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Assessing the Penetration, Fidelity, and Birth Outcomes Associated with the 2016 Who Antenatal Care Policy Across States in Nigeria
Assessing the Penetration, Fidelity, and Birth Outcomes Associated with the 2016 Who Antenatal Care Policy Across States in Nigeria
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103041
- ISBN
- 9798315712909
- DDC
- 614
- 서명/저자
- Assessing the Penetration, Fidelity, and Birth Outcomes Associated with the 2016 Who Antenatal Care Policy Across States in Nigeria
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 196 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-11, Section: A.
- 주기사항
- Advisor: Trogdon, Justin G.;Shea, Christopher M.
- 학위논문주기
- Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약The World Health Organization (WHO) rolled out the 2016 antenatal care (ANC) policy, including the eight-visit ANC (8vANC) recommendation, to improve women's ANC uptake and ensure positive pregnancy experience. Following the adoption and implementation of the 2016 WHO ANC policy by the Nigerian Federal Ministry of Health in 2017, a national cross-sectional survey conducted in 2021 indicated significant differences in state-level utilization rates of 8vANC. Using a combination of an implementation research approach and multilevel analysis, this study examined the underlying determinants of both the utilization behaviors and selected birth outcomes associated with the 2016 WHO ANC policy in Nigeria.With a post-implementation sample obtained from the Multiple Indicator and Cluster Survey (MICS6) 2021, Aim 1 focused on assessing the underlying determinants attributable to the observed differences in 8vANC utilization. The outcome was defined as the penetration of the WHO 8vANC policy and was measured as the proportion of women who used a minimum of 8vANC out of the total number of women who had live births within two years before the 2021 MICS6. The findings indicated that while women who self-reported their perception of life satisfaction as 'very happy' and 'somewhat happy' had increased odds of 8vANC utilization across states, the perception of wife beating justified 'if she goes out without telling husband' had reduced odds on the penetration of the 8vANC. Aim 2 examined the determinants associated with fidelity to five selected ANC components (the timing of first ANC visit, blood pressure measurement, blood sample test, urinalysis, and tetanus vaccination) among women who completed 8vANC. The findings indicated that 99.7% initiated their first ANC visit within 12 weeks of gestation and the rate of concordance with the five selected ANC components was 83.7%, on average. Aim 3 examined the association of C-sections, low birth weight (LBW), and perinatal death with penetration and fidelity to the policy by generating a main fixed effect labeled as penetration-fidelity. The findings revealed that penetration-fidelity was positively associated with LBW, negatively associated with perinatal death, and insignificantly associated with C-section.
- 일반주제명
- Public health
- 일반주제명
- Public policy
- 키워드
- Antenatal care
- 키워드
- Birth outcomes
- 키워드
- Health policy
- 키워드
- Nigeria
- 기타저자
- The University of North Carolina at Chapel Hill Health Policy and Management
- 기본자료저록
- Dissertations Abstracts International. 86-11A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aIkemeh, Christiana.
■24510▼aAssessing the Penetration, Fidelity, and Birth Outcomes Associated with the 2016 Who Antenatal Care Policy Across States in Nigeria
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a196 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-11, Section: A.
■500 ▼aAdvisor: Trogdon, Justin G.;Shea, Christopher M.
■5021 ▼aThesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aThe World Health Organization (WHO) rolled out the 2016 antenatal care (ANC) policy, including the eight-visit ANC (8vANC) recommendation, to improve women's ANC uptake and ensure positive pregnancy experience. Following the adoption and implementation of the 2016 WHO ANC policy by the Nigerian Federal Ministry of Health in 2017, a national cross-sectional survey conducted in 2021 indicated significant differences in state-level utilization rates of 8vANC. Using a combination of an implementation research approach and multilevel analysis, this study examined the underlying determinants of both the utilization behaviors and selected birth outcomes associated with the 2016 WHO ANC policy in Nigeria.With a post-implementation sample obtained from the Multiple Indicator and Cluster Survey (MICS6) 2021, Aim 1 focused on assessing the underlying determinants attributable to the observed differences in 8vANC utilization. The outcome was defined as the penetration of the WHO 8vANC policy and was measured as the proportion of women who used a minimum of 8vANC out of the total number of women who had live births within two years before the 2021 MICS6. The findings indicated that while women who self-reported their perception of life satisfaction as 'very happy' and 'somewhat happy' had increased odds of 8vANC utilization across states, the perception of wife beating justified 'if she goes out without telling husband' had reduced odds on the penetration of the 8vANC. Aim 2 examined the determinants associated with fidelity to five selected ANC components (the timing of first ANC visit, blood pressure measurement, blood sample test, urinalysis, and tetanus vaccination) among women who completed 8vANC. The findings indicated that 99.7% initiated their first ANC visit within 12 weeks of gestation and the rate of concordance with the five selected ANC components was 83.7%, on average. Aim 3 examined the association of C-sections, low birth weight (LBW), and perinatal death with penetration and fidelity to the policy by generating a main fixed effect labeled as penetration-fidelity. The findings revealed that penetration-fidelity was positively associated with LBW, negatively associated with perinatal death, and insignificantly associated with C-section.
■590 ▼aSchool code: 0153.
■650 4▼aPublic health
■650 4▼aPublic policy
■653 ▼aAntenatal care
■653 ▼aBirth outcomes
■653 ▼aHealth policy
■653 ▼aImplementation research
■653 ▼aNigeria
■653 ▼aWorld Health Organization
■690 ▼a0573
■690 ▼a0630
■690 ▼a0769
■71020▼aThe University of North Carolina at Chapel Hill▼bHealth Policy and Management.
■7730 ▼tDissertations Abstracts International▼g86-11A.
■790 ▼a0153
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356817▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
