Tendances et facteurs associés à quatre visites de soins prénatals ou plus chez les femmes enceintes au Burkina Faso entre 2003 et 2021

Trends and factors associated with four or more antenatal care visits among pregnant women in Burkina Faso between 2003 and 2021

Abstract

Introduction:

Prenatal care coverage is far from optimal (4ANC+: four or more visits) for most pregnant women, despite multiple strategies. This study therefore examined trends in antenatal care (ANC) and associated factors in Burkina Faso from 2003 to 2021, using data from the Demographic and Health Surveys (DHS).

Methods: This was a secondary data analysis of women (N = 7,795) aged 15-49 years from the DHS in Burkina Faso in 2003, 2010 and 2021. Univariate and bivariate analyses with chi-squared independence test and multivariate analyses with logistic regression models were performed using Stata 15.

Results: The study showed an increase in 4ANC+ from 17.6% in 2003 to 33.7% in 2010 and 72.2% in 2021. In the multivariate model, education level, the fact of having lost a pregnancy, time since last birth, sex of head of household, Wealth Index, Region, knowledge of fertile period, distance, knowledge of contraceptive methods and intention to use contraception were associated with higher odds of 4ANC+.

Conclusion: Women who are less likely to benefit from 4ANC+ should be targeted by policies to reduce maternal mortality. Policies to reduce poverty, promote education for mothers and girls, and improve access to media and infrastructure are needed to increase optimal use of antenatal care.