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Determinants of Delay in First Prenatal Consultation at Hospital Environment in Kimpese Health Zone in Democratic Republic of Congo: Cross-sectional Study

Received: 17 July 2020    Accepted: 28 July 2020    Published: 19 September 2020
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Abstract

Context and aims: knowledge of determinants of delay in prenatal consultations is essential if we want to reduce maternal and infant mortality. The aims of this study is to determine the factors determining the delay in the first prenatal consultation (PNC 1) in a hospital setting in the Kimpese Health Zone. Methods: We conducted a cross-sectional study, including recruited women, by random sampling in prenatal consultations in the Kimpese Health zone; between June 1 and August 31, 2017. It consisted in directly collecting, through an interview, information on the socio-demographic and economic characteristics and the first prenatal consultation of the women followed in the health areas of this Health Zone. Results: of the 431 women included in the study, 87.5% had a delay in PNC 1. Their average age of women was 36.4 ± 6.8 years. Having a non-spouse head of household multiplied the risk of PNC 1 delay 1 by 2 (ORa: 1.95 95% CI: 1.01-3.78), having an existing fixed place of PNC 1 increased the risk of delay of PNC by 8 (ORa: 7.69; 95% CI: 2.56-25.00) and the absence of PNC 1 cost coverage increased the risk of CPN delay 1 by 3 (ORa: 3.33; 95% CI: 1.15-9.09). Conclusion: The frequency of PNC 1 delay is high in Kimpese Health Zone. It is associated with the non-spouse head of household, the existing PNC location and the absence of PNC cost coverage.

Published in Journal of Health and Environmental Research (Volume 6, Issue 3)
DOI 10.11648/j.jher.20200603.18
Page(s) 98-103
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Delay of PNC 1, Determinants, Kimpese Health Zone

References
[1] Organisation Mondiale de la Santé (OMS). Recommandations concernant les soins anténatals pour que la grossesse soit une expérience positive, 2016.
[2] Say L, Chou D, Gem mill A et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health 2014 Jun; 2 (6): e323-33.
[3] Organisation des Nations Unies. Transformer notre monde: Le programme de développement durable à l’horizon 2030. Sommet des nations unies consacré à l’adoption du programme de développement pour l’après-2015, Assemblée Générale des Nations Unies, New-York, Septembre 2015.
[4] Haute autorité de santé (HAS), comment mieux informé les femmes enceintes ? Recommandation pour les professionnels de santé, Avril 2015.
[5] Redshaw M. and Heikkila K. Delivered with care: a national survey of women’sexperience of maternity care. Oxford: National Perinatal Epidemiology Unit; 2010: 16-32.
[6] Ndidi, E. and Oseremen, I. Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta. Ghana Medical Journal 2010; 44 (2): 47-51.
[7] Banda I, Michelo C, and Hazemba A. (2012). Factors Associated with late Antenatal Care Attendance in Selected Rural and Urban Communities of the Copperbelt Province of Zambia. Medical Journal of Zambia 2012; 39 (3): 29-36.
[8] Ministère du Plan et Suivi de la Mise en œuvre de la Révolution de la Modernité. Deuxième Enquête Démographique et de Santé (eds-rdc II 2013-2014), 2014; 124-129.
[9] Registre des consultations prénatales, IME-Kimpese 2015.
[10] Bureau Central de la Zone de Santé de Kimpese, 2016.
[11] Chewe, M., Muleya, M. and Maimbolwa, M. (2016). Factors associated with late antenatal care booking among pregnant women in Ndola District, Zambia. AJM 2016, 3: 48-53.
[12] Njiku, F., Wella, H., Sariah, A. and Protas, J. (2017). Prevalence and factors associated with late antenatal care visit among pregnant women in Lushoto, Tanzania. Tanzania Journal of Health Research. 2017; 19 (3): 77-86.
[13] Gebremeskel, F., Dibaba, Y., and Admassu, B. Timing of First Antenatal Care Attendance and Associated Factors among Pregnant Women in Arba Minch Town and Arba Minch District, Gamo Gofa Zone, South Ethiopia. Journal of Environmental and Public Health, 2015: 7.
[14] Okeudo, C., Ezem, U., and Ojiyi, C. Antenatal Care Booking Pattern at a Tertiary Hospital in South-Eastern Nigeria. AFRIMEDIC Journal 2013; 4 (2): 88-96.
[15] Prakash, P., Mihir, R., and Swati P. Antenatal care registration and predicting factors of late registration among pregnant women. Tropical Doctor 2013; 43: 9–12.
[16] Feinstein, F., Mupenda, B., Duvall S., and al. Antenatal and Delivery Services in Kinshasa, Democratic Republic of Congo: Care-seeking and Experiences Reported by Women in a Household-based Survey. Trop Med Int Health 2013; 18 (10): 56-61.
[17] Nsibu, C., Manianga, C., Kapanga, S., and coll. (2016). Determinants of Antenatal Care Attendance among Pregnant Women Living in Endemic Malaria Settings: Experience from the Democratic Republic of Congo. Obstetrics and Gynecology International 2016: 5423413: 7. http://dx.doi.org/10.1155/2016/5423413.
[18] Houri Boukar. Facteurs associés à la non fréquentation des services de Consultations prénatales à l’Extrême Nord cas du District de Santé de Maroua II. The Journal of Medecine and Health Sciences, 2018; 2 (4): 39-45.
[19] Ndiaye P et al. Déterminants socioculturels du retard de la 1re consultation prénatale dans un district sanitaire au Sénégal. Santé Publique 2005; 4 (17): 531-538.
[20] Mafuta EM, Kayembe PK. Déterminants de la fréquentation tardive des services de soins prénatals dans les zones de santé de l’Equateur et du Katanga en République Démocratique du Congo. Ann. Afr. Med. 2011; 4 (4): 23-39.
Cite This Article
  • APA Style

