Social inequality and antenatal care: Impact of economic welfare on pregnancy monitoring in Senegal.
Aim: to explore the links between the non-completion of antenatal and economic welfare.
Method and subject: This was a cross-sectional, descriptive and analytical study on women between 15 and 49 years living in Senegal on 2005 and taken from the DHS. The sample was stratified with two degrees. The economic well-being was measured using housing characteristics and sustainable good ownership. The antenatal care (ANC) was assessed by the number, qualification of the person who did it and the quality (counseling, weight, height and blood pressure). Logistic regression was used for data analysis.
Results: A total of 6 927 women were surveyed. The average age was 28.15 (± 2.6), 20.3% was on their first birth. 61.2% of them came from rural areas and 70.0% had no education. Almost 20% were in the first, second, third and fourth quintile, while 16.9% were in the richest quintile. Besides, 6.6% had made no ANC. The non-completion of the ANC was increasing according to the number pregnancy and was decreasing with education level. It was 7 times higher in rural areas. The absence of ANC decreases with well-being increasing. The variable OR was 0.6 (CI 95% [0,47-0,75]) to 0.02 (95% CI [0.01-0.05]).
Conclusion: The economic well-being plays a major role in making the ANC. The only way to solve health problems is to reduce inequalities. The solution to this problem is beyond the scope of health but concerns moreover a multi-sectoral economic program. This requires the involvement of all stakeholders, including political.
Keywords: antenatal care, well-being, social inequality, Senegal
Auteur(s) : Faye A., Diouf M., Niang K., Leye MM., Ndiaye S., Ayad M., Tal-Dia A
Année de publication : 2013
Revue : Revue d'épidémiologie et de santé publique
N° de volume : 13
Type : Article
Mise en ligne par : DIOUF Massamba