The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review
Open accessAbstract
Objectives: To identify the determinants of antenatal care (ANC) utilisation in sub-Saharan Africa. Design: Systematic review. Data sources: Databases searched were PubMed, OVID, EMBASE, CINAHL and Web of Science. Eligibility criteria: Primary studies reporting on determinants of ANC utilisation following multivariate analysis, conducted in sub-Saharan Africa and published in English language between 2008 and 2018. Data extraction and synthesis: A data extraction form was used to extract the following information: name of first author, year of publication, study location, study design, study subjects, sample size and determinants. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist for reporting a systematic review or meta-analysis protocol was used to guide the screening and eligibility of the studies. The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies was used to assess the quality of the studies while the Andersen framework was used to report findings. Results: 74 studies that met the inclusion criteria were fully assessed. Most studies identified socioeconomic status, urban residence, older/increasing age, low parity, being educated and having an educated partner, being employed, being married and Christian religion as predictors of ANC attendance and timeliness. Awareness of danger signs, timing and adequate number of antenatal visits, exposure to mass media and good attitude towards ANC utilisation made attendance and initiation of ANC in first trimester more likely. Having an unplanned pregnancy, previous pregnancy complications, poor autonomy, lack of husband’s support, increased distance to health facility, not having health insurance and high cost of services negatively impacted the overall uptake, timing and frequency of antenatal visits. Conclusion: A variety of predisposing, enabling and need factors affect ANC utilisation in sub-Saharan Africa. Intersectoral collaboration to promote female education and empowerment, improve geographical access and strengthened implementation of ANC policies with active community participation are recommended.
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Inequities and their determinants in coverage of maternal health services in Burkina Faso
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Cited by
Raru, T. B., Ayana, G. M., Zakaria, H. F., & Merga, B. T. (2022) · International Journal of Women's Health · doi:10.2147/ijwh.s350510 · Cited by 81
Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018
Duodu, P. A., Bayuo, J., Mensah, J. A., Aduse-Poku, L., Arthur-Holmes, F., Dzomeku, V. M., Dey, N. E. Y., Agbadi, P., & Nutor, J. J. (2022) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-022-04404-9 · Cited by 71
Yeneneh, A., Alemu, K., Dadi, A. F., & Alamirrew, A. (2018) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-018-1874-2 · Cited by 66
Simona, S., Lumamba, C., Moyo, F., Ng’andu, E., & Phiri, M. (2022) · doi:10.1101/2022.03.15.22272437 · Cited by 27
Metadata
- Authors
- Okedo-Alex, I. N., Akamike, I. C., Ezeanosike, O. B., & Uneke, C. J.
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2019-10
- Volume
- 9
- Issue
- 10
- Pages
- e031890
- ISSN
- 2044-6055 (ISSN-L)
- OpenAlex
- W2979808892
- Cited by
- 408
- References
- 13
- FWCI
- 12.87
- Type
- journal article
- Language
- en
- Open access
- gold
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