Socioeconomic Disparities in Completed Antenatal Care: Evidence from Nigeria

Authors

  • Nikmatur Rohmah Department of Pediatric Nursing, Faculty of Health Science, Muhammadiyah University of Jember, East Java, Indonesia
  • Agung Dwi Laksono National Research and Innovation Agency, Republic of Indonesia, Jakarta, Indonesia
  • Abubakar Yakubu Abbani Department of Demography and Social Statistics, Federal University, Birnin Kebbi, Nigeria
  • Ratu Matahari Department of Public Health, Faculty of Public Health Science, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
  • Yuli Astuti National Research and Innovation Agency, Republic of Indonesia, Jakarta, Indonesia
  • Ratna Dwi Wulandari Department of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia

DOI:

https://doi.org/10.31965/infokes.Vol23.Iss1.1759

Keywords:

Antenatal care, Maternal Health, Reproductive Health, Public Health

Abstract

The Maternal Mortality Rate is still high in Nigeria. Complete antenatal care (ANC) of eight visits during pregnancy is an important strategy to control this condition. This research analyzed the socioeconomic disparities in completed ANC in Nigeria. The study examined secondary data from the 2018 Nigerian Demographic and Health Survey. The study included 21,792 women aged 15 to 49 who had given birth in the previous five years. We looked at eight control factors in addition to completed ANC as an outcome variable and socioeconomic as an exposure variable: domicile, age, religion, marital status, education, occupation, and parity. Data were analyzed using binary logistic regression. The result showed the completed ANC proportion in Nigeria is 21.6%. Meanwhile, the poorer were 1.316 times more likely than the poorest to perform completed ANC (AOR 1.316; 95% CI 1.316-1.317). The middle was 1.994 times more likely to achieve completed ANC than the poorest (AOR 1.994; 95% CI 1.993-1.994). Meanwhile, the richer were 2.808 times more likely than the poorest to achieve completed ANC (AOR 2.808; 95% CI 2.807-2.808). Moreover, the richest were 4.112 times more likely to perform completed ANC than the poorest in Nigeria (AOR 4.112; 95% CI 4.112-4.113). The study revealed significant socioeconomic disparities in the completion of ANC in Nigeria, with wealthier women being more likely to achieve completed ANC compared to their less-wealthy counterparts.

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References

Abbani, A. Y., Sawangdee, Y., Omisakin, O. A., & Maretalinia, M. (2023). Socio-Demographic Determinants of Non-Utilisation of Antenatal Care Services by Women in the Northern Region of Nigeria. Journal of Health Research, 37(3), 261–269. https://doi.org/10.56808/2586-940X.1043

Aderounmu, B., Azuh, D., Onanuga, O., Oluwatomisin, O., Ebenezer, B., & Azuh, A. (2021). Poverty drivers and Nigeria’s development: Implications for policy intervention. Cogent Arts and Humanities, 8(1), 1–13. https://doi.org/10.1080/23311983.2021.1927495

Adewuyi, E. O., Zhao, Y., Auta, A., & Lamichhane, R. (2017). Prevalence and factors associated with non-utilization of healthcare facility for childbirth in rural and urban Nigeria: Analysis of a national population-based survey. Scandinavian Journal of Public Health, 45(6), 675–682. https://doi.org/10.1177/1403494817705562

Amanuel, T., Dache, A., & Dona, A. (2021). Postpartum Hemorrhage and its Associated Factors Among Women who Gave Birth at Yirgalem General Hospital, Sidama Regional State, Ethiopia. Health Services Research and Managerial Epidemiology, 8, 23333928211062777. https://doi.org/10.1177/23333928211062777

Ayamolowo, L. B., Odetola, T. D., & Ayamolowo, S. J. (2020). Determinants of choice of birth place among women in rural communities of southwestern Nigeria. International Journal of Africa Nursing Sciences, 13, 100244. https://doi.org/10.1016/j.ijans.2020.100244

Bhusal, U. P. (2021). Predictors of wealth-related inequality in institutional delivery: a decomposition analysis using Nepal multiple Indicator cluster survey (MICS) 2019. BMC Public Health, 21(1), 1–15. https://doi.org/10.1186/s12889-021-12287-2

