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Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey

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  • Emmanuel Olorunleke Adewuyi
  • Asa Auta
  • Vishnu Khanal
  • Olasunkanmi David Bamidele
  • Cynthia Pomaa Akuoko
  • Kazeem Adefemi
  • Samson Joseph Tapshak
  • Yun Zhao

Abstract

Introduction: Antenatal care (ANC) is a major public health intervention aimed at ensuring safe pregnancy outcomes. In Nigeria, the recommended minimum of four times ANC attendance is underutilized. This study investigates the prevalence and factors associated with underutilization of ANC services with a focus on the differences between rural and urban residences in Nigeria. Methods: We analyzed the 2013 Nigeria Demographic and Health Survey dataset with adjustment for the sampling weight and the cluster design of the survey. The prevalence of underutilization of ANC was assessed using frequency tabulation while associated factors were examined using Chi-Square test and multivariable logistic regression analysis. Results: The prevalence of underutilization of ANC was 46.5% in Nigeria, 61.1% in rural residence and 22.4% in urban residence. The North-West region had the highest prevalence of ANC underuse in Nigeria at 69.3%, 76.6% and 44.8% for the overall, rural and urban residences respectively. Factors associated with greater odds of ANC underuse in rural residence were maternal non-working status, birth interval

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  • Emmanuel Olorunleke Adewuyi & Asa Auta & Vishnu Khanal & Olasunkanmi David Bamidele & Cynthia Pomaa Akuoko & Kazeem Adefemi & Samson Joseph Tapshak & Yun Zhao, 2018. "Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-21, May.
    • Handle: RePEc:plo:pone00:0197324
    DOI: 10.1371/journal.pone.0197324
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    References listed on IDEAS

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    1. Ahmad Reza Hosseinpoor & Nicole Bergen & Theadora Koller & Amit Prasad & Anne Schlotheuber & Nicole Valentine & John Lynch & Jeanette Vega, 2014. "Equity-Oriented Monitoring in the Context of Universal Health Coverage," PLOS Medicine, Public Library of Science, vol. 11(9), pages 1-9, September.
    2. Maine, D. & Rosenfield, A., 1999. "The safe motherhood initiative: Why has it stalled?," American Journal of Public Health, American Public Health Association, vol. 89(4), pages 480-482.
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    1. Debayan Pakrashi & Surya Nath Maiti & Sarani Saha, 2022. "Caste, Awareness and Inequality in Access to Maternal and Child Health Programs: Evidence From India," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 163(3), pages 1301-1321, October.
    2. Jamie Roberman & Theophilus I. Emeto & Oyelola A. Adegboye, 2021. "Adverse Birth Outcomes Due to Exposure to Household Air Pollution from Unclean Cooking Fuel among Women of Reproductive Age in Nigeria," IJERPH, MDPI, vol. 18(2), pages 1-15, January.
    3. Esther Awazzi Envuladu & Abukari Ibrahim Issaka & Mansi Vijaybhai Dhami & Biniyam Sahiledengle & Kingsley Emwinyore Agho, 2023. "Differential Associated Factors for Inadequate Receipt of Components and Non-Use of Antenatal Care Services among Adolescent, Young, and Older Women in Nigeria," IJERPH, MDPI, vol. 20(5), pages 1-16, February.
    4. Tesfalidet Tekelab & Catherine Chojenta & Roger Smith & Deborah Loxton, 2019. "Factors affecting utilization of antenatal care in Ethiopia: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-24, April.
    5. Yemi Adewoyin & Clifford O. Odimegwu & Olatunji Alabi & Joshua O. Akinyemi & Olusola A. Omisakin, 2022. "Intimate partner violence and the spatial pattern of maternal healthcare services utilization among parous married women in northern Nigeria," Journal of Population Research, Springer, vol. 39(4), pages 617-636, December.

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