Determinant of Delayed Antenatal Initiation among Pregnant Women in Northern Nigeria
Author(s)
Awe O.T , Ogunsakin A.D , Jayeoba B.K ,
Download Full PDF Pages: 84-91 | Views: 30 | Downloads: 11 | DOI: 10.5281/zenodo.17011898
Abstract
Delayed initiation of antenatal care (ANC) is associated with increased maternal mortality and pregnancy-related complications. This study examines the prevalence and predictors of delayed antenatal care (ANC) among women in Northern Nigeria, utilizing data from the 2018 Nigeria Demographic and Health Survey (NDHS), specifically the women's individual recode. Data analysis was conducted using Stata 14.0 at univariate, bivariate, and multivariate levels.
Univariate analysis revealed that 81.54% of pregnant women delayed initiating ANC beyond the first trimester. Bivariate analysis using Pearson’s chi-square (χ²) test identified significant relationships between delayed ANC and several predictors: women's education level [χ²=148.88, p<0.05], religion [χ²=341.23, p<0.05], wealth index [χ²=60.42, p<0.05], partner’s education [χ²=76.28, p<0.05], region [χ²=345.79, p<0.05], and husband's desire for more children [χ²=75.50, p=0.05].
Multivariate logistic regression revealed that women with lower educational levels had higher odds of delayed ANC (OR = 0.76). Regional differences were notable: women in the Northeast (OR=1.56) and Northwest (OR=2.18) were more likely to delay ANC than those in North Central. Additionally, husbands desiring more children were associated with delayed ANC (OR=1.48).
The findings underscore the need for targeted interventions, including community-based health education and improved maternal healthcare access. Raising awareness on the importance of early ANC aligns with Sustainable Development Goal 3, which aims to ensure healthy lives and promote well-being for all at all ages, thereby contributing to reductions in maternal and child mortality
Keywords
Delayed, Antenatal Care, Pregnant Women, Northern Nigeria
References
Adugnaw Z., Yigizie Z., Alamneh M., Getayeneh A., Tesfa S., Musganaw G., Achaneteh B. and Zemenu T. (2022). Timely initiation of antenatal care and its associated factors among pregnant women in sub-Saharan Africa. A multicountry analysis of Demography and Health Surveys. doi: 10.1371/journal.pone.0262411.
Alfred K. M., Albert A., John W., and Margaret G. (2020). Factors associated with the timing of antenatal clinic attendance among first-time mothers in rural southern Ghana. bmcpregnancy childbirth. biomed central. Com/articles/10.1186/512884-020-2738-0.
Bayisa D., Miressa B., Tanku D., Eshetu R., Habtamu B., shamble N. and Eyobel A. (2024). Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at Hiwot Fana Comprehensive Specialized Hospital, Easter Ethiopia; A cross sectional study. 10.3389/fgwh.2024.1431876.
Emmanuel O. A., Asa A., Mary A., Aaran A. P., Victory O., Yun Z. and Vishnu K. (2024). Antenatal care utilization in Nigeria; assessing disparities between rural and urban areas; analysis of the 2018 Nigeria Demographic Health Survey. https//doi.org/10.1101/202401.2424301729.
World Health Organization (2016).