Prevalence and Factors Associated with Late First Antenatal Care Visit in Kaya Health District, Burkina Faso

Anthony Somé, Adama Baguiya, Abou Coulibaly, Vincent Bagnoa, Seni Kouanda


Early first antenatal consultation during pregnancy is important to identify women at risk of complications and to increase the probability of institutional delivery, with skilled birth attendants. However, most women in developing countries begin their antenatal visits after the first trimester. The purpose of this study was to estimate the extent of this phenomenon and to identify its main associated factors. We conducted a secondary data analysis using Kaya Health and Demographic Surveillance System Data (Kaya HDSS), which was collected between February 1st, 2013 and January 31st, 2014. This study included 704 women of reproductive age who permanently reside on Kaya HDSS area. The dependent variable was the time until the first antenatal consultation. The factors associated with late first antenatal consultation were identified by logistic regression. The prevalence of late first antenatal consultation was 62.93%. The multivariate analysis demonstrated that women of age 25 and over (OR=1.77; p=0.002), multiparity (OR=1.72; p=0.036), the women’s lack of education (OR=2.72; p=0.001) and the household’s poor socio-economic level (very low: OR=2.89; p<0.001) were factors associated with late first antenatal consultation. Sanitary education, community implication and free healthcare for mothers and children can contribute in reducing this phenomenon in our context. (Afr J Reprod Health 2020; 24[2]: 19-26).

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WHO. Trends in maternal mortality: 1990 to 2015:

estimates by WHO, UNICEF, UNFPA, World Group and the United Nations Population Division. Geneva: WHO; 2015.

UN. The Millennium Development Goals Report 2012.

New York: United Nations; 2012.

WHO. Neonatal and perinatal mortality Country,

Regional and Global estimates 2000 WHO publications Geneva: WHO; 2006.

Villar J, Ba'aqeel H, Piaggio G, Lumbiganon P, Miguel

Belizán J, Farnot U, Al-Mazrou Y, Carroli G, Pinol A, Donner A, Langer A, Nigenda G, Mugford M, Fox-Rushby J, Hutton G, Bergsjø P, Bakketeig L, Berendes H and Garcia J. WHO antenatal care randomised trial for the evaluation of a new model of routine antenatal care. Lancet Lond Engl. 2001 May 19;357(9268):1551–64.

WHO. Recommendations on Antenatal Care for a

Positive Pregnancy Experience. Geneva: World Health Organization; 2016. Executive summary.

Finlayson K and Downe S. Why do women not use

antenatal services in low-and middle-income countries? A meta-synthesis of qualitative studies. PLoS Med. 2013;10(1):e1001373.

Trinh LTT and Rubin G. Late entry to antenatal care in

New South Wales, Australia. Reprod Health. 2006; 3:8.

Adekanle DA and Isawumi AI. Late antenatal care

booking and its predictors among pregnant women in South Western Nigeria. Online J Health Allied Scs. 2008; 7(1): 4.

Simkhada B, Teijlingen ER van, Porter M and Simkhada

P. Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. J Adv Nurs. 2008 Feb;61(3):244–60.

Tsegay Y, Gebrehiwot T, Goicolea I, Edin K, Lemma H

and Sebastian MS. Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study. Int J Equity Health. 2013 May 14;12:30.

Achia TNO and Mageto LE. Individual and contextual

determinants of adequate maternal health care services in Kenya. Women Health. 2015;55(2):203–26.

Magadi MA, Agwanda AO and Obare FO. A

comparative analysis of the use of maternal health services between teenagers and older mothers in sub-Saharan Africa: evidence from Demographic and Health Surveys (DHS). Soc Sci Med 1982. 2007 Mar;64(6):1311–25.

McCaw-Binns A, La Grenade J and Ashley D. Under-

users of antenatal care: a comparison of non-attenders and late attenders for antenatal care, with early attenders. Soc Sci Med 1982. 1995 Apr;40 (7):1003–12.

Kouanda S, Bado A, Yaméogo M, Nitièma J, Yaméogo

G, Bocoum F, Millogo T, Ridde V, Haddad S and Sondo B. The Kaya HDSS, Burkina Faso: a platform for epidemiological studies and health programme evaluation. Int J Epidemiol. 2013 Jun 1;42(3):741–9.

Banda I, Michelo C and Hazemba A. Factors associated

with late antenatal care attendance in selected rural and urban communities of the copperbelt province of Zambia. Med J Zambia 2012;39:29-36.

Gebremeskel F, Dibaba Y and Admassu B. Timing of

first antenatal care attendance and associated factors among pregnant women in Arba Minch Town and Arba Minch District, Gamo Gofa Zone, south Ethiopia. J Environ Public Health. 2015;2015:971506.

