DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20211736

Burundi: analysis of the 2016-2017 Burundian demographic and health survey

Masabarakiza Prosper, Nsanzabera Charles

Abstract


Background: Access to antenatal care and postnatal care services has a great deal of impacts on major causes of high maternal, neonatal and child mortality rates. This study was aimed to identify factors affecting the use of antenatal care (ANC) and postnatal care (PNC) services.

Methods: The study used data from the nationally representative 2016-2017 Burundi demographic and health survey (DHS). A total of 8,660 mothers who gave birth within five years preceding the 2016-2017 Burundi DHS were included in this study. Logistic regression statistical analyses were used to identify factors associated with the use of the first ANC visit, the use of 4 ANC services and the use of PNC services in Burundi.

Results: Using logistic regression the determined factors such as birth order (AOR 1.64; 95% CI 1.51-1.73), place of delivery (AOR 0.63; 95% CI 0.54-0.76), mothers’ education (AOR 0.47; 95% CI 0.38-0.57) and husband’s education level (AOR 0.85; 95% CI 0.74-0.94) were associated with the use of early ANC. Factors such as birth order (AOR 1.79; 95% CI 1.67-2.30), the exposure to media(AOR 1.11; 95% CI 0.98-1.30), women’s education (AOR 0.58; 95% CI 0.46-0.73), residence(AOR 0.8; 95% CI 0.69-1.01) and the birth interval(AOR 1.45; 95% 1.32-2.00) were associated with the four ANC. Women’s education (AOR 0.59; 95% CI 0.40-0.70), and health insurance coverage (AOR 0.72; 95% CI 0.59-0.96) were associated with the receiving of PNC.

Conclusions: Health promotion targeting women’s education, husbands’ education and behavioural change communication in rural areas are vital for increasing their awareness about the importance of antenatal services.


Keywords


Antenatal care services, Postnatal care services, Utilization, Burundi

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References


WHO. Fact sheet: Maternal mortality, 2019. Available at: http://www.who.int/mediacentre/factsheets/fs348/en/. Accessed on 24 February 2021.

UN. The Millennium Development Goals Report. New York. 2012. https://www.un.org/millenniumgoals/pdf/MDG%20Report%202012.pdf. Last accessed on10th February, 2021.

World Health Day. Fact sheet: /maternal mortality, 1998. Available at: https://www.who.int/docstore/world-health-day/en/documents1998/whd98.pdf. Accessed on 24 February 2021.

WHO. Trends in Maternal Mortality: 1990 to 2015 Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva 2015. https://doi.org/10.1111/padr.12033. Last accessed on 10th February, 2021.

Peter CR, Mark LW, E. Godfrey. Source of Antenatal Care Influences Facility Delivery in Rural Tanzania: A Population-Based Study. Matern Child Health J. 2009;13(6):879-5.

Ministère à la Présidence chargé de la Bonne Gouvernance. Plan - MPBGP, Ministère de la Santé Publique et de la Lutte contre le Sida - MSPLS, Institut de Statistiques et d'Études Économiques du Burundi - ISTEEBU, and ICF. 2017. Burundi Troisième Enquête Démographique et de Santé 2016-2017. Bujumbura, Burundi: MPBGP, MSPLS, ISTEEBU, and ICF. http://dhsprogram.com/pubs/pdf/FR335/FR335.pdf. Last accessed on 10th February, 2021.

Mengistu M, James J. Determinants of antenatal care utilization in Arsi zone, central Ethiopia. Ethiopia J Heal Develop. 1996;10(3):3.

Andersen R. Behavioral model of families use of health services. Chicago. 1968;25:111.

Tolera H Gebre-Egziabher T, Kloos H. Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia. PlosOne. 2020;1:15.

Gabrysch S, Campbell O. Still too far to walk literature review of the determinants of delivery service use. BMC Pregn Childbirth. 2009;9(34).

Titaley C, Dibley M, Roberts C. Factors associated with underutilization of antenatal care services in Indonesia: results of Indonesia demographic and Health Survey 2002/2003 and 2007. BMC Pub Heal. 2010;10(485).

Akibu M, Tsegaye W, Megersa T. Prevalence and determinants of complete postnatal careservice utilization in northern Shoa, Ethiopia. J Pregnancy. 2018:7.

Teka T, Feyissa T, Melka A. Role of antenatal and postnatal care in contraceptive use during postpartum period in western Ethiopia: a cross sectional study. BMC. 2018;11(581).

Agus Y, Horiuchi Y. Factors influencing the use of antenatal care in rural West Sumatra. Indonesia. BMC Preg Childbir. 2012;12(9).

Tewodros B, Mariam A, Dibaba Y. Factors affecting antenatal care utilization in Yem Special Woreda. Southwestern Ethiopia. Ethiop J Health Sci. 2009;19(1).

Titaley C, Hunter C, Dibley M, Heywood P. Why don’t some women attend antenatal and postnatal care services? A qualitative study in districts of West Java province, Indonesia. BMC Preg Childbirth. 2010;10:61.

Rutaremwa G. Under-five mortality differentials in urban East Africa: a study of three capital cities. J African Popul Stud. 2012;26(1):1-20.

Anyait A, Mukanga D, Oundo GB, Nuwaha F. Predictors for health facility delivery in Busia district of Uganda: A cross sectional study. BMC Preg Childbirth. 2012;12:132.

Sharma S, Sawangdee Y, Sirirassamee B. Access to health: women’s status and utilization of maternal health services in Nepal. J Biosoc Sci. 2007;39(5):671-92.

Magadi M, Madise N, Rodrigues R. Frequency and timing of antenatal care in Kenya:explaining the variations between women of different communities. Soc Sci Med. 2000;51(4):551-61.