    Likongo Botawaosenge Ted, Nkodila Natuhoyila Aliocha, Lukanu Ngwala Philippe, Matondo Batumanitu Joel, Mbungu Mwimba Roger. (2020). Determinants of Delay in First Prenatal Consultation at Hospital Environment in Kimpese Health Zone in Democratic Republic of Congo: Cross-sectional Study. Journal of Health and Environmental Research, 6(3), 98-103. https://doi.org/10.11648/j.jher.20200603.18

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    ACS Style

    Likongo Botawaosenge Ted; Nkodila Natuhoyila Aliocha; Lukanu Ngwala Philippe; Matondo Batumanitu Joel; Mbungu Mwimba Roger. Determinants of Delay in First Prenatal Consultation at Hospital Environment in Kimpese Health Zone in Democratic Republic of Congo: Cross-sectional Study. J. Health Environ. Res. 2020, 6(3), 98-103. doi: 10.11648/j.jher.20200603.18

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    AMA Style

    Likongo Botawaosenge Ted, Nkodila Natuhoyila Aliocha, Lukanu Ngwala Philippe, Matondo Batumanitu Joel, Mbungu Mwimba Roger. Determinants of Delay in First Prenatal Consultation at Hospital Environment in Kimpese Health Zone in Democratic Republic of Congo: Cross-sectional Study. J Health Environ Res. 2020;6(3):98-103. doi: 10.11648/j.jher.20200603.18