Manzi A, Munyaneza F, Mujawase F, Banamwana L,

Sayinzoga F, Thomson DR, Ntanganira J and Hedt-Gauthier BL. Assessing predictors of delayed antenatal care visits in Rwanda: a secondary analysis of Rwanda demographic and health survey 2010. BMC Pregnancy Childbirth. 2014;14:290.

Gross K, Alba S, Glass TR, Schellenberg JA and Obrist

B. Timing of antenatal care for adolescent and adult pregnant women in south-eastern Tanzania. BMC Pregnancy Childbirth. 2012 Mar 21;12:16.

Mkandawire P. Gestational Age at First Antenatal Care

Visit in Malawi. Matern Child Health J. 2015 Nov;19(11):2366–74.

Mafuta EM and Kayembe PK. Déterminants de la

fréquentation tardive des services de soins prénatals dans les zones de santé de l’Equateur et du Katanga en République Démocratique du Congo. Ann. Afr. Med. sept 2011;4(4):845-54.

Ndiaye P, Tal Dia A, Dieudiou A, Dieye EHL and Dione

DA. Déterminants socioculturels du retard de la 1ère consultation prénatale dans un district sanitaire au Sénégal. Santé publique. 2005; 17(4): 531-538.

Oladokun A, Oladokun RE, Morhason-Bello I, Bello AF

and Adedokun B. Proximate predictors of early antenatal registration among Nigerian pregnant women. Ann Afr Med. 2010 Dec;9(4):222–5.

Magadi MA, Madise NJ and Rodrigues RN. Frequency

and timing of antenatal care in Kenya: explaining the variations between women of different communities. Soc Sci Med 1982. 2000 Aug;51(4):551–61.

Navaneetham K and Dharmalingam A. Utilization of

maternal health care services in Southern India. Soc Sci Med 1982. 2002 Nov;55(10):1849–69.

Ebeigbe PN and Gharoro EP. Obstetric complication,

intervention rates and maternofetal outcomes in teenage nullipara in Benin City, Nigeria. Tropical

Doctor.2007 37(2): 79-83.

Trinh LTT, Dibley MJ and Byles J. Determinants of

antenatal care utilization in three rural areas of Vietnam. Public Health Nurs Boston Mass. 2007 Aug;24(4):300–10.

Tariku A, Melkamu Y and Kebede Z. Previous

utilization of service does not improve timely booking in antenatal care: cross sectional study on timing of antenatal care booking at public health facilities in Addis Ababa. Ethiopian Journal of Health Development. 2010;24(3):226–233.

Yazdoni T, Islam A, Nadeem G, Hayat T and Mushtaq

M. Social factors involved in women avoiding early antenatal booking in army setup. Pakistan Armed Forces Med J 2008;4:1.

Nigussie M, Haile Mariam D and Mitike G. Assessment

of safe delivery service utilization among women of childbearing age in north Gondar Zone, Northwest Ethiopia, Ethiop. J. of Health Dev. 2004; 18(3): 45-152.

Tura G. Antenatal care service utilization and associated

factors in Metekel zone, Northwest Ethiopia. Ethiopian J Health Sci. 2009;19(2):111–118.

Kisuule I, Kaye DK, Najjuka F, Ssematimba SK, Arinda

A, Nakitende G and Otim L. Timing and reasons for coming late for the first antenatal care visit by pregnant women at Mulago hospital, Kampala Uganda. BMC Pregnancy Childbirth. 2013 May 25;13:121.

Birmeta K, Dibaba Y and Woldeyohannes D.

Determinants of maternal health care utilization in Holeta town, central Ethiopia. BMC Health Serv Res. 2013 Jul 3;13:256.

Ebeigbe PN and Igberase GO. Antenatal care: a

comparison of demographic and obstetric characteristics of early and late attenders in the Niger Delta, Nigeria. Med Sci Monit. 2005 Nov; 11(11):CR529-532.

Okunlola MA, Owonikoko KM, Fawole AO and

Adekunle AO. Gestational age at antenatal booking and delivery outcome. Afr J Med Med Sci. 2008 Jun;37(2):165–9.

Adeyemi AB, Makinde ON, Ajenifuja KO, Soyinka AS,

Ayinde AK, Ola BA and Ofili M. Determinants of antenatal booking time in a South-Western Nigeria setting. West Afr J Med. 2007 Dec;26(4):293–7.

Rowe RE, Magee H, Quigley MA, Heron P, Askham J

and Brocklehurst P. Social and ethnic differences in attendance for antenatal care in England. Public Health. 2008 Dec;122(12):1363–72.

Tewodros B, Mariam A, and Dibaba Y. Factors affecting

antenatal care utilization in Yem special woreda southwestern Ethiopia. J Health Sci. 2009 Mar;19:45-51.


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