Frontiers in global women's health最新文献

{"title":"Machine-learning algorithm to predict home delivery after antenatal care visit among reproductive age women in East Africa.","authors":"Agmasie Damtew Walle, Shimels Derso Kebede, Jibril Bashir Adem, Daniel Niguse Mamo","doi":"10.3389/fgwh.2025.1461475","DOIUrl":"10.3389/fgwh.2025.1461475","url":null,"abstract":"<p><strong>Background: </strong>Maternal and child health remains a global public health issue, particularly in low- and middle-income countries where maternal and child mortality are extremely high. The World Health Organization estimates that close to 287,000 women die annually due to pregnancy and childbirth complications, and the majority of these deaths occur where skilled birth attendants are not readily available. Reducing the prevalence of home delivery is a key strategy for lowering the maternal mortality rate. Although several studies have explored home delivery and antenatal care (ANC) utilization independently, limited evidence exists on predicting home delivery after ANC visits using machine-learning approaches in East Africa.</p><p><strong>Methods: </strong>This study utilized a community-based, cross-sectional design with data from the most recent Demographic and Health Surveys conducted between 2011 and 2021 in 12 countries in East Africa countries. A total weighted sample of 44,123 women was analyzed using Python version 3.11. Nine supervised machine-learning algorithms were applied, following Yufeng Guo's steps for supervised learning. The random forest (RF) model, selected as the best-performing algorithm, was used to predict home delivery after ANC visits. A SHapley Additive exPlanations analysis was conducted to identify key predictors influencing home delivery decisions.</p><p><strong>Results: </strong>Home delivery after ANC visits was most prevalent in Malawi (17.88%), Uganda (15.38%), and Kenya (11.3%), and was low in Comoros (2.38%). Living in rural areas and late ANC initiation (second trimester) increased the likelihood of home delivery. In contrast, factors such as higher household income, husband's level of primary and secondary education, contraceptive use, shorter birth intervals, absence of distance-related barriers to healthcare, and attending more than four ANC visits were associated with a lower likelihood of home delivery.</p><p><strong>Conclusion: </strong>The study demonstrates that home delivery after ANC visits was high. The RF machine-learning algorithm effectively predicts home delivery. To reduce home deliveries, efforts should improve early ANC initiation, enhance healthcare quality, and expand facility-based services. Policymakers should prioritize increasing health facility accessibility, promoting media-based health education, and addressing financial barriers for women with low incomes. Strengthening these areas is crucial for improving maternal and neonatal health outcomes in East Africa.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1461475"},"PeriodicalIF":2.3,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstetric violence: perspectives from mothers, midwives, and obstetricians.","authors":"Zaira Reyes-Amargant, Concepció Fuentes-Pumarola, Marta Roqueta-Vall-Llosera, Josep Garre-Olmo, David Ballester-Ferrando, Carolina Rascón-Hernán","doi":"10.3389/fgwh.2025.1609632","DOIUrl":"10.3389/fgwh.2025.1609632","url":null,"abstract":"<p><strong>Background: </strong>According to the World Health Organization (WHO), the majority of the 140 million annual births occur without complications. Women desire a positive birth experience based on respectful care, clear information, and emotional support, which enables them to make informed decisions and maintain control over their reproductive process. However, many women experience disrespectful or abusive treatment during obstetric care, with lasting consequences for both their physical and mental health. This study explores the factors that influence respectful maternal care and the phenomenon of obstetric violence, as perceived by mothers, midwives, and obstetricians.</p><p><strong>Methodology: </strong>A qualitative study using a phenomenological approach was conducted in eight public and private hospitals in the Girona Health Region (Catalonia, Spain) between 2021 and 2022. In-depth interviews were conducted with eight mothers and eight healthcare professionals (midwives and obstetricians) selected through purposive sampling. The interviews were transcribed verbatim and analysed using thematic analysis to identify meaningful units and key themes.</p><p><strong>Results: </strong>The narratives collected allowed for the identification of key elements of non-respectful maternal care. A lack of information during pregnancy and childbirth emerged as a central concern for both mothers and professionals, affecting their sense of control and satisfaction. Poor communication with healthcare providers, particularly with anaesthesiologists and obstetricians, was perceived as a barrier to quality care. Mothers reported experiences of disrespect, the absence of informed consent for procedures such as episiotomies, and paternalistic treatment. Obstetricians showed resistance to the term \"obstetric violence,\" while midwives recognized it as practices and attitudes that negatively affect the maternal experience.