{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:02:34Z","timestamp":1773921754037,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Malaria Control Program of the Democratic Republic of Congo"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Obstetrics and Gynecology International"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services.<jats:italic>Methods<\/jats:italic>. Determinants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo. Sociocultural bottlenecks were assessed via focus groups discussion of married men and women.<jats:italic>Results<\/jats:italic>. In this survey, 28 of the 500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester. The first visit is positively influenced by the reproductive age (OR: 0.52, 95% CI(0.28\u20130.95),<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.04<\/mml:mn><\/mml:math>), the educational level (OR: 0.41,95% CI(0.17\u20130.97),<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>p<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.04<\/mml:mn><\/mml:math>), the nearby health center (OR: 0.43, 95% CI(0.2\u20130.92),<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>p<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.03<\/mml:mn><\/mml:math>), and the presence of a male partner (OR: 10.48, 95% CI(2.1\u201352.23),<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>p<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>). The barriers to early booking were (i) the cost of service; (ii) the appearance or individual income; (iii) the geographical inaccessibility or distance to health facilities; (iv) social and religious prohibitions; (v) the stigmatization from other women when conceiving in the late ages or young or while still lactating (parity); (vi) the time for waiting for services.<jats:italic>Conclusion<\/jats:italic>. The early ANC attendance is delayed among poor women with little education and living alone.<\/jats:p>","DOI":"10.1155\/2016\/5423413","type":"journal-article","created":{"date-parts":[[2016,9,15]],"date-time":"2016-09-15T17:02:00Z","timestamp":1473958920000},"page":"1-7","source":"Crossref","is-referenced-by-count":31,"title":["Determinants of Antenatal Care Attendance among Pregnant Women Living in Endemic Malaria Settings: Experience from the Democratic Republic of Congo"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7758-9464","authenticated-orcid":true,"given":"C\u00e9lestin Ndosimao","family":"Nsibu","sequence":"first","affiliation":[{"name":"University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9lestin","family":"Manianga","sequence":"additional","affiliation":[{"name":"Department of Anthropology, Faculty of Social, Administrative and Political Sciences, University of Kinshasa, Kinshasa, Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serge","family":"Kapanga","sequence":"additional","affiliation":[{"name":"Department of Anthropology, Faculty of Social, Administrative and Political Sciences, University of Kinshasa, Kinshasa, Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Mona","sequence":"additional","affiliation":[{"name":"Reproductive Health Program, Provincial Coordinator, Kananga, Western Kasai, Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Pululu","sequence":"additional","affiliation":[{"name":"Health District Coordinator, Mbanza-Ngungu, Bas-Congo Province, Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7479-1170","authenticated-orcid":true,"given":"Michel Ntetani","family":"Aloni","sequence":"additional","affiliation":[{"name":"University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"issue":"4","key":"9","first-page":"87","volume":"47","year":"2001","journal-title":"Central African Journal of Medicine"},{"issue":"4","key":"21","first-page":"130","volume":"17","year":"2013","journal-title":"African Journal of Reproductive Health"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-43"},{"key":"18","year":"2002"},{"key":"20","year":"2013"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000221"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.4103\/2141-9248.133463"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.4103\/1596-3519.70959"},{"issue":"3","key":"11","first-page":"111","volume":"13","year":"2009","journal-title":"African Journal of Reproductive Health"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2875-13-162"},{"key":"4","year":"2011"},{"key":"6","year":"2012"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0046475"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-256"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-52"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-16"},{"key":"13","year":"2007"},{"issue":"2","key":"1","first-page":"79","volume":"18","year":"2008","journal-title":"Nigerian Quarterly Journal of Hospital Medicine"},{"key":"17","year":"2009"}],"container-title":["Obstetrics and Gynecology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2016\/5423413.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2016\/5423413.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ogi\/2016\/5423413.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,9,15]],"date-time":"2016-09-15T17:02:02Z","timestamp":1473958922000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/ogi\/2016\/5423413\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":19,"alternative-id":["5423413","5423413"],"URL":"https:\/\/doi.org\/10.1155\/2016\/5423413","relation":{},"ISSN":["1687-9589","1687-9597"],"issn-type":[{"value":"1687-9589","type":"print"},{"value":"1687-9597","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}