Differential Associated Factors for Inadequate Receipt of Components and Non-Use of Antenatal Care Services among Adolescent, Young, and Older Women in Nigeria

Esther Awazzi Envuladu, Abukari Ibrahim Issaka, Mansi Vijaybhai Dhami, Biniyam Sahiledengle and Kingsley Emwinyore Agho ()
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Esther Awazzi Envuladu: Department of Community Medicine, College of Health Sciences, University of Jos, Jos 930003, Nigeria
Abukari Ibrahim Issaka: School of Health Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
Mansi Vijaybhai Dhami: The Children’s Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145, Australia
Biniyam Sahiledengle: Department of Public Health, Madda Walabu University Goba Referral Hospital, Bale-Goba 4540, Ethiopia
Kingsley Emwinyore Agho: School of Health Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia

IJERPH, 2023, vol. 20, issue 5, 1-16

Abstract: Nigerian women continue to die in childbirth due to inadequate health services such as antenatal care (ANC). Among other factors, the inadequate receipt or non-use of ANC appears to be associated with the age of women, remoteness, and poor households. This cross-sectional study aimed to compare the factors associated with inadequate receipt of the components and non-use of ANC among pregnant adolescents, and young and older women in Nigeria. Data for this study were from the 2018 Nigeria Demographic and Health Survey (NDHS) and covered a weighted total of 21,911 eligible women. Survey multinomial logistic regression analyses that adjusted for cluster, and survey weights were conducted to examine factors associated with adolescent, young, and older women. Adolescent women reported a higher prevalence of inadequate receipts and non-use of ANC than young and older women. Increased odds of inadequate receipt of the components of ANC were associated with residence in the North–East region and rural areas for all three categories of women. For adolescent women, the increased odds of inadequate receipt of the components of ANC were associated with delivering a baby at home and a big problem with distance to health facilities. Limited education or no schooling was associated with the increased odds of receiving inadequate ANC among older women. Implementing interventions to improve maternal and child health care should focus on the factors associated with the increased odds of receipt of inadequate or non-use of ANC services among Nigerian adolescent women, particularly those living in rural areas in the North–East region.

Keywords: antenatal care; inadequate; adolescent; women; Nigeria (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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