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Patterns and Predictors of Insufficient Antenatal Care Utilization in Nigeria over a Decade: A Pooled Data Analysis Using Demographic and Health Surveys

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  • Ziad El-Khatib

    (Department of Global Public Health, Karolinska Institutet, 171 77 Stockholm, Sweden
    World Health Programme, Université du Québec en Abitibi-Témiscamingue (UQAT), Québec, QC J9X 5E4, Canada)

  • Emmanuel Kolawole Odusina

    (Department of Demography and Social Statistics, Faculty of Social Sciences, Federal University Oye Ekiti, Oye-Ekiti, Ekiti State, Nigeria)

  • Bishwajit Ghose

    (School of International Development and Global Studies, University of Ottawa, Ottawa, ON K1N 6N5, Canada)

  • Sanni Yaya

    (School of International Development and Global Studies, University of Ottawa, Ottawa, ON K1N 6N5, Canada
    The George Institute for Global Health, Imperial College London, London SW7 2AZ, UK)

Abstract

This study investigated the patterns of antenatal care (ANC) utilization and insufficient use of ANC as well as its association with some proximate socio-demographic factors. This was a cross-sectional study using pooled data Nigeria Demographic and Health Surveys from years 2008, 2013 and 2018. Participants were 52,654 women of reproductive age who reported at least one birth in the five years preceding the surveys. The outcome variables were late attendance, first contact after first trimester and less than four antenatal visits using multivariable logistic regression analysis. The overall prevalence of late timing was 74.8% and that of insufficient ANC visits was 46.7%. In the multivariable regression analysis; type of residency, geo-political region, educational level, household size, use of contraceptives, distance to health service, exposure to the media and total number of children were found to be significantly associated with both late and insufficient ANC attendance. About half of the pregnant women failed to meet the recommendation of four ANC visits. Investing on programs to improve women’s socio-economic status, addressing the inequities between urban and rural areas of Nigeria in regard to service utilization, and controlling higher fertility rates may facilitate the promotion of ANC service utilization in Nigeria.

Suggested Citation

  • Ziad El-Khatib & Emmanuel Kolawole Odusina & Bishwajit Ghose & Sanni Yaya, 2020. "Patterns and Predictors of Insufficient Antenatal Care Utilization in Nigeria over a Decade: A Pooled Data Analysis Using Demographic and Health Surveys," IJERPH, MDPI, vol. 17(21), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8261-:d:441959
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    References listed on IDEAS

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    1. Sanni Yaya & Ghose Bishwajit & Michael Ekholuenetale & Vaibhav Shah & Bernard Kadio & Ogochukwu Udenigwe, 2017. "Timing and adequate attendance of antenatal care visits among women in Ethiopia," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-16, September.
    2. Felix Akpojene Ogbo & Mansi Vijaybhai Dhami & Ebere Maureen Ude & Praween Senanayake & Uchechukwu L. Osuagwu & Akorede O. Awosemo & Pascal Ogeleka & Blessing Jaka Akombi & Osita Kingsley Ezeh & Kingsl, 2019. "Enablers and Barriers to the Utilization of Antenatal Care Services in India," IJERPH, MDPI, vol. 16(17), pages 1-14, August.
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    1. Bisrat Misganaw Geremew & Yitbarek Fantahun Mariye & Daniel Gashaneh Belay & Hiwot Tezera Endale & Fana Kinfe Gebreegziabher & Habtu Kifle Negash, 2024. "Number of antenatal care utilization and associated factors among pregnant women in rural Ethiopia: Zero-inflated Poisson regression of 2019 intermediate Ethiopian Demography Health Survey," PLOS ONE, Public Library of Science, vol. 19(11), pages 1-16, November.
    2. Emmanuel O Adewuyi & Asa Auta & Mary I Adewuyi & Aaron Akpu Philip & Victory Olutuase & Yun Zhao & Vishnu Khanal, 2024. "Antenatal care utilisation and receipt of its components in Nigeria: Assessing disparities between rural and urban areas—A nationwide population-based study," PLOS ONE, Public Library of Science, vol. 19(7), pages 1-27, July.

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