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01.09.2016 | Original Article | Ausgabe 9/2016

International Journal of Public Health 9/2016

Gestational age at first antenatal visit in Namibia

Zeitschrift:
International Journal of Public Health > Ausgabe 9/2016
Autoren:
Nandini Thogarapalli, Paul Mkandawire, Joseph Kangmennaang, Isaac Luginaah, Godwin Arku

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.

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