</p><p><strong>Conclusions: </strong>The discrepancy between professional perspectives and mothers' experiences highlights the urgent need for transformation in obstetric care. It is crucial to promote a care model based on evidence, effective communication, and respect for women's rights. Incorporating a gender perspective into healthcare training and strengthening public policies to ensure respectful obstetric care are essential measures to improve the quality of care and prevent obstetric violence.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1609632"},"PeriodicalIF":2.3,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mother surrogacy in Albania: a one-way ticket.","authors":"Gentian Vyshka, Ermir Roçi, Entela Basha","doi":"10.3389/fgwh.2025.1570513","DOIUrl":"10.3389/fgwh.2025.1570513","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1570513"},"PeriodicalIF":2.3,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep quality and fatigue level, clinical and demographic factors in women with rheumatoid arthritis.","authors":"Katarzyna Anna Kozłowska, Grażyna Bączyk","doi":"10.3389/fgwh.2025.1534447","DOIUrl":"10.3389/fgwh.2025.1534447","url":null,"abstract":"<p><strong>Background: </strong>Sleep, as one of the factors influencing people's lives, strongly impacts the standard of living of RA (rheumatoid arthritis) patients. The study aimed to determine the level of sleep quality in RA women and whether fatigue and selected demographic and clinical factors influence it.</p><p><strong>Methods: </strong>The study included 110 female patients diagnosed with RA. Sleep was assessed using The Pittsburgh Sleep Quality Index (PSQI), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) was used to evaluate fatigue, and a proprietary questionnaire was used to assess demographic and clinical factors.</p><p><strong>Results: </strong>Most women had low sleep quality (>5 points)-71.1% of people. Poor sleep quality in older people (<i>p</i> = 0.0123) and married patients (<i>p</i> = 0.0367). Poor sleep quality was also influenced by pain (<i>p</i> = 0.0006), morning stiffness (<i>p</i> = 0.0002), DAS28 (<i>p</i> = 0.0367), and feeling of fatigue (<i>p</i> < 0.0001). In multiple and logistic regression analysis, pain was the main factor contributing to poorer sleep quality.</p><p><strong>Conclusion: </strong>Assessment of factors influencing sleep quality that influence RA patients' well-being is very important. Determining which factors affect the quality of life will allow them to be controlled and mitigated. Our research has shown that pain is primarily responsible for reducing sleep quality.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1534447"},"PeriodicalIF":2.3,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequities in Canadian maternal-child healthcare are perpetuating the intergenerational effects of colonization for indigenous women and children.","authors":"Andrea M Weckman, Patricia Farrugia","doi":"10.3389/fgwh.2025.1513145","DOIUrl":"10.3389/fgwh.2025.1513145","url":null,"abstract":"<p><p>Universal, publicly funded healthcare has long been a point of pride for Canada, despite decades of data contradicting its universality and accessibility. Inequities in access to and provision of healthcare services are particularly evident in the direct comparison of health outcomes between Indigenous (First Nations, Inuit, and Métis) and non-Indigenous populations in Canada. Globally, there are data to support similar disparities in maternal-child health for Indigenous populations around the world. Here, we describe how these inequities uniquely impact people at the intersection of multiple vulnerabilities-Indigenous pregnant women and their children. Indigenous pregnant women in Canada are far more likely to have experienced harmful <i>in utero</i> exposures, inadequate antenatal care, and adverse birth outcomes than non-Indigenous pregnant women. These inequities in maternal-child health may be contributing to biological processes (e.g., epigenetic reprogramming) with intergenerational consequences for chronic disease risk in Indigenous populations. We highlight how the current state of maternal-child health for Indigenous women in Canada is likely perpetuating the multigenerational cycle of oppression triggered by the process of colonization. Finally, we outline current efforts to achieve reproductive justice, decolonize maternal-child health in Canada, and reclaim childbirth by Indigenous communities and their allies. We recognize the strength and resilience of Indigenous women in Canada to resist the persistence of colonial ideals in birthing rights and practices.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1513145"},"PeriodicalIF":2.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smartphones, citizen science, and the fight against gender-based violence in rural Tanzania.","authors":"Chandler Klein, Patty Kostkova, Herry Kasunga, Janet Chapman","doi":"10.3389/fgwh.2025.1490918","DOIUrl":"10.3389/fgwh.2025.1490918","url":null,"abstract":"<p><strong>Introduction: </strong>In rural regions where gender-based violence (GBV) is rampant and communities are largely offline and off-the-map, technology-enabled interventions are emerging to enhance women's quality of life. These initiatives offer opportunities to empirically test the efficacy of citizen science approaches to anti-GBV efforts and contribute to broader debates on the role of smartphones in women's empowerment. Despite the rapid growth of citizen science-driven GBV projects, rigorous evaluations of their impact remain scarce. At the same time, the presumed link between information communication technology (ICT) access and empowerment-as reflected in target 5.b of the UN Sustainable Development Goals (SDG)-remains contested, with empirical studies often suffering from methodological and conceptual shortcomings.