Examining Factors Influencing Antenatal Care Visits in Nigeria

Main Article Content

Olateju Alao Bamigbala
Solomon Etia Odey
Ayodeji Oluwatobi Ojetunde
Aliyu Ikrimat
Joshua ThankGod

Abstract

The number of maternal deaths worldwide linked to pregnancy and childbirth is high in Nigeria. Meanwhile, attending the recommended number of antenatal care (ANC) appointments may help reduce maternal morbidity and death. This research sought to examine the factors influencing ANC visits in Nigeria. This study employed secondary data extracted from the Nigeria Demographic and Health Survey 2018. A total sample of 21,427 women was included. Data analysis was carried out using the Zero-Inflated Negative Binomial Regression. The level of significance was p < 0.05. Among the participants, 5,337 (24.9%) did not attend any ANC visits. As the number of visits increases, there is a gradual decrease in frequency, with 4 visits being the most common (12.7%). Findings revealed that place of residence, maternal education, insurance coverage, marital status, partner’s education, region, and age of the mother consistently impacted additional ANC visits. While the place of residence, maternal education, insurance coverage, partner’s education, region, and age of the mother impacted zero ANC visits. Policymakers should focus on rural areas and those with lower education levels to improve ANC visits. Furthermore, specific attention should be given to pregnant women over 18 years of age to ensure they receive adequate ANC.

Downloads

Download data is not yet available.

Scopus Citation Data

Data source Crossref
0
citations
Check Secondary Documents in Scopus
Open this article in Scopus, then check the Secondary documents tab. Use Manual Citation Fallback only for counts you have verified manually.
Open in Scopus
Similar Scopus Articles
Scopus
  1. Toth E. (2027)
    Open-Source Artificial Intelligence in Small-Bowel Capsule Endoscopy—Visual Assistance is Promising, But Not Yet a Standard of Care
    Den Open, 7(1)
  2. Sato K. (2027)
    Optimal Stenting Strategy During Chemotherapy: Impact of Time to First Reintervention on Survival in Malignant Hilar Biliary Obstruction
    Den Open, 7(1)
  3. Kosaka Y. (2027)
    Delayed Gastric Bleeding in a Patient With Chronic Myeloid Leukemia: A Case of Post-Biopsy Bleeding
    Den Open, 7(1)

Article Details

How to Cite
Bamigbala, O. A., Odey, S. E., Ojetunde, A. O., Ikrimat, A., & ThankGod, J. (2025). Examining Factors Influencing Antenatal Care Visits in Nigeria. Journal of Multidisciplinary Science: MIKAILALSYS, 3(1), 328-343. https://doi.org/10.58578/mikailalsys.v3i1.5266

References

Adewuyi, E. O., Auta, A., Khanal, V., Bamidele, O. D., Akuoko, C. P., et al. (2018). Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey. PLOS ONE, 13, e0197324.

Adulo, L. A., Hassen, S. S., & Chernet, A. (2022). Timing of the first antenatal care visit and associated risk factors in rural parts of Ethiopia. International Journal of Applied Research in Public Health Management, 7(1), 1–12.

Adebayo, E. F., Uthman, O. A., Wiysonge, C. S., Stern, E. A., Lamont, K. T., et al. (2015). A systematic review of factors that affect uptake of community-based health insurance in low-income and middle-income countries. BMC Health Services Research, 15, 543.

Akowuah, J. A., Agyei-Baffour, P., & Awunyo-Vitor, D. (2018). Determinants of antenatal healthcare utilisation by pregnant women in third trimester in Peri-Urban Ghana. Journal of Tropical Medicine, 2018, 1673517.

Aziz Ali, S., Aziz Ali, S., Feroz, A., Saleem, S., Fatmai, Z., et al. (2020). Factors affecting the utilization of antenatal care among married women of reproductive age in the rural Thatta, Pakistan: Findings from a community-based case-control study. BMC Pregnancy and Childbirth, 20, 355.

Bamigbala, O. A., Ojetunde, A. O., & Ibrahim, A. (2022). Assessing prevalence and factors associated with cesarean delivery among women of reproductive age in Nigeria. FUDMA Journal of Science, 6, 160–167.

Bamigbala, O. A., Ojetunde, A. O., Okorie, C. E. (2022). Knowledge of ovulatory cycle and associated factors among reproductive age women in Nigeria. Medical Science of Ukraine, 18, 94–102.

Bamigbala, O. A., Ojetunde, A. O., & Tanko, M. (2024). Prevalence and predictors of cesarean delivery in a tertiary hospital in Taraba State, Nigeria. Tanzanian Journal of Science, 50, 159–168.

Bamigbala, O. A., Ojetunde, A. O. (2023). Identifying factors contributing to under-five mortality in Nigeria. Tanzanian Journal of Science, 49, 322–331.

Basha, G. W. (2019). Factors affecting the utilization of a minimum of four antenatal care services in Ethiopia. Obstetrics and Gynecology International, 2019, 5036783.

Bolarinwa, O. A., Sakyi, B., Ahinkorah, B. O., Ajayi, K. V., Seidu, A. A., et al. (2021). Spatial patterns and multilevel analysis of factors associated with antenatal care visits in Nigeria: Insight from the 2018 Nigeria Demographic Health Survey. Healthcare, 9, 1389.

Dimbuene, Z. T., Amo-Adjei, J., Amugsi, D., Mumah, J., Izugbara, C. O., et al. (2018). Women’s education and utilization of maternal health services in Africa: A multi-country and socioeconomic status analysis. Journal of Biosocial Science, 50, 725–748.

Effiong, B. V., & Adhowhoarie, O. L. (2023). Predictors of antenatal care services utilization by pregnant women in a selected Akwa Ibom state community, Nigeria. American Journal of Social Sciences and Humanities, 8, 173–186.