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  • @article{10.11648/j.jher.20200603.18,
      author = {Likongo Botawaosenge Ted and Nkodila Natuhoyila Aliocha and Lukanu Ngwala Philippe and Matondo Batumanitu Joel and Mbungu Mwimba Roger},
      title = {Determinants of Delay in First Prenatal Consultation at Hospital Environment in Kimpese Health Zone in Democratic Republic of Congo: Cross-sectional Study},
      journal = {Journal of Health and Environmental Research},
      volume = {6},
      number = {3},
      pages = {98-103},
      doi = {10.11648/j.jher.20200603.18},
      url = {https://doi.org/10.11648/j.jher.20200603.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20200603.18},
      abstract = {Context and aims: knowledge of determinants of delay in prenatal consultations is essential if we want to reduce maternal and infant mortality. The aims of this study is to determine the factors determining the delay in the first prenatal consultation (PNC 1) in a hospital setting in the Kimpese Health Zone. Methods: We conducted a cross-sectional study, including recruited women, by random sampling in prenatal consultations in the Kimpese Health zone; between June 1 and August 31, 2017. It consisted in directly collecting, through an interview, information on the socio-demographic and economic characteristics and the first prenatal consultation of the women followed in the health areas of this Health Zone. Results: of the 431 women included in the study, 87.5% had a delay in PNC 1. Their average age of women was 36.4 ± 6.8 years. Having a non-spouse head of household multiplied the risk of PNC 1 delay 1 by 2 (ORa: 1.95 95% CI: 1.01-3.78), having an existing fixed place of PNC 1 increased the risk of delay of PNC by 8 (ORa: 7.69; 95% CI: 2.56-25.00) and the absence of PNC 1 cost coverage increased the risk of CPN delay 1 by 3 (ORa: 3.33; 95% CI: 1.15-9.09). Conclusion: The frequency of PNC 1 delay is high in Kimpese Health Zone. It is associated with the non-spouse head of household, the existing PNC location and the absence of PNC cost coverage.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Delay in First Prenatal Consultation at Hospital Environment in Kimpese Health Zone in Democratic Republic of Congo: Cross-sectional Study
    AU  - Likongo Botawaosenge Ted
    AU  - Nkodila Natuhoyila Aliocha
    AU  - Lukanu Ngwala Philippe
    AU  - Matondo Batumanitu Joel
    AU  - Mbungu Mwimba Roger
    Y1  - 2020/09/19
    PY  - 2020
    N1  - https://doi.org/10.11648/j.jher.20200603.18
    DO  - 10.11648/j.jher.20200603.18
    T2  - Journal of Health and Environmental Research
    JF  - Journal of Health and Environmental Research
    JO  - Journal of Health and Environmental Research
    SP  - 98
    EP  - 103
    PB  - Science Publishing Group
    SN  - 2472-3592
    UR  - https://doi.org/10.11648/j.jher.20200603.18
    AB  - Context and aims: knowledge of determinants of delay in prenatal consultations is essential if we want to reduce maternal and infant mortality. The aims of this study is to determine the factors determining the delay in the first prenatal consultation (PNC 1) in a hospital setting in the Kimpese Health Zone. Methods: We conducted a cross-sectional study, including recruited women, by random sampling in prenatal consultations in the Kimpese Health zone; between June 1 and August 31, 2017. It consisted in directly collecting, through an interview, information on the socio-demographic and economic characteristics and the first prenatal consultation of the women followed in the health areas of this Health Zone. Results: of the 431 women included in the study, 87.5% had a delay in PNC 1. Their average age of women was 36.4 ± 6.8 years. Having a non-spouse head of household multiplied the risk of PNC 1 delay 1 by 2 (ORa: 1.95 95% CI: 1.01-3.78), having an existing fixed place of PNC 1 increased the risk of delay of PNC by 8 (ORa: 7.69; 95% CI: 2.56-25.00) and the absence of PNC 1 cost coverage increased the risk of CPN delay 1 by 3 (ORa: 3.33; 95% CI: 1.15-9.09). Conclusion: The frequency of PNC 1 delay is high in Kimpese Health Zone. It is associated with the non-spouse head of household, the existing PNC location and the absence of PNC cost coverage.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Department of Medecine Family, Protestante University of Congo, Kinshasa, Democratic Republique of Congo

  • Department of Public Health, Lomo University Reseach, Kinshasa, Democratic Republique of Congo

  • Department of Medecine Family, Protestante University of Congo, Kinshasa, Democratic Republique of Congo

  • Department of Medecine Family, Protestante University of Congo, Kinshasa, Democratic Republique of Congo

  • Department of Gynecology Obstetric, University of Kinshasa, Kinshasa, Democratic Republique of Congo

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