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Realized Access to Antenatal Care Utilization in Uganda: Household Welfare and Governance Implications

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  • Okumu, Ibrahim Mike
  • Bbaale, Edward

Abstract

This study explores into realized access to antenatal care utilisation in Uganda. This emanates from the fact that access to antenatal care is still a national nemesis, (National Service Delivery Survey Report, 2005). In Uganda, the Ministry of Health (MoH) recommends that a pregnant woman should attend antenatal care at least four times during pregnancy. Also she should attend antenatal care monthly during the first seven months, every two weeks in the eighth month, then weekly until birth. On the whole however, 42 percent of expecting women sought for antenatal care at least four times during pregnancy, 52 percent of them one to three visits which of course is below the MoH recommendation while six percent did not seek care at all, (Uganda Demographic Household Survey, 2000/2001). This clearly indicates the under utilization of antenatal care; with such a state of affairs, no wonder Uganda’s maternal mortality rate of 505 per 100,000 live births is high given the Millennium Development Goals maternal mortality rate target of 131 per 100,000 live births by 2015 (UNDP, 2007). Against that background, this study sought to establish the factors which determine realized access to antenatal care. More importantly the paper unearths the interaction between realised access to antenatal care, governance and household welfare. The study unearthed that both governance and household welfare to a great extent explain antenatal care utilisation.

Suggested Citation

  • Okumu, Ibrahim Mike & Bbaale, Edward, 2016. "Realized Access to Antenatal Care Utilization in Uganda: Household Welfare and Governance Implications," African Journal of Economic Review, African Journal of Economic Review, vol. 4(2), July.
    • Handle: RePEc:ags:afjecr:264434
    DOI: 10.22004/ag.econ.264434
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    References listed on IDEAS

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    1. Evans, R.G. & Stoddart, G.L., 1990. "Producing Health, Consuming Health Care," Centre for Health Services and Policy Research 90:13r, University of British Columbia - Centre for Health Services and Policy Research..
    2. Ssewanyana, Sarah & Nabyonga, Juliet O. & Kasirye, Ibrahim & Lawson, David, 2004. "Demand for Health Care Services in Uganda: Implications for Poverty Reduction," Research Series 150529, Economic Policy Research Centre (EPRC).
    3. Evans, Robert G. & Stoddart, Gregory L., 1990. "Producing health, consuming health care," Social Science & Medicine, Elsevier, vol. 31(12), pages 1347-1363, January.
    4. Stephen Birch & John Eyles & K. Bruce Newbold, 1993. "Equitable access to health care: Methodological extensions to the analysis of physician utilization in Canada," Health Economics, John Wiley & Sons, Ltd., vol. 2(2), pages 87-101, July.
    5. R Evans & G Stoddart, 1990. "Producing Health, Consuming Health Care," Centre for Health Economics and Policy Analysis Working Paper Series 1990-06, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
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