Determinants of compliance with the World Health Organisation recommendations for pregnant women in an urban health centre in The Gambia

Afr J Reprod Health. 2020 Sep;24(3):24-32. doi: 10.29063/ajrh2020/v24i3.3.

Abstract

In 2001 the World Health Organization drew up recommendations for pregnant women in order to reduce maternal mortality: the first visit to the antenatal clinic to be in the first trimester, at least four visits in total and delivery with a trained birth attendant. This study reports the extent to which pregnant women attending a health centre in The Gambia complied with the recommendations. A cohort of 1611 consecutive pregnant women was recruited. Only 384 (23.9%) women first attended in the first trimester and 568 (41.6%) attended at least four times. Only 15.8% of the women complied with all recommendations. Following multivariate analysis the educational level of the partner was the sole factor associated with both recommendations regarding attendance. This level of compliance reflects widespread ignorance of the value of early antenatal care and frequent visits. Public health programmes require a basic level of education to be effective.

Keywords: Maternal health; The Gambia; antenatal; education; first trimester; male partner.

MeSH terms

  • Adult
  • Female
  • Gambia
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Maternal Health Services / statistics & numerical data*
  • Parity
  • Patient Compliance / ethnology
  • Patient Compliance / statistics & numerical data*
  • Pregnancy
  • Pregnant Women / psychology*
  • Prenatal Care / standards
  • Prenatal Care / statistics & numerical data*
  • Social Support
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Urban Health Services / organization & administration
  • World Health Organization