Prevalence and risk factors for non-use of antenatal care visits: analysis of the 2010 South Sudan household survey

Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Mugo, Ngatho S [verfasserIn] Dibley, Michael J Agho, Kingsley E

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	Antenatal care Pregnancy complications Socioeconomic factors Mortality South Sudan

Anmerkung:	© Mugo et al.; licensee BioMed Central. 2015

Übergeordnetes Werk:	Enthalten in: BMC pregnancy and childbirth - London : BioMed Central, 2001, 15(2015), 1 vom: 26. März
Übergeordnetes Werk:	volume:15 ; year:2015 ; number:1 ; day:26 ; month:03

Links:	Volltext

DOI / URN:	10.1186/s12884-015-0491-6

Katalog-ID:	SPR027576736

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520			\|a Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services.
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allfields	10.1186/s12884-015-0491-6 doi (DE-627)SPR027576736 (SPR)s12884-015-0491-6-e DE-627 ger DE-627 rakwb eng Mugo, Ngatho S verfasserin aut Prevalence and risk factors for non-use of antenatal care visits: analysis of the 2010 South Sudan household survey 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Mugo et al.; licensee BioMed Central. 2015 Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services. Antenatal care (dpeaa)DE-He213 Pregnancy complications (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 South Sudan (dpeaa)DE-He213 Dibley, Michael J aut Agho, Kingsley E aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 15(2015), 1 vom: 26. März (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:15 year:2015 number:1 day:26 month:03 https://dx.doi.org/10.1186/s12884-015-0491-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 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_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 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 15 2015 1 26 03
spelling	10.1186/s12884-015-0491-6 doi (DE-627)SPR027576736 (SPR)s12884-015-0491-6-e DE-627 ger DE-627 rakwb eng Mugo, Ngatho S verfasserin aut Prevalence and risk factors for non-use of antenatal care visits: analysis of the 2010 South Sudan household survey 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Mugo et al.; licensee BioMed Central. 2015 Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services. Antenatal care (dpeaa)DE-He213 Pregnancy complications (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 South Sudan (dpeaa)DE-He213 Dibley, Michael J aut Agho, Kingsley E aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 15(2015), 1 vom: 26. März (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:15 year:2015 number:1 day:26 month:03 https://dx.doi.org/10.1186/s12884-015-0491-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 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_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 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 15 2015 1 26 03
allfields_unstemmed	10.1186/s12884-015-0491-6 doi (DE-627)SPR027576736 (SPR)s12884-015-0491-6-e DE-627 ger DE-627 rakwb eng Mugo, Ngatho S verfasserin aut Prevalence and risk factors for non-use of antenatal care visits: analysis of the 2010 South Sudan household survey 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Mugo et al.; licensee BioMed Central. 2015 Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services. Antenatal care (dpeaa)DE-He213 Pregnancy complications (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 South Sudan (dpeaa)DE-He213 Dibley, Michael J aut Agho, Kingsley E aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 15(2015), 1 vom: 26. März (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:15 year:2015 number:1 day:26 month:03 https://dx.doi.org/10.1186/s12884-015-0491-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 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_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 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 15 2015 1 26 03
allfieldsGer	10.1186/s12884-015-0491-6 doi (DE-627)SPR027576736 (SPR)s12884-015-0491-6-e DE-627 ger DE-627 rakwb eng Mugo, Ngatho S verfasserin aut Prevalence and risk factors for non-use of antenatal care visits: analysis of the 2010 South Sudan household survey 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Mugo et al.; licensee BioMed Central. 2015 Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services. Antenatal care (dpeaa)DE-He213 Pregnancy complications (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 South Sudan (dpeaa)DE-He213 Dibley, Michael J aut Agho, Kingsley E aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 15(2015), 1 vom: 26. März (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:15 year:2015 number:1 day:26 month:03 https://dx.doi.org/10.1186/s12884-015-0491-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 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_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 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 15 2015 1 26 03
allfieldsSound	10.1186/s12884-015-0491-6 doi (DE-627)SPR027576736 (SPR)s12884-015-0491-6-e DE-627 ger DE-627 rakwb eng Mugo, Ngatho S verfasserin aut Prevalence and risk factors for non-use of antenatal care visits: analysis of the 2010 South Sudan household survey 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Mugo et al.; licensee BioMed Central. 2015 Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services. Antenatal care (dpeaa)DE-He213 Pregnancy complications (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 South Sudan (dpeaa)DE-He213 Dibley, Michael J aut Agho, Kingsley E aut Enthalten in BMC pregnancy and childbirth London : BioMed Central, 2001 15(2015), 1 vom: 26. März (DE-627)335489087 (DE-600)2059869-5 1471-2393 nnns volume:15 year:2015 number:1 day:26 month:03 https://dx.doi.org/10.1186/s12884-015-0491-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 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_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 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 15 2015 1 26 03
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author_browse	Mugo, Ngatho S Dibley, Michael J Agho, Kingsley E
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title_sort	prevalence and risk factors for non-use of antenatal care visits: analysis of the 2010 south sudan household survey
title_auth	Prevalence and risk factors for non-use of antenatal care visits: analysis of the 2010 South Sudan household survey
abstract	Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services. © Mugo et al.; licensee BioMed Central. 2015
abstractGer	Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services. © Mugo et al.; licensee BioMed Central. 2015
abstract_unstemmed	Background Antenatal care (ANC) is a preventive public health intervention to ensure healthy pregnancy outcomes and improve survival and health of newborns. In South Sudan, about 40% of pregnant women use ANC, however, the frequency of the ANC checks falls short of the recommended four visits. Hence, this study examined potential risk factors associated with non-use of ANC in South Sudan. Method Data for this analysis was from the 2010 South Sudan Household Survey second round, which was a nationally representative stratified cluster sample survey. The study included information from 3504 women aged 15–49 years who had given birth within two years preceding the survey. Non-use of ANC was examined against sixteen potential risk factors, using simple and multiple logistic regression analyses adjusted for cluster sampling survey design. Results The prevalence of non-use of ANC was 58% [95% confidence interval (CI): (55.7, 59.8)], the prevalence of 1–3 ANC visits was 24% [95% CI: (22.7, 26.7)] and that for 4 or more visits was 18% [95% CI: (16.3, 19.3)]. After adjusting for potential confounding factors, geographic regions, polygamy status [adjusted odds ratio (AOR) = 1.23; 95% CI: (1.00, 1.51), p = 0.047 for a husband with more than one wife], mother’s literacy [AOR = 1.79; 95% CI: (1.31, 2.45), p = 0.001 for illiterate mothers], and knowledge on a newborns’ danger signs [AOR = 1.77; 95% CI (1.03, 3.05), p = 0.040 for mothers who had limited knowledge of a newborns’ danger signs] were significantly associated with non-use of ANC. Conclusions Overall improvement of women’s access to the recommended number of ANC visits is needed in South Sudan. Strategies to encourage Southern Sudanese women to pursue education as well as to raise awareness about the importance of ANC services are essential. It is also important to prioritize strategies to increase access to health care services in rural areas as well as developing strategies to reduce the financial burden associated with maternal health services. © Mugo et al.; licensee BioMed Central. 2015
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title_short	Prevalence and risk factors for non-use of antenatal care visits: analysis of the 2010 South Sudan household survey
url	https://dx.doi.org/10.1186/s12884-015-0491-6
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author2	Dibley, Michael J Agho, Kingsley E
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