Do Sociodemographic Characteristics of Pregnant Women Determine their Perception of Antenatal Care Quality?
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Objectives To explore sociodemographic determinants of perceived quality of antenatal care (ANC) at the primary care level. Methods A survey of 452 randomly selected pregnant women accessing antenatal care at the primary healthcare facilities in Sagamu Local Government Area (LGA) of Ogun State, southwest Nigeria. The relationships between 13 sociodemographic characteristics of women and their overall perception of the quality of care (expressed by their level of overall satisfaction) were examined through bivariate analyses, by computing odds ratio at 95% confidence interval. Multivariate logistic regression analyses were used to determine independent sociodemographic determinants of overall satisfaction with quality of care received. A P-value <0.05 or CI which did not embrace unity was considered as statistical significance. Results From bivariate analyses, increasing parity, increasing number of living children, gainful employment of client and Islamic religion increases the likelihood of positive perception of antenatal care quality. Characteristics such as age, being married, women’s monthly earning, ethnicity, employment status of husband, educational level, duration of pregnancy, frequency of antenatal visits, and previous use of antenatal care at the same centre were not associated with overall satisfaction with antenatal care quality. Independent predictors from multivariate regression analyses include parity (adjusted OR 0.13; CI: 0.05–0.33, P = 0.005) and religion (other religions vs. Islam; adjusted OR: 0.14, CI: 0.04–0.40, P = 0.0003). Conclusions The study suggests that sociodemographic characteristics of women have limited impact on their perception of ANC quality. The identified predictors may serve as the criteria for selecting women that require intensive health centre-specific antenatal interventions aimed at improving perceived quality and thus sustained utilization of antenatal care services in these primary health care facilities.
KeywordsAntenatal care Quality of care Primary health care Sociodemographic characteristics
The authors acknowledge the contributions of Dr. Q.A. Yusuf, Director of Primary Health Care of Sagamu Local Government, Drs. O. Ayoola-Sotubo, F.O. Inofomoh, R.O. Kehinde, O. Odusolu and O. Oladipupo. We are also grateful to all the pregnant women and personnel at the study sites for their contributions towards the success of this study.
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