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Timing and number of antenatal care contacts in low and middle-income countries: Analysis in the Countdown to 2030 priority countries.


ABSTRACT: Background:The 2016 World Health Organization (WHO) guidelines for antenatal care (ANC) shift the recommended minimum number of ANC contacts from four to eight, specifying the first contact to occur within the first trimester of pregnancy. We quantify the likelihood of meeting this recommendation in 54 Countdown to 2030 priority countries and identify the characteristics of women being left behind. Methods:Using 54 Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) since 2012, we reported the proportion of women with timely ANC initiation and those who received 8-10 contacts by coverage levels of ANC4+ and by Sustainable Development Goal (SDG) regions. We identified demographic, socio-economic and health systems characteristics of timely ANC initiation and achievement of ANC8+. We ran four multiple regression models to quantify the associations between timing of first ANC and the number and content of ANC received. Results:Overall, 49.9% of women with ANC1+ and 44.3% of all women had timely ANC initiation; 11.3% achieved ANC8+ and 11.2% received no ANC. Women with timely ANC initiation had 5.2 (95% confidence interval (CI)?=?5.0-5.5) and 4.7 (95% CI?=?4.4-5.0) times higher odds of receiving four and eight ANC contacts, respectively (P?

SUBMITTER: Jiwani SS 

PROVIDER: S-EPMC7101027 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Timing and number of antenatal care contacts in low and middle-income countries: Analysis in the Countdown to 2030 priority countries.

Jiwani Safia S SS   Amouzou-Aguirre Agbessi A   Carvajal Liliana L   Chou Doris D   Keita Youssouf Y   Moran Allisyn C AC   Requejo Jennifer J   Yaya Sanni S   Vaz Lara Me LM   Boerma Ties T  

Journal of global health 20200601 1


<h4>Background</h4>The 2016 World Health Organization (WHO) guidelines for antenatal care (ANC) shift the recommended minimum number of ANC contacts from four to eight, specifying the first contact to occur within the first trimester of pregnancy. We quantify the likelihood of meeting this recommendation in 54 Countdown to 2030 priority countries and identify the characteristics of women being left behind.<h4>Methods</h4>Using 54 Demographic and Health Surveys (DHS) and Multiple Indicator Cluste  ...[more]

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