J Korean Soc Matern Child Health.  2016 May;20(2):132-139. 10.21896/jksmch.2016.20.2.132.

Factors Affecting to Mother's Prenatal Care Utilization in Democratic Republic of Congo: Focused on Kenge, Boko Health Zone

• Lee H
• Nam EW
• So AY

• KMID: 2449542
• DOI: http://doi.org/10.21896/jksmch.2016.20.2.132

Abstract

PURPOSE
This study aims to identify factors affecting more than four times prenatal care utilization among reproductive aged women in Democratic Republic of Congo.
METHODS
This was a cross sectional study conducted in Democratic Republic of Congo in July, 2014. Survey was done among 494 respondents, data were analyzed using SPSS 21.0.
RESULTS
Multiple logistic regression showed an association between age (OR:1.037) in predisposing factor, women who have health insurance in their household (OR:2.876) and timing of first prenatal visit (OR:7.148) in enabling factors and number of delivery 3~5 times (OR:0.587) more than 6 times (OR:0.357) in need factor with more than four times prenatal visits.
CONCLUSION
Maternal health improvement interventions should focus on education for women who are younger and multiparous. Early detection of pregnancy and encourage to visit in first trimester are needed. Finally, introduction of the health insurance system is important to minimize cost of out of pocket.

Keyword

Democratic Republic of Congo; prenatal care; pregnancy

MeSH Terms

Causality
Congo*
Education
Family Characteristics
Female
Humans
Insurance, Health
Logistic Models
Maternal Health
Pregnancy
Pregnancy Trimester, First
Prenatal Care*
Surveys and Questionnaires