Chilot, D., Belay, D. G., Ferede, T. A., Shitu, K., Asratie, M. H., Ambachew, S., Shibabaw, Y. Y., Geberu, D. M., Deresse, M., & Alem, A. Z. (2023). Pooled prevalence and determinants of antenatal care visits in countries with high maternal mortality: A multi-country analysis. Frontiers in Public Health, 11, 1035759. https://doi.org/10.3389/fpubh.2023.1035759

Denny, H. M., Laksono, A. D., Matahari, R., & Kurniawan, B. (2022). The Determinants of Four or More Antenatal Care Visits Among Working Women in Indonesia. Asia-Pacific Journal of Public Health, 34(1), 51–56. https://doi.org/10.1177/10105395211051237

Ekholuenetale, M., Benebo, F. O., & Idebolo, A. F. (2020). Individual-, household-, and community-level factors associated with eight or more antenatal care contacts in Nigeria: Evidence from Demographic and Health Survey. Plos One, 15(9), e0239855. https://doi.org/10.1371/journal.pone.0239855

El-Khatib, Z., Odusina, E. K., Ghose, B., & Yaya, S. (2020). Patterns and predictors of insufficient antenatal care utilization in Nigeria over a decade: A pooled data analysis using demographic and health surveys. International Journal of Environmental Research and Public Health, 17(21), 1–14. https://doi.org/10.3390/ijerph17218261

Fagbamigbe, A. F., Olaseinde, O., & Setlhare, V. (2021). Sub-national analysis and determinants of numbers of antenatal care contacts in Nigeria: assessing the compliance with the WHO recommended standard guidelines. BMC Pregnancy and Childbirth, 21(1), 1–19. https://doi.org/10.1186/s12884-021-03837-y

Gebeyehu, F. G., Geremew, B. M., Belew, A. K., & Zemene, M. A. (2022). Number of antenatal care visits and associated factors among reproductive age women in Sub-Saharan Africa using recent demographic and health survey data from 2008–2019: A multilevel negative binomial regression model. PLOS Global Public Health, 2(12), e0001180. https://doi.org/10.1371/journal.pgph.0001180

Guyo, T. G., Banja, Y. B., & Ayele, T. A. (2023). Multilevel analysis of place of delivery among reproductive age women in Ethiopia. Reproductive, Female and Child Health, 2(3), 216–226. https://doi.org/10.1002/rfc2.36

Habitamu, D., Goshu, Y. A., & Zeleke, L. B. (2019). The magnitude and associated factors of postpartum hemorrhage among mothers who delivered at Debre Tabor general hospital 2018. BMC Research Notes, 12, 1–6. https://doi.org/10.1186/s13104-019-4646-9

Hofmeyr, G. J., Ramogola-Masire, D., Black, R. E., Heuer, A., Walker, N., Rogozińska, E., Ashorn, P., Ashorn, U., Koivu, A., Näsänen-Gilmore, P., Bhandari, N., & Bhutta, Z. A. (2023). Evidence-based antenatal interventions to reduce the incidence of small vulnerable newborns and their associated poor outcomes. The Lancet, 401(10389), 1733–1744. https://doi.org/10.1016/S0140-6736(23)00355-0

Idowu, A., Israel, O. K., & Akande, R. O. (2022). Access, perceived quality and uptake of antenatal services in urban communities of Osun state, Southwest Nigeria. African Journal of Reproductive Health, 26(12), 78–89. https://doi.org/10.29063/ajrh2022/v26i12.9

Ilori, T., Adewale, B. A., Obembe, T. A., & Morakinyo, O. M. (2022). Socio-economic factors associated with antenatal care in Nigeria. African Journal of Reproductive Health, 26(8), 123–133. https://doi.org/10.29063/ajrh2022/v26i8.12

Kumbeni, M. T., & Apanga, P. A. (2021). Institutional delivery and associated factors among women in Ghana: Findings from a 2017-2018 multiple indicator cluster survey. International Health, 13(6), 520–526. https://doi.org/10.1093/inthealth/ihab002

