Factors Associated with the Completion of Antenatal Care in Podor Health District in 2020 (Senegal)

Abstract

Introduction: The Ministry of Health and Social Action recommends at least four antenatal care (ANC). This indicator is not sufficiently documented in Podor health district. This study aimed to identify factors associated with the completion of ANC in this district. Methods: A cross-sectional study was conducted from 19 to 22 June 2020 in Podor health district, located 490 km away from Dakar in northern Senegal. The study population included women who had given birth in the 24 months preceding the survey. A two-stage cluster sampling was carried out. Data were collected during a face-to-face interview using an electronic questionnaire created with Open Data Kit Collect (ODK Collect) software. The adjusted Odds ratio (aOR) and its 95% confidence interval (CI95%) were calculated. Results: A total of 832 women were interviewed. Their average age was 26.5 ± 6.6 years, and they were mainly uneducated (54.1%), married (96.2%), and from rural areas (72.8%). The study showed that 51.20% of women surveyed underwent at least four ANC. Married women (aOR= 4.14), those who walked to reach health facilities (aOR=1.69), and those who watched television at least once a week (aOR=1.66) were significantly more likely to undergo at least four ANC. Conclusion: We need to raise awareness among women of reproductive age and resource persons through the mass media, and improve the geographical accessibility of health facilities to increase ANC coverage.