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Article

Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa

by
Putunywa Zandrina Nxiweni
1,
Kelechi Elizabeth Oladimeji
1,2,
Mirabel Nanjoh
3,
Lucas Banda
1,
Felix Emeka Anyiam
4,
Francis Leonard Mpotte Hyera
1,
Teke R. Apalata
2,
Jabu A. Mbokazi
5 and
Olanrewaju Oladimeji
1,4,*
1
Department of Public Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South Africa
2
Department of Laboratory Medicine and Pathology, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South Africa
3
Medical Education Unit, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South Africa
4
Faculty of Health Sciences, Durban University of Technology, Durban 4003, South Africa
5
Office of the Dean, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5099, South Africa
*
Author to whom correspondence should be addressed.
Women 2022, 2(3), 285-303; https://doi.org/10.3390/women2030027
Submission received: 25 May 2022 / Revised: 24 August 2022 / Accepted: 26 August 2022 / Published: 10 September 2022
(This article belongs to the Special Issue Health and Preventive Strategies in Order to Protect Pregnancy)
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Abstract

Access to quality care before, during, and after childbirth remains an effective means of reducing maternal and neonatal mortality. Therefore, the study identified factors influencing the utilization of prenatal care services among women of childbearing age in South Africa. This is a retrospective study based on secondary data from the South African Demographic Health Survey (DHS) conducted from 1998 to 2016. In South Africa, 21.0% of mothers had used ANC services. Higher odds of seeking prenatal care were found in women aged 35 years and older (cOR = 1.26, 95% CI; 1.08–1.47, p = 0.003), married or cohabiting (cOR = 1.13, 95% CI; 1.004–1.27) observed, p = 0.043), higher level of education (tertiary education: cOR = 0.55, p = 0.001), female residents in urban areas (cOR = 1.35, 95% CI; 1.20–1.52, p = 0.001), higher wealth index (cOR = 1.32, 95% CI; 1.15–1.51, p = 0.001), employed (cOR = 1.48, 95% CI; 1.29–1.70, p = 0.001) and media exposure (cOR = 1.27, 95% CI; 1.12–1.44), p = 0.001). The findings of this study provide insight into the need to make maternal health services more accessible, more widely used, and of a higher quality. This requires effective strategic policies that promote patronage to reduce maternal mortality and improve newborn outcomes in South Africa.
Keywords: antenatal care utilization; antenatal care services; South Africa; maternal health antenatal care utilization; antenatal care services; South Africa; maternal health

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MDPI and ACS Style

Nxiweni, P.Z.; Oladimeji, K.E.; Nanjoh, M.; Banda, L.; Anyiam, F.E.; Hyera, F.L.M.; Apalata, T.R.; Mbokazi, J.A.; Oladimeji, O. Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa. Women 2022, 2, 285-303. https://doi.org/10.3390/women2030027

AMA Style

Nxiweni PZ, Oladimeji KE, Nanjoh M, Banda L, Anyiam FE, Hyera FLM, Apalata TR, Mbokazi JA, Oladimeji O. Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa. Women. 2022; 2(3):285-303. https://doi.org/10.3390/women2030027

Chicago/Turabian Style

Nxiweni, Putunywa Zandrina, Kelechi Elizabeth Oladimeji, Mirabel Nanjoh, Lucas Banda, Felix Emeka Anyiam, Francis Leonard Mpotte Hyera, Teke R. Apalata, Jabu A. Mbokazi, and Olanrewaju Oladimeji. 2022. "Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa" Women 2, no. 3: 285-303. https://doi.org/10.3390/women2030027

APA Style

Nxiweni, P. Z., Oladimeji, K. E., Nanjoh, M., Banda, L., Anyiam, F. E., Hyera, F. L. M., Apalata, T. R., Mbokazi, J. A., & Oladimeji, O. (2022). Factors Influencing the Utilization of Antenatal Services among Women of Childbearing Age in South Africa. Women, 2(3), 285-303. https://doi.org/10.3390/women2030027

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