Fagbamigbe, A. F., & Idemudia, E. S. (2015). Barriers to antenatal care use in Nigeria: Evidences from non-users and implications for maternal health programming. BMC Pregnancy and Childbirth, 15, 95.

Giles, M. L., Mason, E., Muñoz, F. M., Moran, A. C., Lambach, P., et al. (2020). Antenatal care service delivery and factors affecting effective tetanus vaccine coverage in low- and middle-income countries: Results of the Maternal Immunisation and Antenatal Care Situational analysis (MIACSA) project. Vaccine, 38, 5278–5285.

Goli, S., Nawal, D., Rammohan, A., Sekher, T. V., & Singh, D. (2018). Decomposing the socioeconomic inequality in utilization of maternal health care services in selected countries of South Asia and sub-Saharan Africa. Journal of Biosocial Science, 50, 749–769.

Heinonen, K. (2021). Strengthening antenatal care towards a salutogenic approach: A meta-ethnography. International Journal of Environmental Research and Public Health, 18, 5168.

Hijazi, H. H., Alyahya, M. S., Sindiani, A. M., Saqan, R. S., & Okour, A. M. (2018). Determinants of antenatal care attendance among women residing in highly disadvantaged communities in northern Jordan: A cross-sectional study. Reproductive Health, 15, 106.

Hinton, L., Dakin, F. H., Kuberska, K., Boydell, N., Willars, J., et al. (2024). Quality framework for remote antenatal care: Qualitative study with women, healthcare professionals and system-level stakeholders. BMJ Quality & Safety, 33, 301–133.

Islam, M. M., & Masud, M. S. (2018). Health care seeking behaviour during pregnancy, delivery and the postnatal period in Bangladesh: Assessing the compliance with WHO recommendations. Midwifery, 63, 8–16.

Kim, S., & Kim, S. Y. (2019). Exploring factors associated with maternal health care utilization in Chad. Journal of Global Health Science, 1, e31.

Mekonnen, T., Dune, T., & Perz, J. (2019). Maternal health service utilisation of adolescent women in sub-Saharan Africa: A systematic scoping review. BMC Pregnancy and Childbirth, 19, 366.

Mwase, T., Brenner, S., Mazalale, J., Lohmann, J., Hamadou, S., et al. (2018). Inequities and their determinants in coverage of maternal health services in Burkina Faso. International Journal for Equity in Health, 17, 58.

Oladipo, I. A., & Akinwaare, M. O. (2023). Trends and patterns of maternal deaths from 2015 to 2019, associated factors and pregnancy outcomes in rural Lagos, Nigeria: A cross-sectional study. Pan African Medical Journal, 44, 185.

Olamijulo, J. A., Olorunfemi, G., & Okunola, H. (2022). Trends and causes of maternal death at the Lagos University teaching hospital, Lagos, Nigeria (2007–2019). BMC Pregnancy and Childbirth, 22, 360.

Okedo-Alex, I. N., Akamike, I. C., Ezeanosike, O. B., & Uneke, C. J. (2019). Determinants of antenatal care utilisation in sub-Saharan Africa: A systematic review. BMJ Open, 9, e031890.

Okoro, C., Bamigbala, O. A., Ojetunde, A. O., & Ibrahim, A. (2022). Risk factors associated with treatment default among tuberculosis patients in Adamawa state, Nigeria. Galician Medical Journal, 29, e202221.

Ope, B. W. (2020). Reducing maternal mortality in Nigeria: Addressing maternal health services’ perception and experience. Journal of Global Health Reports, 4, e2020028.

Rahman, M. O., Yamaji, N., Nagamatsu, Y., & Ota, E. (2022). Effects of mHealth interventions on improving antenatal care visits and skilled delivery care in low- and middle-income countries: Systematic review and meta-analysis. Journal of Medical Internet Research, 24, e34061.

Tekelab, T., Chojenta, C., Smith, R., & Loxton, D. (2019). Factors affecting utilization of antenatal care in Ethiopia: A systematic review and meta-analysis. PLOS ONE, 14, e0214848.

Tessema, Z. T., Teshale, A. B., Tesema, G. A., & Tamirat, K. S. (2021). Determinants of completing recommended antenatal care utilization in sub-Saharan from 2006 to 2018: Evidence from 36 countries using Demographic and Health Surveys. BMC Pregnancy and Childbirth, 21, 192.

Tiruaynet, K., & Muchie, K. F. (2019). Determinants of utilization of antenatal care services in Benishangul Gumuz Region, Western Ethiopia: A study based on demographic and health survey. BMC Pregnancy and Childbirth, 19, 115.

Wastnedge, E., Waters, D., Murray, S. R., McGowan, B., Chipeta, E., et al. (2021). Interventions to reduce preterm birth and stillbirth, and improve outcomes for babies born preterm in low- and middle-income countries: A systematic review. Journal of Global Health, 11, 04050.

World Health Organization. (2023). Nigeria ranks 2nd in worldwide maternal death. Retrieved April 30, 2024, from https://leadership.ng/nigeria-ranks-2nd-in-worldwide-maternal-death-who/

Yaya, S., Uthman, O. A., Amouzou, A., Ekholuenetale, M., & Bishwajit, G. (2018). Inequalities in maternal health care utilization in Benin: A population-based cross-sectional study. BMC Pregnancy and Childbirth, 18, 194.


Explore Our Journals
Find the most suitable journal for your research. If this journal does not fully align with the scope of your manuscript, we invite you to explore our wider portfolio of journals covering diverse fields of study. Please select one of the journals below to identify the most appropriate publication platform for your work.