Factors influencing antenatal care attendance for Bakiga and Indigenous Batwa women in Kanungu District, Southwestern Uganda

Introduction: The number of maternal deaths remains high in sub-Saharan Africa. Effective antenatal care (ANC) reduces maternal morbidity and mortality; therefore, provision of improved antenatal care services has been prioritised across sub-Saharan Africa. Yet, research is limited on the ANC experi...

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Bibliographic Details
Published in:Rural and remote health 2021-07, Vol.21 (3), p.1-12
Main Authors: Steele, Vivienne, Patterson, Kaitlin, Berrang-Ford, Lea, King, Nia, Kulkarni, Manisha, Namanya, Didacus, Kesande, Charity, Twesigomwe, Sabastian, Asaasira, Grace, Harper, Sherilee
Format: Article
Language:English
Subjects:
antenatal care
community-based participatory research
Data analysis
Data collection
Focus groups
Gestational age
Health care
Health education
Health services
Health services utilization
healthcare utilisation
healthcare-seeking behaviour
Indigenous peoples
Indigenous women
Interviews
Maternal & child health
maternal health
Maternal mortality
Medical care
Mixed methods research
Participatory research
Patients
Population
Pregnancy
Prenatal care
Regression analysis
Rural areas
Software
Utilization
Womens health
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Summary:Introduction: The number of maternal deaths remains high in sub-Saharan Africa. Effective antenatal care (ANC) reduces maternal morbidity and mortality; therefore, provision of improved antenatal care services has been prioritised across sub-Saharan Africa. Yet, research is limited on the ANC experiences of Indigenous women in sub-Saharan Africa. This study characterised ANC attendance patterns at a hospital, and characterised factors influencing attendance among Bakiga and Indigenous Batwa women in Kanungu District, Uganda. Methods: A community-based, mixed-methods approach was used. Quantitative data were collected from a local hospital (records for 2299 ANC visits) and analysed by using descriptive statistics and multivariable regression analysis. Qualitative data from eight key informant interviews (n=9 healthcare providers) and 16 focus group discussions (n=120 Batwa and Bakiga women) were analysed by thematic analysis. Results: Most ANC patients attended between one and three ANC visits per pregnancy (n=1259; 92.57%), and few attended the recommended four or more visits (n=101; 7.43%). Distance from a woman's home to the hospital was significantly associated with lower ANC attendance (p
ISSN:1445-6354
1445-6354
DOI:10.22605/RRH6510