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Determinants of Use of Antenatal Care Services in Rural Mali

Received: 24 June 2022     Accepted: 12 July 2022     Published: 20 July 2022
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Abstract

The objective of this paper is to identify the factors affecting the use of antenatal care services in rural areas using the Multiple Indicator Cluster Survey (MICS, 2015). In this framework, logistic regression was used to give the binary dependent variable. In addition, the Poisson regression model and negative binomial model were used to analyze the target variable which is a count variable. The regression results indicate that marital status, educational attainment, rural wealth index, contraceptive use, and number of births are significantly associated with the use of antenatal care among women living in rural areas. On the other hand, the determinants of the number of prenatal care visits are the poor rural wealth index, the level of income satisfaction (very satisfied, fairly satisfied), the use of contraceptive methods, the level of higher education as well as the woman age. The results obtained suggest that we propose a policy to create income-generating activities for women in order to promote the accessibility of health care and to sensitize the rural population on the need for girls schooling. In addition, the state must effectively promote the extension of care supply in rural areas.

Published in International Journal of Health Economics and Policy (Volume 7, Issue 3)
DOI 10.11648/j.hep.20220703.12
Page(s) 54-60
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), 2022. Published by Science Publishing Group

Keywords

Antenatal Care, Health Care Use, Maternal Health, Pregnancy, Rural Mali

References
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[2] Akowuah JA, Agyei-baffour P, Awunyo-vitor D. Determinants of Antenatal Healthcare Utilisation by Pregnant Women in Third Trimester in Peri-Urban Ghana. J Trop Med. 2018; 2018 (2000).
[3] Andersen, R. M. (1995), « Revisiting the behavioral model and access to medical care: does itmatter? », Journal of health and social behavior, 1-10.
[4] Anya S., B., N, Yene A. The determinants of the choice of treatment of pregnant women in Cameroon. Health Econ Rev. Published online 2016: 1-9. doi: 10.1186/s13561-016-0127-1.
[5] Audibert, M., E De Roodenbeke, A Pavy-Letourmy et JM. (2004). Utilisation Des Services de Santé En Afrique : L’approche Communataire En Termes d’offres de Soins Est-Elle Une Reponse.
[6] Basha GW. Factors Affecting the Utilization of a Minimum of Four Antenatal Care Services in Ethiopia. Obstet Gynecol Int. Published online 2019. doi: 10.1155/2019/5036783.
[7] Commeyras, C., Ndo, J. R., Merabet, O., Kone, H., & Rakotondrabe, F. P. (2006). Household behaviour regarding health and drug consumption in Cameroon. Cahiers d'études et de recherches francophones/Santé, 16 (1), 5-12.
[8] Dulla D, Daka D, Wakgari N. Antenatal Care Utilization and Its Associated Factors among Pregnant Women in Boricha District, Southern. Divers Equal Heal Care. 2017; 14: 76-84.
[9] EDSM-VI. (2018). Enquête Démographique et de Santé du Mali.
[10] Hijazi HH, Alyahya MS, Sindiani AM, Saqan RS, Okour AM. Determinants of antenatal care attendance among women residing in highly disadvantaged communities in northern Jordan : a cross-sectional study. Reprod Health. Published online 2018: 1-18.
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[12] MICS. Enquête par Grappes à Indicateurs Multiples. Published online 2019: 1-22.
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[14] Nanfosso RT, Kasiwa JM. Les déterminants de la demande de soins prénataux en République démocratique du Congo: Approche par données de comptage. African Eval J. 2013; 1 (1): 1-9. doi: 10.4102/aej.v1i1.26.
[15] Nghargbu, R., & Olaniyan, O. (2019). Determinants of antenatal care utilization in Nigeria. African Development Bank.
[16] Nketiah-Amponsah, E., Senadza, B., & Arthur, E. (2013). Determinants of utilization of antenatal care services in developing countries: recent evidence from Ghana. African Journal of Economic and Management (6), 1183-1196.
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Cite This Article
  • APA Style

    Yaya Sidibe Sidibe, Mamady Sissoko, Amadou Bamba, Issoufou Soumaila Mouleye. (2022). Determinants of Use of Antenatal Care Services in Rural Mali. International Journal of Health Economics and Policy, 7(3), 54-60. https://doi.org/10.11648/j.hep.20220703.12

