Conference abstract

Determinants of timely utilization of antenatal care in Burundi, 2017: a cross-sectional study

Pan African Medical Journal - Conference Proceedings. 2017:3(108).30 Dec 2017.
doi: 10.11604/pamj-cp.2017.3.108.271

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Keywords: Maternal mortality, ANC visits, pregnancy
Oral presentation

Determinants of timely utilization of antenatal care in Burundi, 2017: a cross-sectional study

Fiston Muneza1,&, Agnes Nyabigambo1, Fredrick Makumbi1

1Makerere University School of Public Health, Kampala, Uganda

&Corresponding author
Fiston Muneza, Makerere University School of Public Health, Kampala, Uganda

Abstract

Introduction: in Burundi, maternal mortality ratio is still high, 800 per 100,000 live births. Majority (80%) of Burundi women delay to initiate ANC and only 23.2% complete four ANC visits. We assessed factors associated with timely completion of ANC among women aged 15-49 years in Burundi.

Methods: a cross-sectional study was conducted using data from the 2010 Burundi Demographic and Health Survey. This was a nationally representative survey, conducted among 5,063 women aged 15-49 that had at least one birth in the last five years. Timely ANC was defined as initiation of ANC in the first trimester of pregnancy while completion referred to attending four ANC visits. Determinants of timely and completion of ANC were identified using a modified Poisson regression model applying survey commands to account for the complex sample design.

Results: analysis on a total of 4171 women with complete data on key variables is presented. Majority (91.9%) were resident in rural, half (52.2%) not educated and 45.0% were aged 25-34 years. Only 21.7% had timely initiation of ANC of whom two thirds (66.3%) completed the four recommended ANC visits. Factors associated with timely initiation of ANC were secondary or higher education (adj.PR = 1.64, 95%CI: 1.35-1.99), primiparity (adj.PR = 130, 95%CI: 1.11-1.51), private clinics (adj.PR = 1.28, 95%CI: 1.11-1.48), wanted pregnancy (adj.PR = 1.24, 95%CI: 1.08-1.42) and health insurance (adj.PR = 1.27, 95%CI: 1.10-1.45). However, completion of four recommended ANC visits by women who initiate ANC in trimester one were significantly lower among urban compared to rural (adj.PR = 0.78, 95%CI: 0.63-0.95) and in the Western verse South region (adj.PR = 0.77, 95%CI: 0.66-0.91).

Conclusion: timely initiation of ANC and completion of recommended visits are still very low in Burundi. More effort is needed to improve ANC utilization with focus on improving female’s education, providing health insurance and plan for pregnancy.