TITLE:
Study of Antenatal Care Completion Determinant Factors in Kedougou Health District (Senegal)
AUTHORS:
Babacar Biaye, David Ngom, Moussa Ndiaye, Fode Danfakha, Omar Gassama, Abdoul Aziz Diouf, Adama Faye, Dembo Guirassi, Alassane Diouf, Jean Charles Moreau
KEYWORDS:
Prenatal Consultation, Completion, Kédougou
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.10,
October
28,
2020
ABSTRACT: Introduction: Maternal mortality is a public health problem of more concern to
developing countries. As part of improving the maternofoetal prognosis during
pregnancy and childbirth, it is essential to carry out regular follow-ups of
pregnant women (FE) through antenatal consultations (ANC). In fact, the World
Health Organization (WHO) recommends at least four ANC at regular intervals
during pregnancy. In Senegal the completion rate varies greatly depending on
the region. In the District of Kédougou it was 41% in 2017 (DHIS2). The
national target was not achieved despite the interventions. Thus we studied the
determinants of CPN completion in the health district of Kedougou in 2017. Method: The study is of a descriptive and analytical cross-sectional type and concerned
a sample of 884 women who gave birth between October 2017 and September 2018.
They were chosen by a sample whose distribution in the district was made
according to the quota method while respecting the demographic weight of each
area of responsibility
of the District. Results: The results of our study showed
that the average age of women was 24 years with an average number of
pregnancies equal to 3. The ANC completion rate at 37% was lower than the administrative data rate which was
41%. The determinants with a statistically most significant link with the
completion of ANC are respectively satisfaction with the care and quality of
service, the level of information of women regarding PNC, marital status,
affordability and distance from the location of the ANC. Conclusion: Increasing women’s
incomes, increasing communication about ANC, and bringing health services
closer together are needed to improve the completion rate of antenatal care visits.