Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal

Boubacar Gueye; Ndéye Marième Diagne; Martial Coly Bop; Alouine Badara Tall; Abdoul Aziz Ndiaye; Ousseynou Ka; Cheikh Tacko Diop

doi:doi:10.11648/j.ejpm.20200806.13

Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal

Boubacar Gueye, Ndéye Marième Diagne, Martial Coly Bop, Alouine Badara Tall, Abdoul Aziz Ndiaye, Ousseynou Ka, Cheikh Tacko Diop

Published in European Journal of Preventive Medicine (Volume 8, Issue 6)

Received: 10 November 2020 Accepted: 23 November 2020 Published: 4 December 2020

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Abstract

Introduction: Maternal-fetal and child morbidity and mortality is still a major public health problem despite all the progress made. It can be reduced significantly by proper monitoring of pregnancy through the 4 recommended pre-natal consultations (PNC). However, PNC completion rates remain low in sub-Saharan Africa. The Koki health district is no exception to this reality with 39% completion rate. The objective of this study is to determine the factors associated with PNC completion by pregnant women in order to make recommendations which aim to reduce maternal and fetal morbidity and mortality in the Koki health district in Senegal. Methodology: A cross-sectional descriptive study was conducted among 603 women who gave birth between 01/01/2017 and 31/12/2017 in the health district's area of responsibility. Two-stage cluster sampling was conducted. The first stage involved the selection of villages through a simple random draw. The second concerned the selection of concessions chosen by the bottle method. The number of clusters per Health Service Delivery Point (HSDP) was based on the number of expected pregnancies. Thus the survey consisted of 30 clusters of 20 women. All women meeting the criteria were selected from the concession. Data entry and analysis was done using Epi Info version 7.2.3.0. Results: The sample consisted of aged 26.15 years old average women, married, predominantly educated (52.75 per cent), and of Wolof ethnic group (66.6 per cent). More than 2/3 of the women (61.63%) were within 5 km of the health facilities. The majority of women (68%) had their own income. Almost all women were satisfied with the reception (97.5%) in the HSDP. Half of the women (50.61%) had their first PNC in the first trimester of pregnancy. The PNC completion rate calculated with prenatal consultation booklet data is 30%. The main factors having a statistically significant relationship with the low PNC completion rate are: age ≥ 30 years, number of pregnancies >3, number of deliveries > 3, distance between home and HSDP ≥ 5 km, PNC high cost perception and lack of own income. Conclusion: The reasons for the low PNC completion rate are related to the obstetrical situation, geographical accessibility, but also the woman's financial situation. Achieving a satisfactory completion rate require not only a greater awareness and empowerment of women, but also accessibility to health facilities.

Published in	European Journal of Preventive Medicine (Volume 8, Issue 6)
DOI	10.11648/j.ejpm.20200806.13
Page(s)	113-118
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Associated Factors, Pre-natal Consultations, Completion Rate, Senegal

References

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Boubacar Gueye, Ndéye Marième Diagne, Martial Coly Bop, Alouine Badara Tall, Abdoul Aziz Ndiaye, et al. (2020). Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal. European Journal of Preventive Medicine, 8(6), 113-118. https://doi.org/10.11648/j.ejpm.20200806.13

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ACS Style

Boubacar Gueye; Ndéye Marième Diagne; Martial Coly Bop; Alouine Badara Tall; Abdoul Aziz Ndiaye, et al. Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal. Eur. J. Prev. Med. 2020, 8(6), 113-118. doi: 10.11648/j.ejpm.20200806.13

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AMA Style

Boubacar Gueye, Ndéye Marième Diagne, Martial Coly Bop, Alouine Badara Tall, Abdoul Aziz Ndiaye, et al. Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal. Eur J Prev Med. 2020;8(6):113-118. doi: 10.11648/j.ejpm.20200806.13

