Determinants of Utilization and Quality of Antenatal Care Services in Lubumbashi, in the Democratic Republic of the Congo
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Published:2022-04-06
Issue:
Volume:17
Page:2
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ISSN:
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Container-title:Global Journal of Medical, Pharmaceutical, and Biomedical Update
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language:en
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Short-container-title:GJMPBU
Author:
Mpoy Charles Wembonyama1, Katembo Barry Mukwarari2, Ndomba Mathieu Mavu1, Mishika Patricia Lukusa3, Missumba Willy Kakozi2, Mukuku Olivier4, Wembonyama Stanislas Okitotsho5
Affiliation:
1. Department of Obstetrics and Gynecology, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo 2. Department of Epidemiology, School of Public Health, University of Goma, Goma, Democratic Republic of the Congo 3. Department of Maternal and Child Health, School of Public Health, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo 4. Department of Maternal and Child Health, Institut Supérieur des Techniques Médicales de Lubumbashi, Lubumbashi, Democratic Republic of the Congo, 5. Department of Pedicatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo,
Abstract
Objectives:
Maternal and perinatal mortality is one of the best indicators of a society’s health status and development level. In the Democratic Republic of the Congo, antenatal care (ANC) utilization is generally low, and delayed initiation of care is very common. It is in this context that the present study on the utilization and quality of ANC carried out among women in Lubumbashi city aimed to identify determinants of the utilization and quality of ANC services.
Material and Methods:
This was a cross-sectional study conducted in Lubumbashi, relating to 1472 women who had given birth during the 12 months preceding the survey, selected by cluster sampling. Logistic regression was used to identify the relative effects of socio-demographic risk factors and all statistical tests were declared significant at a P < 0.05.
Results:
One tenth (10.5%) of the women in the sample did not attend ANC during their most recent pregnancy and 89.5% had attended ANC at least once. Of the 1318 women with at least one ANC visit, 55.9% had an early initiation of ANC and 53.2% received high quality ANC. Women aged 20–29 years (adjusted odds ratios [aOR] = 2.8 [1.6–5.1]), 30–39 years (aOR = 4.3 [2.1–8.9]) and ≥40 years (aOR = 6.5 [2.6–16.2]), married women (aOR = 1.9 [1.1–3.2]), women with secondary educational level (aOR = 4.9 [3.4–7.2]), and women with higher educational level (aOR = 15.3 [5.3–43.8]) were more likely to have at least one ANC during their pregnancy. Factors contributing to attend four or more ANC visits were secondary educational level (aOR = 1.4 [1.0–2.0]) and higher educational level (aOR = 1.9 [1.2–2.9]), primiparity (aOR = 1.5 [1.1–2.1]), and doing business activities (aOR = 1.4 [1.0–1.8]). Determinant of early initiation ANC was only the higher educational level (aOR = 2.2 [1.4–3.4]). Factors associated with high quality ANC were secondary educational level (aOR = 3.0 [2.1–4.3]) and higher educational level (aOR = 6.2 [3.8–9.9]), and receiving ANCs in a general referral hospital (aOR = 1.5 [1.2–2.0]).
Conclusion:
The use and quality of ANC services remain a serious problem in Lubumbashi city. This situation hampers the achievement of maternal and child health goals. Health education can help reduce this in our context.
Publisher
Scientific Scholar
Subject
Earth-Surface Processes,Soil Science,Agronomy and Crop Science,Soil Science,Aquatic Science,Soil Science,Microbiology,Soil Science,Geotechnical Engineering and Engineering Geology,Civil and Structural Engineering,General Energy,Soil Science,Ocean Engineering,Geotechnical Engineering and Engineering Geology,Water Science and Technology,Soil Science,Plant Science,Soil Science,Soil Science,Earth and Planetary Sciences (miscellaneous),Environmental Science (miscellaneous),Soil Science,General Engineering
Cited by
1 articles.
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