</p><p><strong>Methods: </strong>We seek to fill this gap and produce insights relevant to community-based organizations (CBOs), governments, international bodies, and others tackling GBV and digital exclusion. We do this through a mixed-method approach, guided by contribution analysis (CA) as the mode of logical enquiry. We also apply a novel adaptation of Warshauer's framework of ICT access and Cattaneo and Chapman's model for empowerment to rigorously unpack the variables and the relationship between them. This work represents the first time these two conceptual models have been combined. It also serves as a rare example of a related empirical work offering high-resolution conceptual clarity. Specifically, it relies on primary survey and in-depth interview data collected from a range of project stakeholders in close collaboration with the two implementing CBOs.</p><p><strong>Results: </strong>The findings reflect positively on citizen science methodologies, demonstrating their cost-effectiveness, role in fostering informed communities, and ability to capture locally-grounded observations that would otherwise be out of reach. The results indicate a rise in GBV response interventions due to improved case identification using the approach. However, the link between smartphone access and personal empowerment is weak. Digital competency skills development was measurable but did not surpass a basic level. Smartphones were primarily used for entertainment and socializing rather than for improving life chances.</p><p><strong>Discussion: </strong>These findings challenge the assumption that digital access alone is a catalyst for empowerment. While being offline arguably begets marginalization, findings suggest the reverse is equally true: the marginalized have less chance to translate device ownership into meaningful access. Thus, we cannot rest on providing devices and training alone. Solutions must be holistic and take into account the social embeddedness of technology.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1490918"},"PeriodicalIF":2.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to postnatal care utilization during the COVID-19 pandemic: a cross-sectional study of sociodemographic and spatial factors in Mexico City.","authors":"Magalhi Robledo-Clemente, Juan Carlos Silva Godínez, Lucía Daniela García Montes, Jorge Valencia-Ortega, Renata Saucedo","doi":"10.3389/fgwh.2025.1538565","DOIUrl":"10.3389/fgwh.2025.1538565","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has disrupted maternal and postnatal care globally, particularly in low- and middle-income countries. This study investigated sociodemographic, geographic, psychosocial, and obstetric factors associated with inadequate postnatal care utilization in Mexico City during the pandemic.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey among 719 postpartum women at a major obstetric hospital in Mexico City. Maternal sociodemographic data, social support (MOS survey), prenatal care quality (Kessner Index), postnatal depression (Edinburgh Scale), care satisfaction (SERVQUAL), and obstetric history were assessed. Spatial regression models evaluated associations between maternal factors, socioeconomic status (AMAI Index), and postnatal visits, incorporating geographic dependencies.</p><p><strong>Results: </strong>Significant spatial autocorrelation in postnatal visit frequency was observed (<i>χ</i> ² = 14.07; <i>p</i> < 0.001) indicating geographic dependencies in healthcare utilization. Higher consultation rates were associated with being a non-qualified worker (<i>β</i> = 0.252), living with a domestic partner (<i>β</i> = 0.196), and belonging to the medium-low socioeconomic group (<i>β</i> = 0.297). Maternal education showed no significant association. The spatial error term confirmed significant geographic dependencies (<i>β</i> = -0.153, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Geographic location, occupation, and socioeconomic status significantly influence postnatal visit frequency during public health crises, while education plays a lesser role. These findings suggest the need for targeted interventions addressing geographic barriers and incorporating mental health support to enhance maternal healthcare access among vulnerable populations. Future research should focus on developing integrated care frameworks that can better withstand disruptions during public health emergencies.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1538565"},"PeriodicalIF":2.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Status and innovation needed to address health disparities in opioid use disorders among hispanic pregnant individuals.","authors":"Karen G Martinez-Gonzalez, Darlene I Santiago","doi":"10.3389/fgwh.2025.1575164","DOIUrl":"10.3389/fgwh.2025.1575164","url":null,"abstract":"<p><p>Although opioid use disorder (OUD) in pregnancy has increased significantly in the last years, there are still significant gaps in scientific data and in access to evidence-based treatments. OUD in pregnancy is associated with negative health outcomes in the pregnant person, the fetus, and the newborn. To prevent these consequences, it is imperative to identify OUD and provide treatment as soon as possible in the pregnancy. Effective treatments, such as medication for opioid use disorder (MOUD), are safe in pregnancy but not routinely prescribed. For Hispanic pregnant people, these evidence-based treatments are less likely to be prescribed, are less consistently used and are less likely to be continued during the first year postpartum. Increasing access to high quality evidence-based treatments for OUD in Hispanic pregnant people is a public health emergency. This article will offer an overview of the known health disparities of treating perinatal OUD in Hispanics and propose strategies to address these disparities.