International Journal of Women's Health (Apr 2023)
Sociodemographic Predictors of Initiating Antenatal Care Visits by Pregnant Women During First Trimester of Pregnancy: Findings from the Afghanistan Health Survey 2018
Abstract
Essa Tawfiq,1 Mohammad Rafi Fazli,2 Abdul Wahed Wasiq,3 Muhammad Haroon Stanikzai,4 Amena Mansouri,5 Sayed Ataullah Saeedzai6 1Department of Epidemiology and Biostatistics, School of Population Health, the University of Auckland, Auckland, New Zealand; 2Department of Surgery, Faculty of Medicine and Health Science, the University of Auckland, Auckland, New Zealand; 3Internal Medicine Department, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan; 4Public Health Department, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan; 5Formerly Ghalib Teaching Hospital, Herat, Afghanistan; 6Ministry of Public Health, Kabul, AfghanistanCorrespondence: Essa Tawfiq, Building 507, Level 1, Room 1038, 28 Park Avenue, Grafton, Auckland, 1023, New Zealand, Tel +64 210661149, Email [email protected]: Initiating antenatal care (ANC) visits by pregnant women during first trimester, known as timely initiation of ANC visits, is crucial for wellbeing of mothers and their unborn babies. We examined whether sociodemographic characteristics of pregnant women predict timely initiation of ANC visits.Patients and Methods: Data collected for the Afghanistan Health Survey 2018 (AHS 2018) were analyzed. A binary outcome variable was created as women with ANC visits in 0– 3 months (first trimester) vs women with ANC visits in ≥ 4 months of pregnancy. A multivariable generalized linear model was employed.Results: A total of 6862 ever-married women, aged 14– 49 years, with a history of pregnancy, including current pregnancy, were included. The prevalence of timely initiation of ANC visits was 55.8%. The likelihood (OR = odds ratio) of timely initiation of ANC visits was higher in women aged 30– 39 years [OR 1.12 (95% CI: 1.00– 1.25)], in women who could read and write [OR 1.12 (95% CI: 0.99– 1.21)], in women who used public primary care facilities [OR 1.14 (95% CI: 1.01– 1.28)], in women who received consultation on ANC from a doctor or midwife [OR 1.22 (95% CI: 0.72– 2.08), OR 1.13 (95% CI: 0.67– 1.92)] respectively, in women at fourth and highest quintiles of wealth status [OR 1.24 (95% CI: 1.04– 1.48), OR 1.14 (95% CI: 0.92– 1.40)] respectively, in women who intended to become pregnant [OR 1.56 (95% CI: 1.35– 1.81)], in women who used the internet [OR 1.53 (95% CI: 1.13– 2.06)], and in women who listened to radio [OR 1.16 (95% CI: 1.03– 1.30)]. However, the likelihood was lower in women who had given birth at least twice [OR 0.67 (95% CI: 0.50– 0.89)], and in women who lived in rural areas [OR 0.87 (95% CI: 0.75– 1.00)].Conclusion: To promote timely initiation of ANC visits, healthcare interventions to increase availability of midwives and doctors, and improve accessibility to primary care clinics, especially in rural areas, need to be implemented.Keywords: ANC, timely ANC, early ANC, late ANC
