Factors Associated with Dropout from Antenatal Care in the Commune of Kpomassè in Benin in 2024: A Descriptive and Analytical Survey
Batcho Yannick *
Institute Régional de Santé Publique Comlan Alfred Quénum (IRSP-CAQ), Université d'Abomey-Calavi, Benin and École Nationale de Formation des Techniciens Supérieurs en Santé Publique et en Surveillance Épidémiologique, Université de Parakou, Benin.
Bédié Vignon
Institute Régional de Santé Publique Comlan Alfred Quénum (IRSP-CAQ), Université d'Abomey-Calavi, Benin.
Aïssi Flaubert
École de Santé Publique de l'Université de Montréal, Montréal, Canada.
Sohe Aristide
Institute Régional de Santé Publique Comlan Alfred Quénum (IRSP-CAQ), Université d'Abomey-Calavi, Benin.
Yarou Edwige
Institute Régional de Santé Publique Comlan Alfred Quénum (IRSP-CAQ), Université d'Abomey-Calavi, Benin.
Agbahoungba Giovanni
Institute Régional de Santé Publique Comlan Alfred Quénum (IRSP-CAQ), Université d'Abomey-Calavi, Benin.
Hountchémè Arnaud
Institute Régional de Santé Publique Comlan Alfred Quénum (IRSP-CAQ), Université d'Abomey-Calavi, Benin.
Tianry Daniel
École Nationale de Formation des Techniciens Supérieurs en Santé Publique et en Surveillance Épidémiologique, Université de Parakou, Benin.
Adjassin Audrey
Faculté des Lettres, Arts et Sciences Humaines, Université de Parakou, Benin.
Nonnonhou Belmondo
Zone de Santé Ouidah-Kpomassè-Tori Bossito, Centre de Santé Communale de Kpomassè, Département de l'Atlantique, Kpomassè, Benin.
Kpadonou Géraud
Faculté des Sciences de Santé (FSS), Université d'Abomey-Calavi, Benin.
*Author to whom correspondence should be addressed.
Abstract
Background: Non-attendance and dropout from antenatal care during pregnancy can lead to complications during childbirth, as well as maternal and infant deaths.
Aim: The objective of this study was to investigate the factors associated with dropout from antenatal care in the commune of Kpomassè in 2024.
Methods: A cross-sectional study with descriptive and analytical aims was conducted. Women who had given birth and were residing in the commune of Kpomassè, as well as healthcare personnel from health centres, were eligible for inclusion. Women were selected by four-stage cluster random sampling and data were collected using a structured questionnaire. Purposive sampling was used for healthcare personnel, and data were collected using an interview guide. Simple and multiple logistic regression and the chi-squared test were used to identify associated factors.
Results: A total of 568 women who had given birth and 4 midwives were included. The median age of the women surveyed was 26 years (IQR: 23–31). The dropout rate from antenatal care was 70.25% (95% CI: [66.34–73.87]). Several factors, including women's poor decision-making capacity (p=0.002), delayed attendance at the first antenatal care visit (p=0.001), and inadequate qualification of nursing staff (p=0.01), explained dropout from antenatal care in the commune of Kpomassè in 2024.
Conclusion: Dropout from antenatal care constitutes a major public health issue requiring the implementation of targeted interventions in the commune of Kpomassè.
Keywords: dropout, antenatal care, associated factors, Kpomassè, Benin