Quality of Antenatal Care Predicts Retention in Skilled Birth Attendance : A Multilevel Analysis of 28 African Countries

An effective continuum of maternal care ensures that mothers receive essential health packages from pre-pregnancy to delivery, and postnatally, reducing the risk of maternal death. However, across Africa, coverage of skilled birth attendance is lower than coverage for antenatal care, indicating moth...

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Main Authors:	Chukwuma, Adanna, Wosu, Adaeze C., Mbachu, Chinyere, Weze, Kelechi
Format:	Journal Article
Published:	Springer Nature 2021
Subjects:	ANTENATAL CARE PRENATAL HEALTH BIRTH ATTENDANTS MATERNAL HEALTH DEMOGRAPHIC AND HEALTH SURVEY
Online Access:	http://hdl.handle.net/10986/35580

id	okr-10986-35580
recordtype	oai_dc
spelling	okr-10986-355802021-07-19T16:35:26Z Quality of Antenatal Care Predicts Retention in Skilled Birth Attendance : A Multilevel Analysis of 28 African Countries Chukwuma, Adanna Wosu, Adaeze C. Mbachu, Chinyere Weze, Kelechi ANTENATAL CARE PRENATAL HEALTH BIRTH ATTENDANTS MATERNAL HEALTH DEMOGRAPHIC AND HEALTH SURVEY An effective continuum of maternal care ensures that mothers receive essential health packages from pre-pregnancy to delivery, and postnatally, reducing the risk of maternal death. However, across Africa, coverage of skilled birth attendance is lower than coverage for antenatal care, indicating mothers are not retained in the continuum between antenatal care and delivery. This paper explores predictors of retention of antenatal care clients in skilled birth attendance across Africa, including sociodemographic factors and quality of antenatal care received. Among ANC clients in the study sample, 66% received SBA. Adjusting for all demographic covariates and country indicators, the odds of retention in SBA were higher among ANC clients that had their blood pressure checked, received information about pregnancy complications, had blood tests conducted, received at least one tetanus injection, and had urine tests conducted. Higher quality of ANC predicts retention in SBA in Africa. Improving quality of skilled care received prenatally may increase client retention during delivery, reducing maternal mortality. 2021-05-14T16:49:17Z 2021-05-14T16:49:17Z 2017-05-17 Journal Article BMC Pregnancy and Childbirth 1471-2393 http://hdl.handle.net/10986/35580 CC BY 4.0 http://creativecommons.org/licenses/by/4.0 World Bank Springer Nature Publications & Research :: Journal Article Publications & Research Africa Africa Eastern and Southern (AFE) Africa Western and Central (AFW) Sub-Saharan Africa
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	ANTENATAL CARE PRENATAL HEALTH BIRTH ATTENDANTS MATERNAL HEALTH DEMOGRAPHIC AND HEALTH SURVEY
spellingShingle	ANTENATAL CARE PRENATAL HEALTH BIRTH ATTENDANTS MATERNAL HEALTH DEMOGRAPHIC AND HEALTH SURVEY Chukwuma, Adanna Wosu, Adaeze C. Mbachu, Chinyere Weze, Kelechi Quality of Antenatal Care Predicts Retention in Skilled Birth Attendance : A Multilevel Analysis of 28 African Countries
geographic_facet	Africa Africa Eastern and Southern (AFE) Africa Western and Central (AFW) Sub-Saharan Africa
description	An effective continuum of maternal care ensures that mothers receive essential health packages from pre-pregnancy to delivery, and postnatally, reducing the risk of maternal death. However, across Africa, coverage of skilled birth attendance is lower than coverage for antenatal care, indicating mothers are not retained in the continuum between antenatal care and delivery. This paper explores predictors of retention of antenatal care clients in skilled birth attendance across Africa, including sociodemographic factors and quality of antenatal care received. Among ANC clients in the study sample, 66% received SBA. Adjusting for all demographic covariates and country indicators, the odds of retention in SBA were higher among ANC clients that had their blood pressure checked, received information about pregnancy complications, had blood tests conducted, received at least one tetanus injection, and had urine tests conducted. Higher quality of ANC predicts retention in SBA in Africa. Improving quality of skilled care received prenatally may increase client retention during delivery, reducing maternal mortality.
format	Journal Article
author	Chukwuma, Adanna Wosu, Adaeze C. Mbachu, Chinyere Weze, Kelechi
author_facet	Chukwuma, Adanna Wosu, Adaeze C. Mbachu, Chinyere Weze, Kelechi
author_sort	Chukwuma, Adanna
title	Quality of Antenatal Care Predicts Retention in Skilled Birth Attendance : A Multilevel Analysis of 28 African Countries
title_short	Quality of Antenatal Care Predicts Retention in Skilled Birth Attendance : A Multilevel Analysis of 28 African Countries
title_full	Quality of Antenatal Care Predicts Retention in Skilled Birth Attendance : A Multilevel Analysis of 28 African Countries
title_fullStr	Quality of Antenatal Care Predicts Retention in Skilled Birth Attendance : A Multilevel Analysis of 28 African Countries
title_full_unstemmed	Quality of Antenatal Care Predicts Retention in Skilled Birth Attendance : A Multilevel Analysis of 28 African Countries
title_sort	quality of antenatal care predicts retention in skilled birth attendance : a multilevel analysis of 28 african countries
publisher	Springer Nature
publishDate	2021
url	http://hdl.handle.net/10986/35580
_version_	1764483371384176640

Quality of Antenatal Care Predicts Retention in Skilled Birth Attendance : A Multilevel Analysis of 28 African Countries

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