Effect of four or more antenatal care visits on facility delivery and early postnatal care services utilization in Uganda: a propensity score matched analysis

dc.contributor.authorMwebesa, Edson
dc.contributor.authorKagaayi, Joseph
dc.contributor.authorSsebagereka, Anthony
dc.contributor.authorNakafeero, Mary
dc.contributor.authorSsenkusu, John M.
dc.contributor.authorGuwatudde, David
dc.contributor.authorMbona Tumwesigye, Nazarius
dc.date.accessioned2022-02-11T11:51:06Z
dc.date.available2022-02-11T11:51:06Z
dc.date.issued2022
dc.description.abstractMaternal mortality remains a global public health issue, more predominantly in developing countries, and is associated with poor maternal health services utilization. Antenatal care (ANC) visits are positively associated with facility delivery and postnatal care (PNC) utilization. However, ANC in itself may not lead to such association but due to differences that exist among users (women). The purpose of this study, therefore, is to examine the effect of four or more ANC visits on facility delivery and early PNC and also the effect of facility-based delivery on early PNC using Propensity Score Matched Analysis (PSMA). Methods: The present study utilized the 2016 Uganda Demographic and Health Survey (UDHS) dataset. Women aged 15 – 49 years who had given birth three years preceding the survey were considered for this study. Propensity score-matched analysis was used to analyze the effect of four or more ANC visits on facility delivery and early PNC and also the effect of facility-based delivery on early PNC. Results: The results revealed a significant and positive effect of four or more ANC visits on facility delivery [ATT (Average Treatment Effect of the Treated)=0.118, 95% CI: 0.063 – 0.173] and early PNC [ATT=0.099, 95% CI: 0.076 – 0.121]. It also found a positive and significant effect of facility-based delivery on early PNC [ATT=0.518, 95% CI: 0.489 – 0.547]. Conclusion: Policies geared towards the provision of four or more ANC visits are an effective intervention towards improved facility-based delivery and early PNC utilisation in Uganda.en_US
dc.identifier.citationMwebesa, E., Kagaayi, J., Ssebagereka, A., Nakafeero, M., Ssenkusu, J. M., Guwatudde, D., & Tumwesigye, N. M. (2022). Effect of four or more antenatal care visits on facility delivery and early postnatal care services utilization in Uganda: a propensity score matched analysis. BMC pregnancy and childbirth, 22(1), 1-9. https://doi.org/10.1186/s12884-021-04354-8en_US
dc.identifier.urihttps://doi.org/10.1186/s12884-021-04354-8
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2071
dc.language.isoenen_US
dc.publisherBMC pregnancy and childbirthen_US
dc.subjectAntenatal careen_US
dc.subjectFacility-based deliveryen_US
dc.subjectPostnatal careen_US
dc.subjectPropensity Score Matched Analysisen_US
dc.subjectUgandaen_US
dc.titleEffect of four or more antenatal care visits on facility delivery and early postnatal care services utilization in Uganda: a propensity score matched analysisen_US
dc.typeArticleen_US
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