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@article{10.11648/j.ejpm.20200806.13,
  author = {Boubacar Gueye and Ndéye Marième Diagne and Martial Coly Bop and Alouine Badara Tall and Abdoul Aziz Ndiaye and Ousseynou Ka and Cheikh Tacko Diop},
  title = {Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal},
  journal = {European Journal of Preventive Medicine},
  volume = {8},
  number = {6},
  pages = {113-118},
  doi = {10.11648/j.ejpm.20200806.13},
  url = {https://doi.org/10.11648/j.ejpm.20200806.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20200806.13},
  abstract = {Introduction: Maternal-fetal and child morbidity and mortality is still a major public health problem despite all the progress made. It can be reduced significantly by proper monitoring of pregnancy through the 4 recommended pre-natal consultations (PNC). However, PNC completion rates remain low in sub-Saharan Africa. The Koki health district is no exception to this reality with 39% completion rate. The objective of this study is to determine the factors associated with PNC completion by pregnant women in order to make recommendations which aim to reduce maternal and fetal morbidity and mortality in the Koki health district in Senegal. Methodology: A cross-sectional descriptive study was conducted among 603 women who gave birth between 01/01/2017 and 31/12/2017 in the health district's area of responsibility. Two-stage cluster sampling was conducted. The first stage involved the selection of villages through a simple random draw. The second concerned the selection of concessions chosen by the bottle method. The number of clusters per Health Service Delivery Point (HSDP) was based on the number of expected pregnancies. Thus the survey consisted of 30 clusters of 20 women. All women meeting the criteria were selected from the concession. Data entry and analysis was done using Epi Info version 7.2.3.0. Results: The sample consisted of aged 26.15 years old average women, married, predominantly educated (52.75 per cent), and of Wolof ethnic group (66.6 per cent). More than 2/3 of the women (61.63%) were within 5 km of the health facilities. The majority of women (68%) had their own income. Almost all women were satisfied with the reception (97.5%) in the HSDP. Half of the women (50.61%) had their first PNC in the first trimester of pregnancy. The PNC completion rate calculated with prenatal consultation booklet data is 30%. The main factors having a statistically significant relationship with the low PNC completion rate are: age ≥ 30 years, number of pregnancies >3, number of deliveries > 3, distance between home and HSDP ≥ 5 km, PNC high cost perception and lack of own income. Conclusion: The reasons for the low PNC completion rate are related to the obstetrical situation, geographical accessibility, but also the woman's financial situation. Achieving a satisfactory completion rate require not only a greater awareness and empowerment of women, but also accessibility to health facilities.},
 year = {2020}
}

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TY - JOUR
T1 - Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal
AU - Boubacar Gueye
AU - Ndéye Marième Diagne
AU - Martial Coly Bop
AU - Alouine Badara Tall
AU - Abdoul Aziz Ndiaye
AU - Ousseynou Ka
AU - Cheikh Tacko Diop
Y1 - 2020/12/04
PY - 2020
N1 - https://doi.org/10.11648/j.ejpm.20200806.13
DO - 10.11648/j.ejpm.20200806.13
T2 - European Journal of Preventive Medicine
JF - European Journal of Preventive Medicine
JO - European Journal of Preventive Medicine
SP - 113
EP - 118
PB - Science Publishing Group
SN - 2330-8230
UR - https://doi.org/10.11648/j.ejpm.20200806.13
AB - Introduction: Maternal-fetal and child morbidity and mortality is still a major public health problem despite all the progress made. It can be reduced significantly by proper monitoring of pregnancy through the 4 recommended pre-natal consultations (PNC). However, PNC completion rates remain low in sub-Saharan Africa. The Koki health district is no exception to this reality with 39% completion rate. The objective of this study is to determine the factors associated with PNC completion by pregnant women in order to make recommendations which aim to reduce maternal and fetal morbidity and mortality in the Koki health district in Senegal. Methodology: A cross-sectional descriptive study was conducted among 603 women who gave birth between 01/01/2017 and 31/12/2017 in the health district's area of responsibility. Two-stage cluster sampling was conducted. The first stage involved the selection of villages through a simple random draw. The second concerned the selection of concessions chosen by the bottle method. The number of clusters per Health Service Delivery Point (HSDP) was based on the number of expected pregnancies. Thus the survey consisted of 30 clusters of 20 women. All women meeting the criteria were selected from the concession. Data entry and analysis was done using Epi Info version 7.2.3.0. Results: The sample consisted of aged 26.15 years old average women, married, predominantly educated (52.75 per cent), and of Wolof ethnic group (66.6 per cent). More than 2/3 of the women (61.63%) were within 5 km of the health facilities. The majority of women (68%) had their own income. Almost all women were satisfied with the reception (97.5%) in the HSDP. Half of the women (50.61%) had their first PNC in the first trimester of pregnancy. The PNC completion rate calculated with prenatal consultation booklet data is 30%. The main factors having a statistically significant relationship with the low PNC completion rate are: age ≥ 30 years, number of pregnancies >3, number of deliveries > 3, distance between home and HSDP ≥ 5 km, PNC high cost perception and lack of own income. Conclusion: The reasons for the low PNC completion rate are related to the obstetrical situation, geographical accessibility, but also the woman's financial situation. Achieving a satisfactory completion rate require not only a greater awareness and empowerment of women, but also accessibility to health facilities.
VL - 8
IS - 6
ER -

