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  3. Ilori

Socio-economic factors associated with antenatal care in Nigeria

Temitope Ilori(1), Boluwatife A. Adewale(2), Taiwo A. Obembe(3), Oyewale M. Morakinyo(4),


(1) Department of Community Medicine, College of Medicine, University of Ibadan, Nigeria ; Department of Family Medicine, University College Hospital, Ibadan,
(2) Department of Medicine & Surgery, College of Medicine, University of Ibadan, Nigeria
(3) Department of Health Policy & Management, Faculty of Public Health, University of Ibadan, Nigeria; Claremont Graduate University, California, USA
(4) Department of Environmental Health Sciences, Faculty of Public Health, University of Ibadan, Nigeria
Corresponding Author

Abstract


There is a dearth of knowledge on how much financial autonomy interacts with affordability and consequently access to ante-natal health care in Nigeria. This study evaluated the relationship between women’s financial autonomy and utilization of antenatal care (ANC) services. ANC attendance during pregnancy and the financial autonomy of women aged 15-49 in 42,000 selected households across all 36 states and the FCT, was assessed using data from the 2018 NDHS. Descriptive statistics and bivariate and multivariate logistic regression analyses were carried out and significant predictors were tested at a 95% significance level. The proportion of women considered to have no financial, partial and full autonomies were 63.1%, 32.0% and 4.9% respectively. Living in an urban region was a statistically significant predictor of financial autonomy among women and the odds of financial autonomy increased with the level of education and wealth index. Type of residence and occupation type were also significant predictors of ANC utilization. Full financial autonomy to make financial decisions did not significantly improve the odds of antenatal health care services during pregnancy (OR = 1.03; 95% CI: 0.87 – 1.22). Other factors such as education, employment and wealth index of the women were more significantly associated with antenatal care attendance. A call for improved educational facilities and wealth creation schemes at national and sub-national levels of government is necessary to improve ante-natal care utilization in health care facilities. (Afr J Reprod Health 2022; 26[8]: 123-133).

References


WHO, UNICEF, UNFPA, World Bank Group, United

Nations Population Division. Trends in maternal

mortality: 1990 to 2015. Estimates by WHO,

UNICEF, UNFPA, World Bank Group and the

United Nations Population Division. World Health

Organization; 2015.

World Health Organization. WHO Recommendations on

Antenatal Care for a Positive Pregnancy

Experience. World Health Organization; Geneva,

Switzerland: 2016.

Eleje GU, Onwusulu DN and Ezeama CO. Perceptions of

focused prenatal care among women attending two

tertiary centres in Nigeria. Int J Gynaecol

Obstet. 2015;131(2):174–177.

World health statistics 2019: Monitoring health for the

SDGs, sustainable development goals. Geneva:

World Health Organization; 2019. Licence: CC BYNC-SA 3.0 IGO.

Ehiemere IO, Ezeugwu RN, Maduakolam IO and Ilo IJ.

Maternal health-seeking behaviour and pregnancy

outcome in rural communities in Enugu State, SouthEast Nigeria. Int J Dev Res 2017;7.

World Health Organization, Department of Reproductive

Health and Research. WHO antenatal care

randomised trial. Manual for the implementation of

the new model. Geneva: World Health Organization;

Adedokun ST and Uthman OA. Women who have not

utilised health Services for Delivery in Nigeria: Who

are they and where do they live? BMC Pregnancy

Childbirth 2019; 19:93.

https://doi.org/10.1186/s12884-019-2242-6.

Ibrahim DO. Social-Economic Determinants of Maternal

Mortality in Rural Communities of Oyo State,

Nigeria. International Journal of Scientific and

Research Publications. 2016;6(9):280–5.

Ekabua J, Ekabua K and Njoku C. Proposed Framework for

Making Focused Antenatal Care Services

Accessible: A Review of the Nigerian Setting. ISRN

Obstet Gynecol 2011; 2011:1–5.

https://doi.org/10.5402/2011/253964.

Onoh R, Umeora O, Agwu U, Ezegwui H, Ezeonu P and

Onyebuchi A. Pattern and Determinants of Antenatal

Booking at Abakaliki Southeast Nigeria. Ann Med

Heal Sci Res. 2012; 2:169–75.

Fagbamigbe AF and Idemudia ES. Barriers to antenatal

care use in Nigeria: Evidence from non-users and

implications for maternal health programming. BMC

Pregnancy Childbirth 2015; 15:95.

https://doi.org/10.1186/s12884-015-0527-y.

British Council (2012). Gender in Nigeria Report 2012

Improving the lives of Girls and Women in Nigeria:

Issues, Policies and Actions (2nd edition). Abuja:

British Council Nigeria

Alabi O, Odimegwu CO, De-Wet N and Akinyemi JO.

Does female autonomy affect contraceptive use

among women in northern Nigeria? Afr J Reprod

Health 2019; 23:92–100.

women’s/doi.org/10.29063/ajrh2019/v23i2.9.

Naa Dodua Dodoo D, Atiglo Y, Adriana AE. Biney,

Nurudeen Alhassan, Maame B, Peterson F and NiiAmoo Dodoo (2019). Does financial autonomy

imply reproductive and sexual autonomy? Evidence

from urban poor women in Accra, Ghana, African

Studies, 78:4, 477-

, DOI: 10.1080/00020184.2019.1584485

Wado YD. Women’s autonomy and reproductive healthcare-seeking behaviour in Ethiopia. Women Heal

; 58:729–43. https://doi.org/1Women’

s03630242.2017.1353573.

