Gestational age at first antenatal visit in Namibia

Nandini Thogarapalli (), Paul Mkandawire (), Joseph Kangmennaang (), Isaac Luginaah () and Godwin Arku ()
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Nandini Thogarapalli: The University of Western Ontario
Paul Mkandawire: Carleton University (2210 Dunton Tower)
Joseph Kangmennaang: University of Waterloo
Isaac Luginaah: The University of Western Ontario
Godwin Arku: The University of Western Ontario

International Journal of Public Health, 2016, vol. 61, issue 9, No 12, 1089-1097

Abstract: Abstract Objectives To examine the relationship between pregnancy intention and gestational age at first antenatal visit in Namibia. Methods This study uses secondary data from the 2013 Namibia Demographic and Health Survey (NDHS). Log-normal survival models are used to examine the independent effect of pregnancy intention on gestational age at first antenatal visit while controlling for relevant sociodemographic and socioeconomic covariates. Results This study finds that those who indicated unwanted pregnancies were significantly more likely to delay initiating antenatal care (ANC). Other variables also associated with gestational age at first antenatal visit include contact with a health worker, health insurance, media exposure to safe motherhood messages, birth order, relationship with head of household, maternal education, and urban residence. Conclusions Timely ANC is necessary to identify and mitigate risk factors in pregnancy but many mothers in Namibia do not receive such care. Reducing unwanted pregnancies through family planning may limit ANC delays. After unwanted pregnancies occur, women may benefit from further education and resources that empower them to pursue ANC promptly.

Keywords: Antenatal care; Pregnancy intention; Maternal health; Namibia; Focused antenatal care; Timely care (search for similar items in EconPapers)
Date: 2016
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DOI: 10.1007/s00038-016-0885-x

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