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Do women empowerment indicators predict receipt of quality antenatal care in Cameroon? Evidence from a nationwide survey

BACKGROUND: World Health Organisation (WHO) recommends quality antenatal care (ANC) for all pregnant women, as one of the strategies for achieving targets 3.1 and 3.2 of the sustainable development goals. Maternal mortality ratio remains high in Cameroon (782 maternal deaths per 100,000 live births)...

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Autores principales: Ameyaw, Edward Kwabena, Dickson, Kwamena Sekyi, Adde, Kenneth Setorwu, Ezezika, Obidimma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477481/
https://www.ncbi.nlm.nih.gov/pubmed/34583656
http://dx.doi.org/10.1186/s12905-021-01487-y
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author Ameyaw, Edward Kwabena
Dickson, Kwamena Sekyi
Adde, Kenneth Setorwu
Ezezika, Obidimma
author_facet Ameyaw, Edward Kwabena
Dickson, Kwamena Sekyi
Adde, Kenneth Setorwu
Ezezika, Obidimma
author_sort Ameyaw, Edward Kwabena
collection PubMed
description BACKGROUND: World Health Organisation (WHO) recommends quality antenatal care (ANC) for all pregnant women, as one of the strategies for achieving targets 3.1 and 3.2 of the sustainable development goals. Maternal mortality ratio remains high in Cameroon (782 maternal deaths per 100,000 live births). Extant literature suggest a positive association between women empowerment indicators and maternal healthcare utilisation in general. In Cameroon, this association has not received scholarly attention. To fill this knowledge gap, we investigated the association between women empowerment indicators and quality ANC in Cameroon. METHODS: Data of 4615 women of reproductive age were analysed from the women’s file of the 2018 Cameroon Demographic and Health Survey. Quality ANC (measured by six indicators) was the outcome of interest. Binary Logistic Regression was conducted. All results of the Binary Logistic Regression analysis were presented as adjusted odds ratios (aORs) with 95% confidence intervals (CIs). All analyses were done using Stata version 14. RESULTS: In all, 13.5% of the respondents received quality ANC. Women with low knowledge level (aOR = 0.66, CI 0.45, 0.98) had a lesser likelihood of receiving quality ANC compared to those with medium knowledge level. Women who highly approved wife beating (aOR = 0.54, CI 0.35, 0.83) had lesser odds of receiving quality ANC compared to those with low approval of wife beating. CONCLUSION: The study has pointed to the need for multifaceted approaches aimed at enhancing the knowledge base of women. The Ministry of Public Health should collaborate and intensify female’s reproductive health education. The study suggests that women advocacy and maternal healthcare interventions in Cameroon must strive to identify women who approve of wife beating and motivate them to disapprove all forms of violence.
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spelling pubmed-84774812021-09-28 Do women empowerment indicators predict receipt of quality antenatal care in Cameroon? Evidence from a nationwide survey Ameyaw, Edward Kwabena Dickson, Kwamena Sekyi Adde, Kenneth Setorwu Ezezika, Obidimma BMC Womens Health Research BACKGROUND: World Health Organisation (WHO) recommends quality antenatal care (ANC) for all pregnant women, as one of the strategies for achieving targets 3.1 and 3.2 of the sustainable development goals. Maternal mortality ratio remains high in Cameroon (782 maternal deaths per 100,000 live births). Extant literature suggest a positive association between women empowerment indicators and maternal healthcare utilisation in general. In Cameroon, this association has not received scholarly attention. To fill this knowledge gap, we investigated the association between women empowerment indicators and quality ANC in Cameroon. METHODS: Data of 4615 women of reproductive age were analysed from the women’s file of the 2018 Cameroon Demographic and Health Survey. Quality ANC (measured by six indicators) was the outcome of interest. Binary Logistic Regression was conducted. All results of the Binary Logistic Regression analysis were presented as adjusted odds ratios (aORs) with 95% confidence intervals (CIs). All analyses were done using Stata version 14. RESULTS: In all, 13.5% of the respondents received quality ANC. Women with low knowledge level (aOR = 0.66, CI 0.45, 0.98) had a lesser likelihood of receiving quality ANC compared to those with medium knowledge level. Women who highly approved wife beating (aOR = 0.54, CI 0.35, 0.83) had lesser odds of receiving quality ANC compared to those with low approval of wife beating. CONCLUSION: The study has pointed to the need for multifaceted approaches aimed at enhancing the knowledge base of women. The Ministry of Public Health should collaborate and intensify female’s reproductive health education. The study suggests that women advocacy and maternal healthcare interventions in Cameroon must strive to identify women who approve of wife beating and motivate them to disapprove all forms of violence. BioMed Central 2021-09-28 /pmc/articles/PMC8477481/ /pubmed/34583656 http://dx.doi.org/10.1186/s12905-021-01487-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ameyaw, Edward Kwabena
Dickson, Kwamena Sekyi
Adde, Kenneth Setorwu
Ezezika, Obidimma
Do women empowerment indicators predict receipt of quality antenatal care in Cameroon? Evidence from a nationwide survey
title Do women empowerment indicators predict receipt of quality antenatal care in Cameroon? Evidence from a nationwide survey
title_full Do women empowerment indicators predict receipt of quality antenatal care in Cameroon? Evidence from a nationwide survey
title_fullStr Do women empowerment indicators predict receipt of quality antenatal care in Cameroon? Evidence from a nationwide survey
title_full_unstemmed Do women empowerment indicators predict receipt of quality antenatal care in Cameroon? Evidence from a nationwide survey
title_short Do women empowerment indicators predict receipt of quality antenatal care in Cameroon? Evidence from a nationwide survey
title_sort do women empowerment indicators predict receipt of quality antenatal care in cameroon? evidence from a nationwide survey
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477481/
https://www.ncbi.nlm.nih.gov/pubmed/34583656
http://dx.doi.org/10.1186/s12905-021-01487-y
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