Open Journal of Obstetrics and Gynecology, 2020, 10, 1449-1470
https://www.scirp.org/journal/ojog
ISSN Online: 2160-8806
ISSN Print: 2160-8792
DOI: 10.4236/ojog.2020.10100133 Oct. 28, 2020 1449 Open Journal of Obstetrics and Gynecology
Study of Antenatal Care Completion
Determinant Factors in Kedougou
Health District (Senegal)
Babacar Biaye
1
, David Ngom
2
, Moussa Ndiaye
2
, Fode Danfakha
2
, Omar Gassama
1
,
Abdoul Aziz Diouf
1
, Adama Faye
3
, Dembo Guirassi
4
, Alassane Diouf
1
, Jean Charles Moreau
1
1
Aristide Le Dantec Teaching Hospital, Dakar, Senegal
2
kedougou Health District, Kedougou, Senegal
3
Public Health Department, Cheikh Anta Diop University, Dakar, Senegal
4
Reproductive Health Department/Health Ministry, Dakar, Senegal
Abstract
Introduction: Maternal mortality is a public health problem of more concern
to developing countries. As part of improving the maternofoetal prognosis
during pregnancy and childbirth, it is essential to carry out regular follow-ups
of pregnant women (FE) through antenatal consultations (ANC). In fact, the
World Health Organization (WHO) recommends at least four ANC at regu-
lar intervals during pregnancy. In Senegal the completion rate varies greatly
depending on the region. In the District of Kédougou it was 41% in 2017
(DHIS2). The national target was not achieved despite the interventions.
Thus we studied the determinants of CPN completion in the health district of
Kedougou in 2017. Method: The study is of a descriptive and analytical
cross-sectional type and concerned a sample of 884 women who gave birth
between October 2017 and September 2018. They were chosen by a sample
whose distribution in the district was made according to the quota method
while respecting the demographic weight of each area of responsibility of the
District. Results: The results of our study showed that the average age of
women was 24 years with an average number of pregnancies equal to 3. The
ANC completion rate at 37% was lower than the administrative data rate
which was 41%. The determinants with a statistically most significant link
with the completion of ANC are respectively satisfaction with the care and
quality of service, the level of information of women regarding PNC, marital
status, affordability and distance from the location of the ANC. Conclusion:
Increasing women’s incomes, increasing communication about ANC, and
bringing health services closer together are needed to improve the completion
rate of antenatal care visits.
How to cite this paper: Biaye, B., Ngom,
D., Ndiaye, M., Danfakha, F., Gassama, O.,
Diouf, A.A., Faye, A., Guirassi, D., Diouf,
A. and Moreau, J.C. (2020) Study of Ante-
natal Care Completion Determinant Fac-
tors in Kedougou Health District (Senegal).
Open Journal of Obstetrics and Gynecolo-
gy, 10, 1449-1470.
https://doi.org/10.4236/ojog.2020.10100133
Received: July 25, 2020
Accepted: October 25, 2020
Published: October 28, 2020
Copyright © 2020 by author(s) and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access