Trends and factors associated with delays in the first prenatal consultation in Guinea.

IF 0.6 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health in Africa Pub Date : 2025-01-30 eCollection Date: 2025-01-01 DOI:10.4102/jphia.v16i1.502

Tiany Sidibe, Mamadou Dioulde Balde, Sadan Camara, Ramata Diallo, Bienvenu Salim Camara, Karifa Kourouma, Madeleine Toure, Kaba Saran Keita, Fanta Barry, Maimouna Balde

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引用次数: 0

Abstract

Background: The first antenatal care (ANC1) is considered late if it is performed after the first 12 weeks of pregnancy. In Guinea, this phenomenon remains under-analysed.

Aim: The objective of this study is to analyse the trends and factors associated with the delay in performing the ANC1 in Guinea from 2007 to 2018.Setting: This study was conducted in Guinea.

Methods: A secondary analysis of the 2012 and 2018 Demographic and Health Surveys in Guinea was conducted. The study included women aged 15-49 years who gave birth in the five years prior to the surveys and had at least one ANC visit for their last child. Multivariate logistic regression was used to identify associated factors using Stata 17.

Results: This study shows that in Guinea, out of 14 546 women, the overall proportion of the delay in performing the ANC1 between 2007 and 2018 was 73%. The trend of this proportion decreased from 86% in 2007 to 61% in 2010, from 85% in 2013 to 61% in 2016; however, it increased from 61% in 2010 to 85% in 2013 and from 66% in 2016 to 76% in 2018. The factors associated with the delay in performing the ANC1 were: being aged 35-49 years (adjusted odds ratio [AOR]: 1.36; 95% confidence interval [CI]: 1.08-1.69); Living in a poor household (AOR: 1.87; 95% CI: 1.64-2.13), living in Boké (AOR: 2.13; 95% CI: 1.58-2.87), and N'zerekore (AOR: 4.97; 95% CI: 3.58-6.91).

Conclusion: We recommend stepping up door-to-door awareness-raising activities by community relays and ensuring that the policy of free antenatal care in Guinea is effective.

Contribution: This study shows a very high prevalence of delay in the ANC1 in Guinea influenced by many factors.

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几内亚首次产前咨询延误的趋势和相关因素。

背景：第一次产前护理（ANC1）如果在怀孕前12周后进行，则被认为是晚期。在几内亚，这一现象仍未得到充分分析。目的：本研究的目的是分析2007年至2018年几内亚实施ANC1延迟的趋势和相关因素。背景：本研究在几内亚进行。方法：对2012年和2018年几内亚人口与健康调查进行二次分析。该研究包括年龄在15-49岁之间的妇女，她们在调查前的五年内分娩，最后一个孩子至少进行过一次ANC访问。采用Stata 17进行多因素logistic回归，确定相关因素。结果：本研究表明，在几内亚，在14546名妇女中，2007年至2018年期间延迟执行ANC1的总比例为73%。这一比例从2007年的86%下降到2010年的61%，从2013年的85%下降到2016年的61%；然而，这一比例从2010年的61%上升到2013年的85%，从2016年的66%上升到2018年的76%。与延迟执行ANC1相关的因素为：年龄在35-49岁之间(调整后的优势比[AOR]: 1.36；95%置信区间[CI]: 1.08-1.69)；生活在贫困家庭(AOR: 1.87；95% CI: 1.64-2.13)，居住在bok (AOR: 2.13；95% CI: 1.58-2.87)， N'zerekore (AOR: 4.97；95% ci: 3.58-6.91)。结论：我们建议通过社区接力站加强挨家挨户的提高认识活动，并确保几内亚的免费产前保健政策有效。贡献：本研究表明，受多种因素影响，几内亚的ANC1延迟患病率非常高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Public Health in Africa PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

自引率

0.00%

发文量

审稿时长

10 weeks

期刊介绍： The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.