Document Detail


Providing information on pregnancy complications during antenatal visits: unmet educational needs in sub-Saharan Africa.
MedLine Citation:
PMID:  19401360     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
INTRODUCTION: Lack of information on the warning signs of complications during pregnancy, parturition and postpartum hampers women's ability to partake fully in safe motherhood initiatives. We assessed the extent to which women in 19 countries of sub-Saharan Africa recall receiving information about pregnancy complications during antenatal care for the most recent pregnancy, and examined the impact of advice receipt on the likelihood of institutional delivery. METHODS: A cross-sectional, cross-country analysis was performed on data from the most recent Demographic and Health Surveys (DHS) of 19 countries of sub-Saharan Africa. Multilevel logistic regressions were used to predict the probability of receiving information and delivering in a health centre, by clinical risk factors (age, parity, previous pregnancy termination), social factors (area of residence, education), and the frequency of service utilization (number of visits). RESULTS: The percentage of women recalling information about potential complications of pregnancy during antenatal care varied widely, ranging from 6% in Rwanda to 72% in Malawi, and in 15 of the 19 countries, less than 50% of women reported receiving information. Institutional delivery ranged from 29% (Ethiopia) to 92% (Congo Brazzaville). Teenagers (OR = 0.84), uneducated (OR = 0.65) and rural women (OR = 0.70) were less likely to have been advised, compared with women aged 20-34 years, women with secondary education and urban women, respectively. Likelihood of recalling information increased with the number of antenatal visits. Advice reception interacts with the number of antenatal visits to increase the likelihood of institutional delivery. CONCLUSION: There is a high level of unmet need for information on pregnancy complications in sub-Saharan Africa, particularly among those who face significant barriers to accessing care if complications occur. Educational interventions are critical to safe motherhood initiatives; health providers must fully use the educational opportunity in antenatal care.
Authors:
Béatrice Nikiéma; Gervais Beninguisse; Jeannie L Haggerty
Publication Detail:
Type:  Journal Article     Date:  2009-04-28
Journal Detail:
Title:  Health policy and planning     Volume:  24     ISSN:  0268-1080     ISO Abbreviation:  Health Policy Plan     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610614     Medline TA:  Health Policy Plan     Country:  England    
Other Details:
Languages:  eng     Pagination:  367-76     Citation Subset:  H    
Affiliation:
GRIS, Faculté de médecine, département de Médecine sociale et préventive, Université de Montréal, Montréal, Québec, Canada. B.Nikiema@UMontreal.ca
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