靠方法。如果首次产前保健在孕早期进行，并且孕妇在孕期按照世界卫生组织的建议至少完成四次产前保健，则认为产前保健的利用是充分的。尽管布基纳法索完成至少四次产前保健的妇女比例有所增加，但数据显示，世界卫生组织的建议远未得到遵守。本研究旨在确定2010年至2021年期间布基纳法索与充分利用产前保健相关的个人、家庭和社区因素的变化情况。
本研究使用的数据来自2010年和2021年在布基纳法索进行的人口与健康调查。采用二元逻辑回归分析来分析与产前保健利用相关的因素。估计调整后的优势比（AOR）以评估关联强度，并使用95%置信区间进行显著性检验。使用比例检验来研究2010年和2021年布基纳法索产前保健利用情况的差异。
在我们的研究样本中，2010年有22.92%（95%置信区间：22.11-23.74）的受访者充分利用了产前保健，而2021年这一比例为46.34%（95%置信区间：45.12-47.58）。结果表明，妇女的个人特征、家庭和社区特征对布基纳法索充分利用产前保健有影响。关于妇女的个人特征，年龄、教育水平、婚姻状况、职业和现代避孕方法的使用在2010年和2021年与充分利用产前保健显著相关。家庭福利五分位数、媒体曝光程度和居住地区在2010年和2021年与充分利用产前保健显著相关。
本研究指出，布基纳法索在2010年至2021年期间在提高产前保健覆盖率方面取得了巨大进展，并指出了包括个人、家庭和社区因素在内的几个影响充分利用产前保健的因素。为了达到最佳效果，促进采用产前保健服务的干预措施必须考虑这些结果。
