Comment citer
Résumé
Introduction
Antenatal care provides a platform for important health benefits, including health promotion, screening, diagnosis, and disease prevention. It is established that timely implementation of appropriate evidence-based practices in antenatal care can save lives. PurposeThis study aimed to identify factors associated with the continuity of prenatal care among pregnant women in the Kingasani Health Zone.
Methods
This descriptive correlational study used proportional stratified sampling to select participants and collect data from February 20, 2021, to April 5, 2021. A total of 165 subjects were included in the study.
Results
The analysis revealed that the continuity of prenatal care is statistically linked to the delay in initiation of ANC (RR: 2.108, 95% CI [1.334-3.332], χ2: 13.780, p < 0.0001), encouragement of women to follow ANC (χ2: 5.643, p = 0.007), and compliance with appointments by pregnant women (RR: 3.143, 95% CI [1.106-8.901], χ2: 8.189, p = 0.004). However, continuity of antenatal care is not linked to the distance between home and the antenatal care service (RR: 2.188, 95% CI [1.002-5.377], χ2: 5.866, p = 0.015). These findings partially confirm that the use of prenatal services in the Kingasani Health Zone is positively influenced by the personal characteristics of the subjects.
Conclusion
Prenatal care providers have a major task in explaining to pregnant women the number of ANC visits scheduled for a pregnancy, their frequency, the importance, and the principles of each ANC activity. Evaluating the quality of ANC and the frequency of ANC clients at referral health centers is crucial.
Références
Beninguisse, G., & De Brouwere, V. (2003). The influence of care seeking behavior on maternal mortality. Health Policy and Planning, 18(1), 23-31. https://doi.org/10.1093/heapol/18.1.23Beninguisse, G., Nikièma, B., Fournier, P., & Haddad, S. (2004). L’accessibilité culturelle: Une exigence de la qualité des services et soins obstétricaux en Afrique. African Population Studies, 19(Supplement B), 244-266. https://www.researchgate.net/publication/27794215_L'accessibilite_Culturelle_Une_Exigence_de_la_Qualite_Desservices_et_Soins_Obstetricaux_en_AfriqueChemgne, B. (2010). High coverage of prenatal consultations and its impact on newborn health. Journal of Maternal Health Studies, 12(3), 45-58.Chemgne, F. (2010). Facteurs explicatifs du recours aux soins postnatals modernes après un accouchements en milieu non hospitalier: Cas du Cameroun. Mémoire de master professionnel en démographie, Université de Yaoundé II, Cameroun. https://ireda.ceped.org/inventaire/ressources/chemgne_2010.pdfDoumbia, M. (2007). Déterminants du non respect des normes de la consultation prénatale par les femmes de la commune d'Athiémé en 2007 au Bénin (Unpublished master's thesis). Université de Bamako, Mali.Doumbia, S. (2007). Utilization of antenatal care services in Athiémé. Journal of African Health Sciences, 7(1), 14-22. https://doi.org/10.4314/ahs.v7i1.6763Hernández Avila, M. (2004). Message from Dr. Mauricio Hernández Avila in his opening address as Director General of the Instituto Nacional de Salud Pública. Salud Publica Mex, 46(3), 258-260. https://doi.org/10.1590/s0036-36342004000300017Hernandez, A., Avila, R., & Coll, A. (2004). Efficiency and quality of care in prenatal services. Health Services Research, 39(4), 987-1002.Hulton, L. A., Matthews, Z., & Stones, R. W. (2000). A framework for the evaluation of quality of care in maternity services. Reproductive Health Matters, 8(15), 65-77. https://doi.org/10.1016/S0968-8080(00)90129-XHurtado, E., & Sáenz de Tejada, E. (2021). Relations between government health workers and traditional midwives in Guatemala. In L. K. Castro (Ed.), Mesoamerican Healers. University of Texas Press. https://doi.org/10.7560/734548-013Koné, F. (2010). Consultation prénatale recentrée: Perception des gestantes et des accouchées (Doctoral dissertation). Université