Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers
Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilizat...
Ausführliche Beschreibung
Autor*in: |
Abubakar Sadiq Umar, MBBS, MPH, MHPM, FWACP [verfasserIn] Samuel Bitrus Bawa, MBBS, MPH, FWACP [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2015 |
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Übergeordnetes Werk: |
In: International Journal of Maternal and Child Health and AIDS - Global Health and Education Projects, Inc., 2013, 4(2015), 1 |
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Übergeordnetes Werk: |
volume:4 ; year:2015 ; number:1 |
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Link aufrufen |
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DOI / URN: |
10.21106/ijma.54 |
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Katalog-ID: |
DOAJ074708066 |
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10.21106/ijma.54 doi (DE-627)DOAJ074708066 (DE-599)DOAJ19cbb3b8e3bb42a3b3b334ef2e2ac31f DE-627 ger DE-627 rakwb eng RA1-1270 Abubakar Sadiq Umar, MBBS, MPH, MHPM, FWACP verfasserin aut Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted. Results: Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers. Conclusion and Global Health Implications: This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 – eradication of extreme poverty and hunger; MDG 2 – universal basic education; MDG 3 – gender equality; and MDG 4 – maternal mortality. There is the need for inter-sectoral holistic intervention approach. Key words: Antenatal Care Services • ANC Utilization • MDGs • Yobe State • Nigeria • Skilled Health Workers Copyright © 2015 Umar and Bawa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Public aspects of medicine Samuel Bitrus Bawa, MBBS, MPH, FWACP verfasserin aut In International Journal of Maternal and Child Health and AIDS Global Health and Education Projects, Inc., 2013 4(2015), 1 (DE-627)746068344 (DE-600)2715876-7 2161864X nnns volume:4 year:2015 number:1 https://doi.org/10.21106/ijma.54 kostenfrei https://doaj.org/article/19cbb3b8e3bb42a3b3b334ef2e2ac31f kostenfrei https://mchandaids.org/index.php/IJMA/article/view/54 kostenfrei https://doaj.org/toc/2161-8674 Journal toc kostenfrei https://doaj.org/toc/2161-864X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2015 1 |
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10.21106/ijma.54 doi (DE-627)DOAJ074708066 (DE-599)DOAJ19cbb3b8e3bb42a3b3b334ef2e2ac31f DE-627 ger DE-627 rakwb eng RA1-1270 Abubakar Sadiq Umar, MBBS, MPH, MHPM, FWACP verfasserin aut Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted. Results: Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers. Conclusion and Global Health Implications: This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 – eradication of extreme poverty and hunger; MDG 2 – universal basic education; MDG 3 – gender equality; and MDG 4 – maternal mortality. There is the need for inter-sectoral holistic intervention approach. Key words: Antenatal Care Services • ANC Utilization • MDGs • Yobe State • Nigeria • Skilled Health Workers Copyright © 2015 Umar and Bawa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Public aspects of medicine Samuel Bitrus Bawa, MBBS, MPH, FWACP verfasserin aut In International Journal of Maternal and Child Health and AIDS Global Health and Education Projects, Inc., 2013 4(2015), 1 (DE-627)746068344 (DE-600)2715876-7 2161864X nnns volume:4 year:2015 number:1 https://doi.org/10.21106/ijma.54 kostenfrei https://doaj.org/article/19cbb3b8e3bb42a3b3b334ef2e2ac31f kostenfrei https://mchandaids.org/index.php/IJMA/article/view/54 kostenfrei https://doaj.org/toc/2161-8674 Journal toc kostenfrei https://doaj.org/toc/2161-864X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2015 1 |
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10.21106/ijma.54 doi (DE-627)DOAJ074708066 (DE-599)DOAJ19cbb3b8e3bb42a3b3b334ef2e2ac31f DE-627 ger DE-627 rakwb eng RA1-1270 Abubakar Sadiq Umar, MBBS, MPH, MHPM, FWACP verfasserin aut Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted. Results: Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers. Conclusion and Global Health Implications: This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 – eradication of extreme poverty and hunger; MDG 2 – universal basic education; MDG 3 – gender equality; and MDG 4 – maternal mortality. There is the need for inter-sectoral holistic intervention approach. Key words: Antenatal Care Services • ANC Utilization • MDGs • Yobe State • Nigeria • Skilled Health Workers Copyright © 2015 Umar and Bawa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Public aspects of medicine Samuel Bitrus Bawa, MBBS, MPH, FWACP verfasserin aut In International Journal of Maternal and Child Health and AIDS Global Health and Education Projects, Inc., 2013 4(2015), 1 (DE-627)746068344 (DE-600)2715876-7 2161864X nnns volume:4 year:2015 number:1 https://doi.org/10.21106/ijma.54 kostenfrei https://doaj.org/article/19cbb3b8e3bb42a3b3b334ef2e2ac31f kostenfrei https://mchandaids.org/index.php/IJMA/article/view/54 kostenfrei https://doaj.org/toc/2161-8674 Journal toc kostenfrei https://doaj.org/toc/2161-864X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2015 1 |
