Introduction

Antenatal care (ANC) is a vital mechanism for women to obtain close attention during pregnancy and prevent death-related issues. Moreover, it improves the involvement of women in the continuum of health care and to survive high-risk pregnancies. This study was conducted to determine the prevalence of and identify the associated factors of eight or more ANC contacts in Nigeria.

Methods

We used a nationally representative cross-sectional data from Nigeria Demographic and Health Survey—2018. A total sample of 7,936 women were included in this study. Prevalence was measured in percentages and the factors for eight or more ANC contacts were examined using multilevel multivariable binary logistic regression model. The level of significance was set at P<0.05.

Results

The prevalence of eight or more ANC contacts in Nigeria was approximately 17.4% (95% CI: 16.1%-18.7%). Women with at least secondary education were 2.46 times as likely to have eight or more ANC contacts, when compared with women with no formal education. Women who use media were 2.37 times as likely to have eight or more ANC contacts, when compared with women who do not use media. For every unit increase in the time (month) of ANC initiation, there was 53% reduction in the odds of eight or more ANC contacts. Rural women had 60% reduction in the odds of eight or more ANC contacts, when compared with their urban counterparts. Women from North East and North West had 74% and 79% reduction respectively in the odds of eight or more ANC contacts, whereas women from South East, South South and South West were 2.68, 5.00 and 14.22 times respectively as likely to have eight or more ANC contacts when compared with women from North Central.

Conclusion

The coverage of eight or more ANC contacts was low and can be influenced by individual-, household-, and community-level factors. There should be concerted efforts to improve maternal socioeconomic status, as well as create awareness among key population for optimal utilization of ANC.

中文翻译：

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尼日利亚与八次或更多产前护理接触相关的个人、家庭和社区层面的因素：来自人口和健康调查的证据

介绍

产前护理 (ANC) 是女性在怀孕期间获得密切关注并预防死亡相关问题的重要机制。此外，它还提高了妇女对连续医疗保健的参与程度，并提高了她们在高危妊娠中的存活率。本研究旨在确定尼日利亚八个或更多非国大接触者的患病率并确定其相关因素。

方法

我们使用了 2018 年尼日利亚人口和健康调查的全国代表性横截面数据。本研究共纳入 7,936 名女性样本。患病率以百分比来衡量，并使用多水平多变量二元逻辑回归模型检查八个或更多 ANC 接触的因素。显着性水平设定为P<0.05。

结果

尼日利亚 8 名或以上 ANC 接触者的患病率约为 17.4%（95% CI：16.1%-18.7%）。与未受过正规教育的女性相比，接受过中等教育的女性与非国大接触 8 次或以上的可能性是其 2.46 倍。与不使用媒体的女性相比，使用媒体的女性有 8 次或更多 ANC 接触的可能性是 2.37 倍。ANC 启动时间（月）每增加一个单位，八次或更多 ANC 接触的几率就会减少 53%。与城市女性相比，农村女性接触 8 次或更多非国大的几率降低了 60%。来自东北和西北的女性与 8 次或以上 ANC 接触的几率分别降低了 74% 和 79%，而来自东南部、南南和西南的女性与 8 次或以上接触的几率分别降低了 2.68、5.00 和 14.22 倍。与来自中北部的女性相比，非洲人国民大会接触更多。

结论

八个或更多 ANC 联系人的覆盖率较低，并且可能受到个人、家庭和社区层面因素的影响。应共同努力改善孕产妇的社会经济地位，并提高重点人群对 ANC 最佳利用的认识。