de Bamako, Mali. https://bibliosante.ml/bitstream/handle/123456789/9342/10M407.pdfMafuta, M., & Kayembe, P. K. (2011). Déterminants de la fréquentation tardive des services de soins prénatals dans les zones de santé de l’Equateur et du Katanga en République Démocratique du Congo. Annales Africaines de Médecine, 4(4), 845-854.Manyong, A. K., Vicky, C. L., Richard, M., Kabamba, A., & A'Nkoy Albert, M. T. (2024). Evaluation of the quality of prenatal consultations in 4 health facilities in Lubumbashi. African Journal of Medicine and Public Health, 7(1), 205–2010. https://www.rams-journal.com/index.php/RAMS/article/view/354Ministère du Plan et Suivi de la Mise en œuvre de la Révolution de la Modernité (MPSMRM), Ministère de la Santé Publique (MSP), & ICF International. (2014). Enquête Démographique et de Santé en République Démocratique du Congo 2013-2014. Rockville, MD: MPSMRM, MSP et ICF International. https://www.unicef.org/drcongo/media/1046/file/EDS-RDC%20II%202013-2014.pdfMushagalusa, S. (2005). Etude des déterminants de l'utilisation des services de santé dans la zone de santé de Kadutu province du Sud Kivu - RD Congo (Unpublished master's thesis). Université de Kinshasa, RDC. https://www.memoireonline.com/04/06/152/etude-determinants-socio-economiques-utilisation-services-sante.htmlOMS. (2016, November 7). Les femmes enceintes doivent pouvoir bénéficier de soins adaptés au bon moment. https://www.who.int/fr/news/item/07-11-2016-pregnant-women-must-be-able-to-access-the-right-care-at-the-right-time-says-whoOMS. (2017). Recommandations de l’OMS concernant les soins prénatals pour que la grossesse soit une expérience positive. https://www.who.int/fr/publications-detail/9789241549912Rossier, C. (2020). Compliance with prenatal care visits in Burkina Faso. Reproductive Health Journal, 17(1), 80. https://doi.org/10.1186/s12978-020-00924-5Roy, K. (2008). Socioeconomic factors influencing prenatal care. In Glei, D. A., Goldman, N., & Rodriguez, G. (Eds.), Prenatal health services and women's education (pp. 215-238). Springer.Rwenge, M. (2014). Sexual risk behaviors among young people in Bamenda, Cameroon. International Journal of Sociology and Anthropology, 6(7), 249-262. https://doi.org/10.5897/IJSA2014.0539Sawadogo, N., et al. (2012). Projet DEMTREND: Pauvreté et besoins non satisfaits en santé de la reproduction des adolescents et des jeunes en Afrique Centrale. Rapport enquête qualitative-Yaoundé, Cameroun.Sawadogo, N., Kinda, M., & Ouedraogo, C. (2012). Unplanned pregnancies and antenatal care in Burkina Faso. BMC Pregnancy and Childbirth, 12, 67. https://doi.org/10.1186/1471-2393-12-67Thaddeus, S., & Maine, D. (1994). Too far to walk: Maternal mortality in context. Social Science & Medicine, 38(8), 1091-1110. https://doi.org/10.1016/0277-9536(94)90226-7. Tiako Kamga, H., Noubom, M., Ndze, V. N., & Kamga, J. P. (2017). Role of abortion and ectopic pregnancies in maternal mortality rate at three university hospitals in Yaoundé. Pan African Medical Journal, 27, 248. https://doi.org/10.11604/pamj.2017.27.248.12942Tollegbe, S. (2004). Les facteurs explicatifs de la discontinuité des soins obstétricaux en Afrique: Cas du Bénin (Diplôme d'Etudes Supérieures Spécialisées en Démographie). Institut de Formation et de Recherche Démographiques (IFORD). https://www.memoireonline.com/07/08/1207/m_facteurs-explicatifs-discontinuite-soins-obstetricaux-afrique-benin0.htmlUNICEF. (2016). Antenatal care: Ensuring healthy outcomes for mothers and babies. Retrieved from UNICEF websiteYoussouf, M. (2014). Analyse des consultations prénatales et postnatales recentrées dans le centre de santé communautaire de Torokorobougou (Doctoral dissertation). Université des Sciences Techniques et des Technologies de Bamako, République du Mali. https://www.bibliosante.ml/handle/123456789/579?show=full&locale-attribute=en
Ce travail est disponible sous licence Creative Commons Attribution - Pas d’Utilisation Commerciale 4.0 International.