TITLE:
Assessment of the Content and Utilization of Antenatal Care Services in a Rural Community in Cameroon: A Cross-Sectional Study
AUTHORS:
Gregory Edie Halle-Ekane, Thomas Egbe Obinchemti, Jeffrey-Lewis Nnomzo’o Nzang, Ngoe Morike Mokube, Martin Mafany Njie, Theophile Nana Njamen, Boniface T. Nasah
KEYWORDS:
Assessment, Utilization, Antenatal Care, Preferences, Buea
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.14,
October
7,
2014
ABSTRACT: Background: Pregnant women
receive antenatal care (ANC) to ensure favorable pregnancy outcomes. Despite
the high ANC coverage rate registered nationally in Cameroon; rural women, women
with no formal education and those in the most deprived quintile still face
difficulties in having access to quality ANC. The impact of the aforementioned
factors on ANC use in the Muea Health Area (MHA) is unknown. The objective of
this study was to determine the proportion of women attending ANC and the
factors influencing ANC attendance in the MHA. Materials and Methods: This was
a community based, analytical, cross sectional survey that involved pregnant
women and women with children less than two years old who gave an informed
consent or assent. Data were collected using a semi structured questionnaire.
EPI info Version 7 and Stat Pac for Windows version 12?1998-2011 (Stat Pac Inc, Bloomington,
USA) were used for data analysis. Associations were considered statistically
significant for p values less than 0.05. Results: Two hundred and twenty women
were interviewed. The mean age was 25 years (SD 5.28). Ninety-nine percent of
women had at least one ANC visit meanwhile 84.8% had at least four ANC visits.
Only 27.2% of women booked for ANC in the first trimester. Rural (Maumu)
residence was associated with inappropriate ANC attendance (attending less than
four times) (χ2=
18.5; p = 0.001). Semi urban women (87%; 95% C.I. = 85.10% - 89.0%) were more
likely to attend four or more sessions than rural (Maumu) women (60.7%; 95%
C.I. = 44.2% - 77.3%) (p = 0.001). Participant’s educational level was a
significant predictor of early booking for ANC (χ2= 26.8; p = 0.0002). Semi urban wom-
en (79.1%; 95% C.I. = 76.0% - 82.2%) were significantly more likely to have a
vaginal examination done than rural (Maumu) women (42.1%; 95% C.I. = 17.5% -
68.2%) (p = 0.0001). Women who met a doctor during ANC (84.0%; 95% C.I. = 80.8%
- 87.0%) were more likely to have a vaginal examination done than women who
only met a nurse or a midwife during ANC (65.0%; 95% C.I. = 57.7% - 71.4%) (p =
0.002). One third of women did not have a vaginal examination performedduring ANC. 45.83% and 47.6% neither
did a stool test nor received an insecticide treated net (ITN) respectively.
Conclusion: Women in the MHA start their antenatal care late, so they should be
encouraged to book early for antenatal surveillance. Furthermore, efforts
should be made to increase the access of these women to quality ANC services
and to adequately trained ANC providers.