Laksono, A. D., Rukmini, R., & Wulandari, R. D. (2020). Regional disparities in antenatal care utilization in Indonesia. PLoS ONE, 15(2), e0224006. https://doi.org/10.1371/journal.pone.0224006

Laksono, A. D., Wulandari, R. D., Budiana, I., & Rohmah, N. (2023). Institutional delivery in East Nusa Tenggara, Indonesia: does antenatal care matter? Journal of Public Health (Berl.), 1–10. https://doi.org/10.1007/s10389-023-02111-z

Michael, T. O., Nwokocha, E. E., & Agbana, R. D. (2023). Issues in antenatal care services utilization among unmarried adolescents in Akwa Ibom state, Nigeria. Journal of Population and Social Studies [JPSS], 31, 359-380. Retrieved from: https://so03.tci-thaijo.org/index.php/jpss/article/view/256107

Mustapha, A. A., Akpor, O. A., & Muhammad, F. (2021). Religion and Pregnancy: Post-Partum Mothers Religious Beliefs and Practices in an Urban Area in Southwestern Nigeria. Annals of the Romanian Society for Cell Biology, 25(4), 4692-4702.

Nagdev, N., Ogbo, F. A., Dhami, M. V., Diallo, T., Lim, D., & Agho, K. E. (2023). Factors associated with inadequate receipt of components and non-use of antenatal care services in India: a regional analysis. BMC Public Health, 23(6), 1-17. https://doi.org/10.1186/s12889-022-14812-3

National Population Commission (NPC) [Nigeria] and ICF. (2019). Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF.

Nnachebe, M., Id, O., Onah, R. C., & Onah, F. E. (2023). Linkages between women’s empowerment, religion, marriage type, and uptake of antenatal care visits in 13 West African countries. PLOS Global Public Health, 3(6), 1–22. https://doi.org/10.1371/journal.pgph.0000406

Noh, J. W., Kim, Y. M., Lee, L. J., Akram, N., Shahid, F., Kwon, Y. D., & Stekelenburg, J. (2019). Factors associated with the use of antenatal care in Sindh province, Pakistan: A population-based study. PloS one, 14(4), e0213987. https://doi.org/10.1371/journal.pone.0213987

Nwosu, C. O., & Ataguba, J. E. (2019). Socioeconomic inequalities in maternal health service utilisation: a case of antenatal care in Nigeria using a decomposition approach. BMC public health, 19, 1493. https://doi.org/10.1186/s12889-019-7840-8

Odusina, E. K., & Oladele, O. S. (2023). Is there a link between the autonomy of women and maternal healthcare utilization in Nigeria? A cross-sectional survey. BMC Women's Health, 23, 167. https://doi.org/10.1186/s12905-023-02317-z

Okedo-Alex, I. N., Akamike, I. C., Ezeanosike, O. B., & Uneke, C. J. (2019). Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review. BMJ Open, 9(10), e031890. https://doi.org/10.1136/bmjopen-2019-031890

Olasode, T., ChukwuemekaEke, & OluwabunmiOlaleye, O. (2022). Has economic growth reduced poverty in Nigeria? A critical analysis of the last two decades. Journal of Enterprise and Development (JED), 4(2), 1–25. https://doi.org/10.20414/jed.v4i2.5506

Olayinka, A., Joel, A., & Bukola, D. (2012). Factors influencing utilization of antenatal care services among pregnant women in Ife Central Lga , Osun State Nigeria National Hospital Abuja , Nigeria. Pelagia Research Library, 3(3), 1309–1315.

