Association between socio-demographic factors and the timing of antenatal care initiation in Eersterust, South Africa: A cross-sectional study

Phuti Ngwepe, Boitshwarelo KM. Ngake, Martin Palamuleni, Ishmael Kalule-Sabiti, Phuti Ngwepe

Abstract

Despite improved health infrastructure in South Africa, antenatal care (ANC) initiation before 20 weeks stipulated by the World Health Organization requires attention.1 Early and regular ANC improves pregnancy outcomes through screening, counselling, and preventive interventions. This descriptive cross-sectional case study investigated socio-demographic factors associated with ANC initiation timing in Eersterust, South Africa.Data from 419 women (aged 18–49 years) were collected using structured questionnaires and analysed at univariate, bivariate, and binary logistic regression levels. Binary logistic results revealed employment status, country of origin, and parity as significant predictors. Employed respondents [AOR 2.23 (CI: 1.43–3.50)], women with parity of 1 [AOR: 1.80 (CI: 1.04–3.12)], and South African-born women [AOR: 1.54 (CI: 0.94–2.53)] had the highest odds of initiating ANC earlier than 20 weeks.Addressing employment barriers, non-citizenship of South Africa, and high parity may facilitate earlier ANC engagement. These significant factors should inform ANC policy design and review to increase utilization and encourage early initiation. Future programmes should target unemployed women and women with multiple children to improve maternal and infant health outcomes.

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References

World Health Organization. Standards for improving quality of maternal and newborn care in health facilities. Geneva: World Health Organization; 2016. Available from: http://www.who.int/maternal_ child_adolescent/documents/improving-maternal-newborn-care/quality/en/. Accessed 23 Jun 2021.

World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: World Health Organization; 2016.

Hlongwane TM, Bozkurt B, Barreix MC, Pattinson R, Gülmezoglu M, Vannevel V, Tunçalp Ö. Implementing antenatal care recommendations, South Africa. Bull World Health Organ. 2021;99(3):220–7.

Daniels-Donkor SS, Afaya A, Daliri DB, Laari TT, Salia SM, Avane MA, Afaya RA, Yakong VN, Ayanore MA, Alhassan RK. Factors associated with timely initiation of antenatal care among reproductive age women in The Gambia: a multilevel fixed effects analysis. Arch Public Health. 2024 May 17;82(1):73.

Demissie KA, Jejaw M, Wondimu BG, Mersha YT, Demsash ES, Dessie SG, Teshome AG, Geberu DM, Tiruneh MG. Only 9% of mothers have eight and more ANC visit in 14 sub-Saharan African countries; evidence from the most recent DHS 2018–2023: a multilevel analysis. BMC Public Health. 2024 Jun 19;24(1):1631.

Ebonwu J, Mumbauer A, Uys M, Wainberg ML, Medina-Marino A. Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: a cross-sectional study. PLoS One. 2018 Mar 8;13(3):e0191903.

Statistics South Africa. Census 2011: Migration dynamics in South Africa. Report No. 03-01-79. Pretoria: Statistics South Africa; 2015. Available from: http://www.statssa.gov.za/publications/Report-03-01-79/Report-03-01-792011.pdf. Accessed 3 Sep 2022.

Al-Zubayer MA, Shanto HH, Kundu S, Sarder MA, Ahammed B. The level of utilization and associated factors of WHO recommended antenatal care visits in South Asian countries. Dialogues Health. 2024 Jun 1;4:100175.

Tessema ZT, Teshale AB, Tesema GA, Tamirat KS. Determinants of completing recommended antenatal care utilization in sub-Saharan Africa from 2006 to 2018: evidence from 36 countries using Demographic and Health Surveys. BMC Pregnancy Childbirth. 2021 Mar 6;21(1):192.

Osuide JO, Parsa AD, Mahmud I, Kabir R. The effect of limited access to antenatal care on pregnancy experiences and outcomes among undocumented migrant women in Europe: a systematic review. Front Glob Womens Health. 2024 Feb 6;5:1289784.

Steinbrook E, Min MC, Kajeechiwa L, Wiladphaingern J, Paw MK, Pimanpanarak MP, Hiranloetthanyakit W, Min AM, Tun NW, Gilder ME, Nosten F. Distance matters: barriers to antenatal care and safe childbirth in a migrant population on the Thailand-Myanmar border from 2007 to 2015, a pregnancy cohort study. BMC Pregnancy Childbirth. 2021 Dec 2;21(1):802.

Nkosi ZP, Tsawe M. Factors influencing the desire to limit childbearing among in-union women in selected Southern African countries. Afr J Reprod Health. 2025 Jul 1;29(7):13–26.

Palamuleni ME. Factors associated with late antenatal initiation among women in Malawi. Int J Environ Res Public Health. 2024 Jan 27;21(2):143.

Ademuyiwa IY, Opeke RO, Farotimi AA, Ejidokun A, Olowe AO, Ojo EA. Awareness and satisfaction with antenatal care services among pregnant women in Lagos state, Nigeria. Calabar J Health Sci. 2021;5(1):21–27.

Statistics South Africa. Census 2022 statistical release. Report P0301.4. Pretoria: Statistics South Africa; 2023. Available from: https://census.statssa.gov.za/assets/documents/2022/P03014_Census_2022_Statistical_Release.pdf.

Dahab R, Sakellariou D. Barriers to accessing maternal care in low income countries in Africa: a systematic review. International journal of environmental research and public health. 2020 Jun;17(12):4292.

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