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1575164"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global, regional and national burden of inflammatory bowel disease in females from 1990 to 2021: an analysis of the global burden of disease study 2021.","authors":"Jingyi Peng, Yuan Yuan, Jie Zhang, Yang Ding, Xingxing He","doi":"10.3389/fgwh.2025.1580451","DOIUrl":"10.3389/fgwh.2025.1580451","url":null,"abstract":"<p><strong>Background & aims: </strong>The global incidence of inflammatory bowel disease (IBD) has markedly increased over past several decades. Gender-specific differences have been observed in the epidemiology, manifestation, and prognosis of IBD. Given these distinctions, a focused analysis of the latest epidemiological trends in female patients is essential for advancing targeted healthcare.</p><p><strong>Methods: </strong>A comprehensive analysis of IBD incidence, mortality, and disability-adjusted life years (DALYs) in females was performed using data from the Global Burden of Disease (GBD) study from 1990 to 2021, with stratifications by age, region, country, and sociodemographic index (SDI).</p><p><strong>Results: </strong>In 2021, approximately 187,134 females were diagnosed with IBD globally. Incidence rates were highest among females aged 30-60, with disease burden increasing significantly with age in older populations. Geographically, High-Income North America had the highest IBD burden in females in 2021, while Australasia experienced the most significant increase from 1990 to 2021 (estimated average percentage changes (EAPC) = 1.13, 95% CI 0.8-1.46). Nationally, 75 countries and territories showed upward trends in the age-standardized DALYs (disability-adjusted life years) rate (ASDR), with the steepest rise observed in Mauritius (EAPC = 2.28, 95% CI 0.82-3.76). DALYs due to IBD in females also increased across all SDI regions, showing a positive correlation between SDI and ASDR.</p><p><strong>Conclusions: </strong>The global burden of IBD in females has significantly risen from 1990 to 2021, with marked age, regional and SDI-based differences. Incidence rates are higher in high-income regions in Europe and North America, with the sharpest increases observed in East Asia, highlighting the need for age and region-specific IBD management strategies.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1580451"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antenatal care visits and associated factors in Senegal: a multilevel poisson regression analysis of the 2023 DHS survey.","authors":"Habtu Kifle Negash, Ashebir Mamay Gebiru, Mihret Getnet, Mihret Melese, Berihun Agegn Mengistie, Desalegn Anmut Bitew, Tilahun Nega Godana, Yosef Belay Bizuneh, Amare Belete Getahun, Mikias Mered Tilahun, Nebebe Demis Baykemagn, Worku Chekol Tassew","doi":"10.3389/fgwh.2025.1524361","DOIUrl":"10.3389/fgwh.2025.1524361","url":null,"abstract":"<p><strong>Background: </strong>Maternal health is crucial for women's well-being during pregnancy, childbirth, and postpartum. Antenatal care (ANC) is essential for monitoring health and preventing complications, yet only 35.5% of women in low- and middle-income regions attend the recommended ANC visits. This study explores the socioeconomic and regional factors influencing ANC visits in Senegal.</p><p><strong>Methods: </strong>Data from the 2023 Senegal Demographic and Health Survey (DHS) on maternal health were analyzed. A stratified two-stage sampling design selected 400 enumeration areas, and 4,543 women aged 15-49 participated. Independent variables included age, education, wealth, healthcare access, and region. Multilevel Poisson regression in Stata 17 was used to assess factors affecting ANC visits, considering both individual and community-level variables to examine regional disparities and healthcare access.</p><p><strong>Results: </strong>Among the 4,543 women, 97.63% attended at least one ANC visit, but only 7.69% completed eight or more. Wealth, media access, education, and regional location significantly influenced ANC attendance. Women from middle-income households attended 6% more visits (AIRR: 1.06, 95% CI: 1.02-1.11), and those from wealthy households attended 8% more (AIRR: 1.08, 95% CI: 1.03-1.14). Women with media access attended 11% more visits (AIRR: 1.11, 95% CI: 1.06-1.15). Regional disparities were evident, with women in Thiès (AIRR: 0.80, 95% CI: 0.73-0.87), Matam (AIRR: 0.83, 95% CI: 0.75-0.92), and Kédougou (AIRR: 0.83, 95% CI: 0.75-0.91) attending fewer visits compared to those in Dakar.</p><p><strong>Conclusions: </strong>This study identifies significant socioeconomic and regional disparities in ANC utilization in Senegal. Wealth, education, media access, and regional location strongly influence ANC attendance. Targeted policies focusing on maternal health education, healthcare infrastructure, and financial support, particularly in underserved areas, are necessary to improve ANC access and maternal and child health outcomes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1524361"},"PeriodicalIF":2.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12175156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}