Utilisation of focused antenatal care in Zambia : examining individual- and community-level factors using a multilevel analysis

dc.contributor.authorChama-Chiliba, Chitalu Miriam
dc.contributor.authorKoch, Steven F.
dc.contributor.emailsteve.koch@up.ac.zaen_ZA
dc.date.accessioned2015-01-26T07:16:36Z
dc.date.available2015-01-26T07:16:36Z
dc.date.issued2015-02
dc.descriptionThe research was done as part of C.M.C.-C. PhD. (http://hdl.handle.net/2263/40259)en_ZA
dc.description.abstractOBJECTIVES : We examine the individual- and community-level factors associated with the utilization of antenatal care, following the adoption of the focused antenatal care (FANC) approach in Zambia. METHODS : Using the 2007 Zambia Demographic and Health Survey, linked with administrative and health facility census data, we specify two multilevel logistic models to assess the factors associated with (1) the inadequate use of antenatal care (ANC) (defined as three or fewer visits) and (2) the non-use of ANC in the first trimester of pregnancy. RESULTS : Although all women in the selected sample had at least one ANC visit, 40% did not have the minimum number required (four), whereas more than 80% of the initial check-ups did not occur in the first trimester. At the individual level, the woman’s employment status, quality of ANC received and the husband’s educational attainment are negatively associated, while parity, the household childcare burden and wealth are positively associated with inadequate utilization of ANC. Both individual- and community-level characteristics influence inadequate use and non-use of ANC in the first trimester; however, community-level factors are relatively stronger in rural areas. CONCLUSION : The results suggest that improving the content of care during ANC visits may foster adequate use of ANC and encourage early initiation of ANC visits. Furthermore, health promotion programmes need to further encourage male involvement in pregnant women’s decision to seek ANC to encourage adequate use of services.en_ZA
dc.description.embargo2016-02-28en_ZA
dc.description.librarianam2015en_ZA
dc.description.sponsorshipThe William and Flora Hewlett Foundation/Institute for International Education (IIE) Dissertation Fellowship in Population, Reproductive Health and Economic Development, Hewlett Grant No: 2007-1542,IIE Program No: F480000, Grantee No: 15115890.en_ZA
dc.description.urihttp://heapol.oxfordjournals.org/en_ZA
dc.identifier.citationChama-Chiliba, CM & Koch, SF 2015, 'Utilisation of focused antenatal care in Zambia : examining individual- and community-level factors using a multilevel analysis', Health Policy and Planning, vol. 30, no. 1, pp. 78-87.en_ZA
dc.identifier.issn0268-1080 (print)
dc.identifier.issn1460-2237 (online)
dc.identifier.other10.1093/heapol/czt099
dc.identifier.urihttp://hdl.handle.net/2263/43415
dc.language.isoenen_ZA
dc.publisherOxford University Pressen_ZA
dc.rightsOxford University Press in association with The London School of Hygiene and Tropical Medicine. The Author 2013; all rights reserved. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Health Policy and Planning following peer review. The definitive publisher-authenticated version Health Policy and Planning, vol. 30, no. 1, pp. 78-87, 2015. doi : 10.1093/heapol/czt099 and is available online at : http://heapol.oxfordjournals.org/en_ZA
dc.subjectMaternal health servicesen_ZA
dc.subjectMultilevel analysisen_ZA
dc.subjectZambiaen_ZA
dc.subjectFocused antenatal care (FANC)en_ZA
dc.subjectAntenatal care (ANC)en_ZA
dc.titleUtilisation of focused antenatal care in Zambia : examining individual- and community-level factors using a multilevel analysisen_ZA
dc.typePostprint Articleen_ZA

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