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Author Information

Boubacar Gueye

Health and Sustainable Development Department, Alouine Diop University, Bambeye, Senegal
Ndéye Marième Diagne

Principal Hospital of Dakar, Dakar, Senegal
Martial Coly Bop

Health and Sustainable Development Department, Alouine Diop University, Bambeye, Senegal
Alouine Badara Tall

Health and Sustainable Development Department, Alouine Diop University, Bambeye, Senegal
Abdoul Aziz Ndiaye

Health and Sustainable Development Department, Alouine Diop University, Bambeye, Senegal
Ousseynou Ka

Health and Sustainable Development Department, Alouine Diop University, Bambeye, Senegal
Cheikh Tacko Diop

Health and Sustainable Development Department, Alouine Diop University, Bambeye, Senegal

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Boubacar Gueye, Ndéye Marième Diagne, Martial Coly Bop, Alouine Badara Tall, Abdoul Aziz Ndiaye, et al. (2020). Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal. European Journal of Preventive Medicine, 8(6), 113-118. https://doi.org/10.11648/j.ejpm.20200806.13

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Boubacar Gueye; Ndéye Marième Diagne; Martial Coly Bop; Alouine Badara Tall; Abdoul Aziz Ndiaye, et al. Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal. Eur. J. Prev. Med. 2020, 8(6), 113-118. doi: 10.11648/j.ejpm.20200806.13

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AMA Style

Boubacar Gueye, Ndéye Marième Diagne, Martial Coly Bop, Alouine Badara Tall, Abdoul Aziz Ndiaye, et al. Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal. Eur J Prev Med. 2020;8(6):113-118. doi: 10.11648/j.ejpm.20200806.13

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@article{10.11648/j.ejpm.20200806.13,
  author = {Boubacar Gueye and Ndéye Marième Diagne and Martial Coly Bop and Alouine Badara Tall and Abdoul Aziz Ndiaye and Ousseynou Ka and Cheikh Tacko Diop},
  title = {Factors Associated with the Low Completion Rate of Pre-natal Consultations in a Health District in Senegal},
  journal = {European Journal of Preventive Medicine},
  volume = {8},
  number = {6},
  pages = {113-118},
  doi = {10.11648/j.ejpm.20200806.13},
  url = {https://doi.org/10.11648/j.ejpm.20200806.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20200806.13},
  abstract = {Introduction: Maternal-fetal and child morbidity and mortality is still a major public health problem despite all the progress made. It can be reduced significantly by proper monitoring of pregnancy through the 4 recommended pre-natal consultations (PNC). However, PNC completion rates remain low in sub-Saharan Africa. The Koki health district is no exception to this reality with 39% completion rate. The objective of this study is to determine the factors associated with PNC completion by pregnant women in order to make recommendations which aim to reduce maternal and fetal morbidity and mortality in the Koki health district in Senegal. Methodology: A cross-sectional descriptive study was conducted among 603 women who gave birth between 01/01/2017 and 31/12/2017 in the health district's area of responsibility. Two-stage cluster sampling was conducted. The first stage involved the selection of villages through a simple random draw. The second concerned the selection of concessions chosen by the bottle method. The number of clusters per Health Service Delivery Point (HSDP) was based on the number of expected pregnancies. Thus the survey consisted of 30 clusters of 20 women. All women meeting the criteria were selected from the concession. Data entry and analysis was done using Epi Info version 7.2.3.0. Results: The sample consisted of aged 26.15 years old average women, married, predominantly educated (52.75 per cent), and of Wolof ethnic group (66.6 per cent). More than 2/3 of the women (61.63%) were within 5 km of the health facilities. The majority of women (68%) had their own income. Almost all women were satisfied with the reception (97.5%) in the HSDP. Half of the women (50.61%) had their first PNC in the first trimester of pregnancy. The PNC completion rate calculated with prenatal consultation booklet data is 30%. The main factors having a statistically significant relationship with the low PNC completion rate are: age ≥ 30 years, number of pregnancies >3, number of deliveries > 3, distance between home and HSDP ≥ 5 km, PNC high cost perception and lack of own income. Conclusion: The reasons for the low PNC completion rate are related to the obstetrical situation, geographical accessibility, but also the woman's financial situation. Achieving a satisfactory completion rate require not only a greater awareness and empowerment of women, but also accessibility to health facilities.},
 year = {2020}
}

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