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Table 4 Factors associated with utilization of all ANC components as per RDHS 2019–20

From: Factors associated with utilization of quality antenatal care: a secondary data analysis of Rwandan Demographic Health Survey 2020

Characteristics

ANC quality

Crude odds ratio

cOR (95% CI)

P-value

ANC quality

Adjusted model

aOR (95% CI)

Age

 35 to 49

1

 

1

 20 to 34

2.13 (1.78–2.56)

 < 0.001

1.04 (0.82–1.30)

 15 to 19

2.54 (1.52–4.26)

 < 0.001

0.80 (0.46–1.40)

Education Level

 No Education

1

 

1

 Primary Education

1.13 (0.86–1.48)

0.383

0.76 (0.56–1.02)

 Secondary Education

2.01 (1.49–2.70)

 < 0.001

0.90 (0.62–1.28)

 Tertiary

1.95 (1.31–2.88)

0.001

0.93 (0.53–1.62)

Exposure to newspapers/magazines

 No

1

 

1

 Less than once a week

1.40 (1.07–1.82)

 < 0.001

1.13 (0.86–1.48)

 At least once a week

1.93 (1.46–2.54)

0.014

1.48 (1.09–2.02)

Exposure to radio

 No

1

 

1

 Less than once a week

1.30 (1.01–1.67)

0.047

1.18 (0.90–1.56)

 At least once a week

1.31 (1.07–1.60)

0.009

0.97 (0.77–1.23)

Exposure to TV

 No

1

 

1

 Less than once a week

1.21 (0.99–1.47)

0.065

1.05 (0.84–1.30)

 At least once a week

1.36 (1.10–1.70)

0.007

1.35 (0.99–1.85)

Internet access

 No

1

 

1

 Yes

1.52 (1.25–1.86)

 < 0.001

0.80 (0.58–1.11)

Parity

 5 and above

1

 

1

 2–4

3.53 (2.44–5.12)

 < 0.001

2.65 (1.74–4.02)

 Less than 2

8.42 (5.80–12.23)

 < 0.001

6.04 (3.82–9.57)

Marital

 Not married

1

 

1

 Married

0.76 (0.62–0.92)

0.005

0.86 (0.69–1.06)

Has health insurance

 No

1

 

1

 Yes

1.41 (1.14–1.74)

0.001

1.02 (0.81–1.29)

Visited by a fieldworker

 No

1

 

1

 Yes

1.49 (1.25–1.78)

 < 0.001

1.47 (1.23–1.76)

Working status

 Not working

1

 

1

 Working

0.70 (0.59–0.83)

 < 0.001

0.79 (0.66–0.95)

Permission to access healthcare

 Big problem

1

 

-

 Not big problem

1.23 (0.81–1.87)

0.334

-

Distance to health facility

 Big problem

1

 

1

 Not big problem

1.37 (1.11–1.70)

0.004

1.21 (0.96–1.53)

Residence

 Rural

1

 

1

 Urban

1.21 (1.01–1.45)

0.039

1.10 (0.85–1.41)

Region

 North

1

 

1

 East

0.84 (0.61–1.17)

0.300

0.83 (0.59–1.15)

 West

0.90 (0.67–1.21)

0.483

0.99 (0.73–1.34)

 South

1.19 (0.90–1.57)

0.224

1.10 (0.83–1.47)

 Kigali

1.01 (0.74–1.38)

0.955

0.84 (0.59–1.20)

Household Size

 6 and above

1

 

1

 Less than 6

2.12 (1.77–2.53)

 < 0.001

1.34 (1.10–1.63)

Wealth Index

 Poorest

1

 

1

 Poorer

1.09 (0.85–1.40)

0.519

1.07 (0.82–1.41)

 Middle

0.96 (0.73–1.25)

0.738

0.99 (0.73–1.34)

 Richer

1.41 (1.10–1.81)

0.007

1.23 (0.93–1.63)

 Richest

1.26 (0.98–1.61)

0.068

0.88 (0.59–1.30)

ANC timing

 After first trimester

1

 

1

 Within first trimester

2.09 (1.76–2.48)

 < 0.001

1.45 (1.18–1.79)

ANC frequency

 Less than 4

1

 

1

 4 and above

2.09 (1.77–2.46)

 < 0.001

1.52 (1.25–1.85)

ANC facility

 Private

1

 

1

 Public

2.28 (1.43–3.62)

0.001

1.65 (0.99–2.75)

  1. Bold: significant at < 0.05, adjusted analysis for age, education level, exposure to newspapers, radio and TV, internet access, parity, marital status, health insurance, visited by field health worker, working status, distance to health facility, residence, region, household size, wealth index, ANC timing, frequency and facility