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10.21106/ijma.54 doi (DE-627)DOAJ074708066 (DE-599)DOAJ19cbb3b8e3bb42a3b3b334ef2e2ac31f DE-627 ger DE-627 rakwb eng RA1-1270 Abubakar Sadiq Umar, MBBS, MPH, MHPM, FWACP verfasserin aut Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted. Results: Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers. Conclusion and Global Health Implications: This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 – eradication of extreme poverty and hunger; MDG 2 – universal basic education; MDG 3 – gender equality; and MDG 4 – maternal mortality. There is the need for inter-sectoral holistic intervention approach. Key words: Antenatal Care Services • ANC Utilization • MDGs • Yobe State • Nigeria • Skilled Health Workers Copyright © 2015 Umar and Bawa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Public aspects of medicine Samuel Bitrus Bawa, MBBS, MPH, FWACP verfasserin aut In International Journal of Maternal and Child Health and AIDS Global Health and Education Projects, Inc., 2013 4(2015), 1 (DE-627)746068344 (DE-600)2715876-7 2161864X nnns volume:4 year:2015 number:1 https://doi.org/10.21106/ijma.54 kostenfrei https://doaj.org/article/19cbb3b8e3bb42a3b3b334ef2e2ac31f kostenfrei https://mchandaids.org/index.php/IJMA/article/view/54 kostenfrei https://doaj.org/toc/2161-8674 Journal toc kostenfrei https://doaj.org/toc/2161-864X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2015 1 |
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10.21106/ijma.54 doi (DE-627)DOAJ074708066 (DE-599)DOAJ19cbb3b8e3bb42a3b3b334ef2e2ac31f DE-627 ger DE-627 rakwb eng RA1-1270 Abubakar Sadiq Umar, MBBS, MPH, MHPM, FWACP verfasserin aut Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted. Results: Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers. Conclusion and Global Health Implications: This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 – eradication of extreme poverty and hunger; MDG 2 – universal basic education; MDG 3 – gender equality; and MDG 4 – maternal mortality. There is the need for inter-sectoral holistic intervention approach. Key words: Antenatal Care Services • ANC Utilization • MDGs • Yobe State • Nigeria • Skilled Health Workers Copyright © 2015 Umar and Bawa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Public aspects of medicine Samuel Bitrus Bawa, MBBS, MPH, FWACP verfasserin aut In International Journal of Maternal and Child Health and AIDS Global Health and Education Projects, Inc., 2013 4(2015), 1 (DE-627)746068344 (DE-600)2715876-7 2161864X nnns volume:4 year:2015 number:1 https://doi.org/10.21106/ijma.54 kostenfrei https://doaj.org/article/19cbb3b8e3bb42a3b3b334ef2e2ac31f kostenfrei https://mchandaids.org/index.php/IJMA/article/view/54 kostenfrei https://doaj.org/toc/2161-8674 Journal toc kostenfrei https://doaj.org/toc/2161-864X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2015 1 |
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Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers |
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Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted. Results: Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers. Conclusion and Global Health Implications: This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 – eradication of extreme poverty and hunger; MDG 2 – universal basic education; MDG 3 – gender equality; and MDG 4 – maternal mortality. There is the need for inter-sectoral holistic intervention approach. Key words: Antenatal Care Services • ANC Utilization • MDGs • Yobe State • Nigeria • Skilled Health Workers Copyright © 2015 Umar and Bawa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
abstractGer |
Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted. Results: Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers. Conclusion and Global Health Implications: This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 – eradication of extreme poverty and hunger; MDG 2 – universal basic education; MDG 3 – gender equality; and MDG 4 – maternal mortality. There is the need for inter-sectoral holistic intervention approach. Key words: Antenatal Care Services • ANC Utilization • MDGs • Yobe State • Nigeria • Skilled Health Workers Copyright © 2015 Umar and Bawa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
abstract_unstemmed |
Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted. Results: Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers. Conclusion and Global Health Implications: This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 – eradication of extreme poverty and hunger; MDG 2 – universal basic education; MDG 3 – gender equality; and MDG 4 – maternal mortality. There is the need for inter-sectoral holistic intervention approach. Key words: Antenatal Care Services • ANC Utilization • MDGs • Yobe State • Nigeria • Skilled Health Workers Copyright © 2015 Umar and Bawa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers |
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The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted. Results: Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers. Conclusion and Global Health Implications: This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 – eradication of extreme poverty and hunger; MDG 2 – universal basic education; MDG 3 – gender equality; and MDG 4 – maternal mortality. There is the need for inter-sectoral holistic intervention approach. Key words: Antenatal Care Services • ANC Utilization • MDGs • Yobe State • Nigeria • Skilled Health Workers Copyright © 2015 Umar and Bawa. 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