Introduction
Methods and materials
Study design, area, and period
Sample and study population
Sample size and sampling procedure
Dependent variable
Independent variables
Data collection procedure
Data management and analysis
Multi-level analysis
Model building
Parameter estimation methods
Result
Socio-demographic characteristics
Variable | Category | Frequency (N = 5310) | percent |
---|---|---|---|
Age | 15–24 | 1,212 | 22.8 |
25–34 | 2,643 | 49.8 | |
35–49 | 1,455 | 27.4 | |
Marital status | Single | 257 | 4.8 |
Married | 4,877 | 91.9 | |
Widowed | 58 | 1.1 | |
Divorced | 118 | 2.2 | |
Residency | Urban | 3,549 | 66.8 |
Rural | 1,761 | 33.2 | |
Ethnicity | Mandinka/Jahanka | 1,700 | 32.0 |
Wollof | 673 | 12.7 | |
Fula/TUkulur/Lorobo | 1030 | 19.4 | |
Sarahule | 415 | 7.8 | |
Non-Gambia | 685 | 12.9 | |
Others | 807 | 15.2 | |
Local Government Area | Banjul | 56 | 1.1 |
Kanifing | 969 | 18.2 | |
Brikama | 2,185 | 41.1 | |
Mansakonko | 226 | 4.3 | |
Kerewan | 609 | 11.5 | |
Kuntaur | 310 | 5.8 | |
Janjanbureh | 335 | 6.3 | |
Basse | 620 | 11.7 | |
Women Education | No education | 2,426 | 45.7 |
Primary | 933 | 17.6 | |
Secondary | 1,699 | 32.0 | |
Higher | 252 | 4.7 | |
Husband Education | No education | 2,400 | 49.4 |
primary | 730 | 15.0 | |
Secondary | 1,334 | 27.4 | |
Higher | 399 | 8.2 | |
Religion | Muslim | 5,163 | 97.2 |
Christianity | 147 | 2.8 | |
Women occupation | Had work | 3,537 | 66.6 |
Not working | 1,773 | 33.4 | |
Wealth index | Poor | 2,253 | 42.4 |
Middle | 1,115 | 21.0 | |
Rich | 1,942 | 36.6 | |
Media exposure | Yes | 4,367 | 85.9 |
No | 718 | 14.1 | |
Had health insurance | No | 5,176 | 97.5 |
Yes | 134 | 2.5 | |
Sex of household | Female | 882 | 16.6 |
Male | 4,428 | 83.4 | |
Household size | 1–4 | 412 | 7.8 |
5–90 | 4,898 | 92.2 | |
Distance from health facilities | Not a big problem | 3,941 | 74.2 |
Big problem | 1,369 | 25.8 |
Obstetric-related characteristics
Variable | Category | Frequency (N = 5310) | percent |
---|---|---|---|
ANC | < 8 | 5,086 | 95.8 |
>=8 | 224 | 4.2 | |
Parity | Prim-pareous | 1,066 | 20.1 |
Multi- pareous | 4,244 | 79.9 | |
Still Birth | No | 543 | 10.2 |
Yes | 4767 | 89.8 | |
Abortion History | No | 4,767 | 89.8 |
Yes | 543 | 10.2 | |
Planned pregnancy | Yes | 4,231 | 79.7 |
No | 1,079 | 20.3 | |
CS History (5306) | Yes | 221 | 4.2 |
No | 5,085 | 95.8 |
The magnitude of late ANC initiation in Gambia
Random effect analysis and model fitness
Individual and community-level variables | Models | |||
---|---|---|---|---|
Null model | Model I | Model II | Model III | |
AOR (95%CI) | AOR (95%CI) | AOR (95%CI) | AOR (95%CI) | |
Age
| ||||
15–24 | 1 | 1 | ||
25–34 | 0.79 (0.68,0.91) | 0.77(0.67, 0.89) ** | ||
35–49 | 0.79 (0.67,0.93) | 0.77(0.65, 0.90) ** | ||
Ethnicity
| ||||
Mandinka/Jahanka | 1 | 1 | ||
Wollof | 1.23(1.01,1.59) | 1.40(1.12, 1.75) ** | ||
Fula/TUkulur/Lorobo | 0.92(0.76,1.11) | 0.92 (0.77, 1.11) | ||
Sarahule | 0.75(0.55,1.01) | 0.88 (0.66, 1.17) | ||
Non-Gambia | 1.22(0.99,1.52) | 1.12 (0.90, 1.39) | ||
Others | 1.14(0.90,1.44) | 1.00 (0.79, 1.26) | ||
Women Education
| ||||
No education | 1 | 1 | ||
Primary | 0.97(0.83,1.14) | 0.95 (0.81, 1.11) | ||
Secondary | 1.13(0.96,1.32) | 1.07 (0.91, 1.25) | ||
Higher | 0.89(0.62,1.28) | 0.81 (0.57, 1.16) | ||
Wealth index
| ||||
Poor | 1 | 1 | ||
Middle | 1.31(1.10,1.56) | 1.00 (0.83, 1.20) | ||
Rich | 1.36(1.13,1.64) | 0.82 (0.67, 1.02) | ||
Had health insurance
| ||||
Yes | 1 | 1 | ||
No | 1.73(1.11,2.71) | 1.78 (1.14, 2.76) * | ||
Still Birth
| ||||
No | 1 | 1 | ||
Yes | 1.41 (0.92,2.15) | 1.40 (0.91, 2.14) | ||
Planned pregnancy
| ||||
Yes | 1 | 1 | ||
No | 1.64 (1.41,1.90) | 1.59 (1.37, 1.84) ** | ||
CS History
| ||||
Yes | 1 | 1 | ||
No | 1.40(1.02, 1.94) | 1.50 (1.09, 2.07) * | ||
Community level factors | ||||
Residency
| ||||
Rural | 1 | 1 | ||
Urban | 0.65(0.52,0.81) | 0.59(0.47, 0.75) ** | ||
Local Government Area
| ||||
Banjul | 1 | 1 | ||
Kanifing | 1.07(0.76,1.49) | 1.17 (0.82, 1.67) | ||
Brikama | 1.60(1.16,2.21) | 1.44 (1.03, 2.03) * | ||
Mansakonko | 0.82(0.55,1.22) | 0.77(0.51, 1.18) | ||
Kerewan | 0.53(0.36,0.77) | 0.43(0.29, 0.64) ** | ||
Kuntaur | 0.65(0.44,0.97) | 0.52 (0.34, 0.79) ** | ||
Janjanbureh | 0.84(0.57,1.24) | 0.75(0.50, 1.13) | ||
Basse | 0.63(0.44,0.91) | 0.58(0.39, 0.85) ** |
Determinants of late ANC initiation among reproductive age women in Gambia, GDHS 2019-20
Random effects
| ||||
Community variance (SE)
| 0.444 (0.062) | 0.375 (0.060) | 0.179(0.035) | 0.168(0.035) |
ICC%
| 11.90% | 10.24% | 5.17% | 4.86% |
PCV%
| 1 | 15.54% | 59.68% | 62.16% |
MOR
| 2.17 | 2.04 | 1.63 | 1.61% |
Model comparison
| ||||
LR test vs. logistic model
| 267.97** | 168.35** | 78.11** | 62.88** |
LLR
| -3830.10 | -3652.40 | -3763.31 | -3584.04 |
Deviance
| 7660.20 | 7304.80 | 7526.62 | 7168.08 |
AIC
| 7664.21 | 7342.79 | 7546.61 | 7222.08 |
BIC
| 7677.51 | 7469.17 | 7613.13 | 7401.66 |