| Autor: |
Bolarinwa OA; Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4091, South Africa., Sakyi B; Department of Population of Health, University of Cape Coast, Cape Coast PMB, Ghana., Ahinkorah BO; School of Public Health, University of Technology Sydney, Sydney, NSW 2007, Australia., Ajayi KV; Department of Health and Kinesiology, Texas A&M University, College Station, TX 77843, USA., Seidu AA; Department of Population of Health, University of Cape Coast, Cape Coast PMB, Ghana.; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia., Hagan JE Jr; Department of Health, Physical Education, and Recreation, University of Cape Coast, Cape Coast PMB, Ghana.; Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sport, Sciences, Bielefeld University, Postfach 10 01 31, 33501 Bielefeld, Germany., Tessema ZT; Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar P.O. Box 196, Ethiopia. |
| Abstrakt: |
Despite global progress towards antenatal care (ANC) uptake, ANC utilization in a number of countries in sub-Saharan Africa, such as Nigeria, is low. Although several studies have identified the determinants and factors associated with ANC services utilization in Nigeria, there is a gap in knowledge about the spatial patterns in ANC use. Therefore, this study aims to map the spatial distribution and factors associated with ANC visits in Nigeria. A cross-sectional dataset was obtained from the 2018 Nigeria Demographic and Health Survey. A total of 20,003 women aged 15-49 were considered in this study. Both spatial and multilevel analyses were carried out. The results were presented in spatial maps and adjusted odds ratios (aOR) at a 95% confidence interval (CI). Hot spot areas (high proportion of an incomplete ANC visit) were located in Sokoto, Kebbi, Zamfara, Katsina, Kano, Jigawa, Bauchi, Niger, Borno, Gombe, and Bayelsa. Regional disparities in incomplete ANC visits were found in this study. Maternal age, maternal education, partner's level of education, working status, ethnicity, parity, religion, exposure to media, place of residence, wealth index, region, and community literacy level were factors associated with incomplete ANC. There is a need to consider these factors in the design and strengthening of existing interventions (e.g., mini-clinics) aimed at increasing ANC visits to help attain maternal health-related Sustainable Development Goals by 2030. The regional disparities in incomplete ANC visits also need to be considered by encouraging pregnant women in hotspot areas to attend ANC visits. |