Ilori et al. Socioeconomic factors and ANC in Nigeria

African Journal of Reproductive Health August 2022; 26 (8):133

Chol C, Negin J and Agho KE and Cumming RG.

Women’s autonomy and utilisation of maternal

healthcare services in 31 Sub-Saharan African

countries: Results from the demographic and health

surveys, 2010-2016. BMJ Open 2019;9.

https://doi.org/1Women’ BMJ open-2018-023128.

Solanke AA and Manukaji I. Determinants of Women’s

Financial Autonomy in Nigerian Households:

Evidence from 2013 Nigeria Demographic and

Health Survey. International Journal of Banking and

Finance Research 2015; 8: 24-34.

Ameyaw EK, Tanle A, Kissah-Korsah K and Amo-Adjei J.

Women’s Health Decision-Making Autonomy and

Skilled Birth Attendance in Ghana. Int J Reprod

Med. 2016; 2016:6569514. DOI:

1155/2016/6569514. Epub 2016 Dec 26. PMID:

; PMCID: PMC5220507.

United Nations Population Division. World Population

Prospects: 2019 Revision. 2022 The World Bank

Group.

National Population Commission - NPC, ICF. Nigeria

Demographic and Health Survey 2018. Abuja,

Nigeria and Rockville, Maryland, USA: 2019.

Feinstein L, Sabates R, Anderson TM, Sorhaindo A and

Hammond C. What are the effects of education on

health? In Measuring the effects of education on

health and civic engagement: Proceedings of the

Copenhagen symposium 2006 Mar 23 (pp. 171-354).

Paris, France: OECD.

Obembe TA, Odebunmi KO and Olalemi AD.

Determinants of family size among men in slums of

Ibadan, Nigeria. Annals of Ibadan postgraduate

medicine. 2018 Jul 17;16(1):12-22.

Elser H, Rehkopf DH, Meausoone V, Jewell NP, Eisen EA

and Cullen MR. Gender, depression, and blue-collar

work: A retrospective cohort study of US aluminium

manufacturers. Epidemiology (Cambridge, Mass.).

May;30(3):435.

Bishwajit G and Yaya S. Household food insecurity is

independently associated with poor utilization of

maternal healthcare services in Bangladesh.

FACETS. 2017 Dec 4;2(2):969-83.

Amir-ud-Din R, Zafar S, Muzammil M, Shabbir R, Malik

S and Usman M. Exploring the Relationship

Between Maternal Occupation and Under-Five

Mortality: Empirical Evidence from 26 Developing

Countries. The European Journal of Development

Research. 2021 Sep 10:1-27.

Employment & Labour Law 2020 | Nigeria | ICLG. Int

Comp Leg Guide 2020. https://iclg.com/practiceareas/employment-and-labour-laws-andregulations/nigeria (accessed December 7, 2021)

Hart JT. The Inverse Care Law. Lancet 1971; 297:405–12.

https://doi.org/10.1016/S0140-6736(71)92410-X.

Umar AS. Women's autonomy and the use of antenatal and

delivery services in Nigeria. MOJ Public Heal 2017;

:273–7

Women’s://doi.org/10.15406/mojph.2017.06.00161.

Furuta M and Salway S. Women’s position within the

household as a determinant of maternal health care

use in Nepal. Int Fam Plan Perspect 2006; 32:17–27.

https://doi.org/10.1363/3201706.

Beegle K, Frankenberg E and Thomas D. Bargaining power

within couples and use of prenatal and delivery care

in Indonesia. Stud Fam Plann 2001; 32:130–46.

https:/"doi.org/10.1111/j.1728-4465.2001.00130. x.

Mistry R, Galal O and Lu M. “Women’s autonomy and

pregnancy care in rural India: A contextual analysis.”

Soc Sci Med 2009; 69:926–33.

https://doi.org/10.1016/j.socscimed.2009.07.008.

Bloom SS, Wypij D and Das Gupta M. Dimensions of

Women’s Autonomy and the Influence on Maternal

Health Care Utilization in a North Indian City.

Demography 2001; 38:67–78.

https://doi.org/10.1353/dem.2001.0001.

Jennings L, Na M, Cherewick M, Hindin M, Mullany B and

Ahmed S. Women’s empowerment and male

involvement in antenatal care: Analyses of

Demographic and Health Surveys (DHS) in selected

African countries. BMC Pregnancy Childbirth

;14. https://doi.org/10.1186/1471-2393-14-297.

Viswan SP, Ravindran TKS, Kandala NB, Petzold MG and

Fonn S. Sexual autonomy and contraceptive use

among women in Nigeria: Findings from the

demographic and health survey data. Int J Women's

Health 2017; 9:581–90.

https://doi.org/10.2147/IJWH.S133760.

Bulto G and Demmissie D. Practice and intention to use

long acting and permanent contraceptive methods

among married women of reproductive age in North

West Ethiopia. Gynecol Obstet. 2018;8(459):2161-

Fayehun O and Asa S. Abnormal birth weight in urban

Nigeria: An examination of related factors. PloS one.

Nov 24;15(11):e0242796.

Ibrahim A and Pandey KK. Women’s empowerment and

child health outcomes: A comparative study between

India and Nigeria. Journal of Medical Science and

Clinical Research. 2014;2(12):32


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