Olorunsaiye, C. Z., Degge, H. M., & Lengmang, S. J. (2018). Age-specific factors related to institutional delivery in Nigeria: insights from the 2011 multiple indicator cluster survey. Women and Health, 58(9), 1001–1016. https://doi.org/10.1080/03630242.2017.1377801

Pervin, J., Venkateswaran, M., Nu, U. T., Rahman, M., O’Donnell, B. F., Friberg, I. K., Rahman, A., & Frøen, J. F. (2021). Determinants of utilization of antenatal and delivery care at the community level in rural Bangladesh. PloS One, 16(9), e0257782. https://doi.org/10.1371/journal.pone.0257782

Putri, N. K., & Laksono, A. D. (2022). Predictors of childbirth services in Indonesia. International Journal of Public Health Science, 11(2), 566–573. https://doi.org/10.11591/ijphs.v11i2.21324

Sasu, D. D. (2023). Number of people living in extreme poverty in Nigeria from 2016 to 2025. Statista. Retrieved from: https://www.statista.com/statistics/1287795/number-of-people-living-in-extreme-poverty-in-nigeria/

Sharma, A., Khapre, M., Meshram, R., & Gupta, A. (2023). Determinants of utilization of antenatal care services among recently delivered women residing in urban poor areas of Rishikesh, Uttarakhand, India—a cross-sectional study. Journal of Rural Medicine, 18(2), 87–95. https://doi.org/10.2185/jrm.2022-030

Sui, Y., Ahuru, R. R., Huang, K., Anser, M. K., & Osabohien, R. (2021). Household socioeconomic status and antenatal care utilization among women in the reproductive-age. Frontiers in Public Health, 9, 724337. https://doi.org/10.3389/fpubh.2021.724337

Umar, A. S. (2017). The use of maternal health services in Nigeria : does ethnicity and religious beliefs matter ? MOJ Public Health, 6(6), 442-447. https://doi.org/10.15406/mojph.2017.06.00190

Vasconcelos, A., Sousa, S., Bandeira, N., Alves, M., Papoila, A. L., Pereira, F., & Machado, M. C. (2023). Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe: a hospital-based cross-sectional study. Archives of Public Health, 81, 107. https://doi.org/10.1186/s13690-023-01123-1

World Health Organization. (2015). Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. World Health Organization.

World Health Organization. (2019). Trends in Maternal Mortality: 2000 to 2017: estimates by World Health Organization, UNICEF, United Nations Population Fund and The World Bank. World Health Organization.

World Health Organizaton. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization.

World Health Organizaton. (2021). Maternal mortality. World Health Organizaton.

Wulandari, R. D., & Laksono, A. D. (2020). Determinants of knowledge of pregnancy danger signs in Indonesia. PLoS One, 15(5), e0232550. https://doi.org/10.1371/journal.pone.0232550

Wulandari, R. D., Laksono, A. D., Prasetyo, Y. B., & Nandini, N. (2022). Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study. Journal of Primary Care and Community Health, 13, 1–7. https://doi.org/10.1177/21501319211072679

Wulandari, R. D., Laksono, A. D., & Rohmah, N. (2021). Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia. BMC Public Health, 21(1), 1–9. https://doi.org/10.1186/s12889-021-11318-2

Wulandari, R. D., Qomarrudin, M. B., Supriyanto, S., & Laksono, A. D. (2019). Socioeconomic Disparities in Hospital Utilization among Elderly People in Indonesia. Indian Journal of Public Health Research and Development, 10(11), 1800–1804. https://doi.org/10.5958/0976-5506.2019.03885.3

Yadav, A. K., Sahni, B., Jena, P. K., Kumar, D., & Bala, K. (2020). Trends, Differentials, and Social Determinants of Maternal Health Care Services Utilization in Rural India: An Analysis from Pooled Data. Women’s Health Reports, 1(1), 179–189. https://doi.org/10.1089/whr.2019.0022

Zhang, X., Anser, M. K., Ahuru, R. R., Zhang, Z., Peng, M. Y. P., Osabohien, R., & Mirza, M. (2022). Do predictors of health facility delivery among reproductive-age women differ by health insurance enrollment? A multi-level analysis of Nigeria's data. Frontiers in Public Health, 10, 797272. https://doi.org/10.3389/fpubh.2022.797272

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Published

2025-03-31

How to Cite

Rohmah, N., Laksono, A. D., Abbani, A. Y., Matahari, R., Astuti, Y., & Wulandari, R. D. (2025). Socioeconomic Disparities in Completed Antenatal Care: Evidence from Nigeria. JURNAL INFO KESEHATAN, 23(1), 186–198. https://doi.org/10.31965/infokes.Vol23.Iss1.1759

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