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The relationship between time spent during the first ANC contact, home visits and adherence to ANC contacts in Ghana

Bibliographic Data

ID19530819
AuthorsMaxwell Tii Kumbeni (0000-0001-5525-4022, Directorate of Health, corresponding author), Paschal Awingura Apanga (0000-0003-0038-3630, University of Nevada, Reno), Eugene Osei Yeboah (0000-0002-7777-5838, Directorate of Health), Jonas Timbire Kolog (Directorate of Health), Baba Awuni (Directorate of Health)
Year2021
Volume14
Issue1
Pages1956754-1956754
Publication date2021-01-01
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2021.1956754
PMID34402419
OpenAlexW3193747163
LanguageEN
Citations received3
References cited23

BACKGROUND: The World Health Organization in 2016 recommended eight or more antenatal care (ANC) contacts for a positive pregnancy experience, however, it is unclear what impact the time spent during the first ANC contact and home visits can have on eight or more ANC contacts. OBJECTIVES: Our study investigated the relationship between time spent during the first ANC contact and eight or more ANC contacts, and between home visits and eight or more ANC contacts. We also assessed the prevalence of eight or more ANC contacts. METHODS: A cross-sectional study was conducted among 519 mothers with children 12 months old and below attending child welfare clinics in the Nabdam district in the Upper East Region, Ghana. Multivariable logistic regression analysis was used to assess the relationship between time spent during the first ANC contact, home visits, and eight or more ANC contacts, while controlling for potential confounders. RESULTS: The proportion of mothers who attained eight or more ANC contacts during pregnancy was 31.2%. Spending 20 minutes or more during the first ANC contact was associated with 2.07 times the odds of having eight or more ANC contacts compared to spending less than 20 minutes [adjusted odds ratio (aOR): 2.07, 95% CI: 1.18,3.63]. Mothers who received at least a home visit from skilled health professionals during pregnancy were 2.44 times more likely to have eight or more ANC contacts compared to mothers who were not visited (aOR: 2.44, 95% CI: 1.51,3.94). CONCLUSION: Spending at least 20 minutes during the first ANC contact and home visits were positively associated with eight or more ANC contacts. We recommend that skilled health professionals should spend at least 20 minutes during the first ANC contact as well as encourage home visits in order to increase the coverage of eight or more ANC contacts

Confounding · Cross-sectional study · Environmental health · Logistic regression · Odds · Odds ratio · Pregnancy · Adolescent Sexual and Reproductive Health · Demography · Global Health and Surgery · Global Maternal and Child Health · Medicine · Pediatrics

  • The magnitude and determinants of delayed initiation of antenatal care among pregnant women in Gambia; evidence from Gambia demographic and health survey data

    Open Access•Solomon Gedlu Nigatu, Tilahun Yemanu Birhan•BMC Public Health•2023

  • The practice of polygyny on the utilisation of reproductive health services among married women in Ghana

    Open Access•Maxwell Tii Kumbeni, John Ndebugri Alem et al.•Journal of Biosocial Science•2024

  • Potential risk factors for cardiovascular diseases and associated sociodemographic characteristics

    Open Access•Olufemi Ajumobi, Ijeoma Uchenna Itanyi et al.•PLOS Global Public Health•2023

  • Country compliance with WHO-recommended antenatal care guidelines

    Open Access•Ngatho Samuel Mugo, Kyaw Swa Mya et al.•BMJ Global Health•2020

  • Timing and number of antenatal care contacts in low and middle-income countries

    Open Access•Safia S Jiwani, Agbessi Amouzou-Aguirre et al.•Journal of Global Health•2020

  • The impact of health insurance on maternal health care utilization

    Open Access•Wenjuan Wang, Gheda Temsah et al.•Health Policy and Planning•2016

Citations per year1
Citation span2023 - 2024 (2)
Highly citedNo

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