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    ACS Style

    Yaya Sidibe Sidibe; Mamady Sissoko; Amadou Bamba; Issoufou Soumaila Mouleye. Determinants of Use of Antenatal Care Services in Rural Mali. Int. J. Health Econ. Policy 2022, 7(3), 54-60. doi: 10.11648/j.hep.20220703.12

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    AMA Style

    Yaya Sidibe Sidibe, Mamady Sissoko, Amadou Bamba, Issoufou Soumaila Mouleye. Determinants of Use of Antenatal Care Services in Rural Mali. Int J Health Econ Policy. 2022;7(3):54-60. doi: 10.11648/j.hep.20220703.12

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  • @article{10.11648/j.hep.20220703.12,
      author = {Yaya Sidibe Sidibe and Mamady Sissoko and Amadou Bamba and Issoufou Soumaila Mouleye},
      title = {Determinants of Use of Antenatal Care Services in Rural Mali},
      journal = {International Journal of Health Economics and Policy},
      volume = {7},
      number = {3},
      pages = {54-60},
      doi = {10.11648/j.hep.20220703.12},
      url = {https://doi.org/10.11648/j.hep.20220703.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20220703.12},
      abstract = {The objective of this paper is to identify the factors affecting the use of antenatal care services in rural areas using the Multiple Indicator Cluster Survey (MICS, 2015). In this framework, logistic regression was used to give the binary dependent variable. In addition, the Poisson regression model and negative binomial model were used to analyze the target variable which is a count variable. The regression results indicate that marital status, educational attainment, rural wealth index, contraceptive use, and number of births are significantly associated with the use of antenatal care among women living in rural areas. On the other hand, the determinants of the number of prenatal care visits are the poor rural wealth index, the level of income satisfaction (very satisfied, fairly satisfied), the use of contraceptive methods, the level of higher education as well as the woman age. The results obtained suggest that we propose a policy to create income-generating activities for women in order to promote the accessibility of health care and to sensitize the rural population on the need for girls schooling. In addition, the state must effectively promote the extension of care supply in rural areas.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Use of Antenatal Care Services in Rural Mali
    AU  - Yaya Sidibe Sidibe
    AU  - Mamady Sissoko
    AU  - Amadou Bamba
    AU  - Issoufou Soumaila Mouleye
    Y1  - 2022/07/20
    PY  - 2022
    N1  - https://doi.org/10.11648/j.hep.20220703.12
    DO  - 10.11648/j.hep.20220703.12
    T2  - International Journal of Health Economics and Policy
    JF  - International Journal of Health Economics and Policy
    JO  - International Journal of Health Economics and Policy
    SP  - 54
    EP  - 60
    PB  - Science Publishing Group
    SN  - 2578-9309
    UR  - https://doi.org/10.11648/j.hep.20220703.12
    AB  - The objective of this paper is to identify the factors affecting the use of antenatal care services in rural areas using the Multiple Indicator Cluster Survey (MICS, 2015). In this framework, logistic regression was used to give the binary dependent variable. In addition, the Poisson regression model and negative binomial model were used to analyze the target variable which is a count variable. The regression results indicate that marital status, educational attainment, rural wealth index, contraceptive use, and number of births are significantly associated with the use of antenatal care among women living in rural areas. On the other hand, the determinants of the number of prenatal care visits are the poor rural wealth index, the level of income satisfaction (very satisfied, fairly satisfied), the use of contraceptive methods, the level of higher education as well as the woman age. The results obtained suggest that we propose a policy to create income-generating activities for women in order to promote the accessibility of health care and to sensitize the rural population on the need for girls schooling. In addition, the state must effectively promote the extension of care supply in rural areas.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • Faculty of Economics and Management Sciences, University of Social Sciences and Management of Bamako, Bamako, Mali

  • Faculty of Economics and Management Sciences, University of Social Sciences and Management of Bamako, Bamako, Mali

  • Faculty of Economics and Management Sciences, University of Social Sciences and Management of Bamako, Bamako, Mali

  • Faculty of Economics and Management Sciences, University of Social Sciences and Management of Bamako, Bamako, Mali

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