{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:13:41Z","timestamp":1777882421974,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med\ufffdInsights\ufffdReprod\ufffdHealth"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Antenatal care is essential for reducing maternal and neonatal mortality, particularly in low-income regions. However, the adequacy of the care provided is crucial for achieving maternal health goals. Maternal mortality rates in Uganda are still among the highest globally. Thus, evaluating the adequacy of antenatal care (ANC) services, especially in high-risk regions is imperative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine the prevalence of adequate ANC and associated factors in Eastern Uganda.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A multicenter quantitative cross-sectional study was conducted at four healthcare facilities in Eastern Uganda from July to August 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We included immediate postpartum mothers who had given birth within 48\u2009h with a record of their ANC information on a card or book. Adequate ANC was measured by a composite index of 10 core components per WHO guidelines on ANC for a positive pregnancy experience. Data were collected using a structured questionnaire designed with Kobo Toolbox and analyzed using Stata 15.0. Bivariable and multivariable logistic regression analyses assessed factors associated with receiving adequate ANC. Statistical significance was determined by a p value &lt;0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We recruited 1104 postnatal mothers, most aged 20\u201334\u2009years ( n\u2009=\u2009805, 72.9%). Only 5.9% received adequate ANC, with most mothers receiving an average of 6.9 (\u00b12.0) of the 10 assessed ANC components. Receiving adequate ANC was associated with urban residency (AOR: 2.3; 95% CI: 1.16\u20134.38, p\u2009=\u20090.017), age between 20 and 34\u2009years (AOR: 3.5; 95% CI: 1.07\u201311.30, p\u2009=\u20090.038), current or previous complications (AOR: 1.8; 95% CI: 1.02\u20133.29, p\u2009=\u20090.043), and delivery at a general hospital (AOR: 4.8; 95% CI: 2.60\u20138.83, p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is a critical gap in providing adequate ANC in Eastern Uganda, especially for rural and younger mothers. Policy efforts should focus on expanding access, enhancing maternal education, and strengthening healthcare infrastructure to meet the recommended ANC standards.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26334941241305074","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T10:50:52Z","timestamp":1733914252000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of adequate antenatal care among immediate postpartum mothers in Eastern Uganda: a multicenter cross-sectional study"],"prefix":"10.1177","volume":"18","author":[{"given":"Seungwon","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Neuroscience, University of Pennsylvania, Philadelphia, PA, USA"},{"name":"Communities for Childbirth International, Jinja, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8433-7054","authenticated-orcid":false,"given":"Ritah","family":"Nantale","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, Busitema University, Mbale, Uganda"},{"name":"Centre of Excellence for Maternal, Reproductive and Child Health, Busitema University, Mbale, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solomon","family":"Wani","sequence":"additional","affiliation":[{"name":"Department of Research and Innovation, Sanyu Africa Research Institute, Mbale, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2703-3363","authenticated-orcid":false,"given":"Samuel","family":"Kasibante","sequence":"additional","affiliation":[{"name":"Department of Community Health, Jinja Regional Referral Hospital, Jinja, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8138-9083","authenticated-orcid":false,"given":"Andrew Marvin","family":"Kanyike","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mengo Hospital, P.O.Box 7161 Kampala, Uganda"},{"name":"Communities for Childbirth International, Jinja, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"bibr1-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-051675"},{"key":"bibr2-26334941241305074","unstructured":"World Health Organization. Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA\/Population Division, https:\/\/www.who.int\/publications\/i\/item\/9789240068759 (2023, accessed 1 April 2024)."},{"key":"bibr3-26334941241305074","unstructured":"Ministry of Health. National Annual Maternal and Perinatal Death Surveillance and Response (MPDSR) Report FY 2022\/2023, www.health.go.ug (2023, accessed 15 November 2024)."},{"key":"bibr4-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0222566"},{"key":"bibr5-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00519-X"},{"key":"bibr6-26334941241305074","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.07.021101"},{"key":"bibr7-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05739-9"},{"key":"bibr8-26334941241305074","unstructured":"World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience: summary, https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/259947\/WHO-RHR-18.02-eng.pdf (2018, accessed 10 February 2023)."},{"key":"bibr9-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-121"},{"key":"bibr10-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0284718"},{"key":"bibr11-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0204752"},{"key":"bibr12-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03669-w"},{"key":"bibr13-26334941241305074","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v20i2.69432"},{"key":"bibr14-26334941241305074","doi-asserted-by":"publisher","DOI":"10.4236\/ojpm.2015.53016"},{"issue":"1","key":"bibr15-26334941241305074","first-page":"118","volume":"31","author":"Bbaale E.","year":"2013","journal-title":"J Heal Popul Nutr"},{"key":"bibr16-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-031890"},{"key":"bibr17-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13163"},{"key":"bibr18-26334941241305074","unstructured":"Ministry of Health. Essential maternal and newborn clinical care guidelines for Uganda, http:\/\/154.72.196.19\/sexual-and-reproductive-health\/maternal-health\/essential-maternal-and-newborn-clinical-care (2022, accessed 15 November 2024)."},{"key":"bibr19-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2007.08.012"},{"key":"bibr20-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0267015"},{"key":"bibr21-26334941241305074","first-page":"45","volume":"14","author":"Kayemba V","year":"2023","journal-title":"Adolesc Health Med Ther"},{"key":"bibr22-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-06214-z"},{"key":"bibr23-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-287"},{"issue":"3","key":"bibr24-26334941241305074","first-page":"226","volume":"24","author":"Tariku A","year":"2011","journal-title":"Ethiop J Heal Dev"},{"issue":"2","key":"bibr25-26334941241305074","first-page":"47","volume":"44","author":"Ebeigbe PN","year":"2010","journal-title":"Ghana Med J"},{"key":"bibr26-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0184934"},{"key":"bibr27-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/971506"},{"key":"bibr28-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0101893"},{"key":"bibr29-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-94"},{"key":"bibr30-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-015-0081-0"},{"key":"bibr31-26334941241305074","first-page":"8","volume":"12","author":"Chandra Sekhar V","year":"2023","journal-title":"Int J Sci Res"},{"key":"bibr32-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2014.11.008"},{"key":"bibr33-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-52210-4_15"},{"key":"bibr34-26334941241305074","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0b013e3182057335"},{"key":"bibr35-26334941241305074","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2020.35.28.20426"}],"container-title":["Therapeutic Advances in Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26334941241305074","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26334941241305074","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26334941241305074","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:11:40Z","timestamp":1777597900000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26334941241305074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":35,"alternative-id":["10.1177\/26334941241305074"],"URL":"https:\/\/doi.org\/10.1177\/26334941241305074","relation":{},"ISSN":["2633-4941","2633-4941"],"issn-type":[{"value":"2633-4941","type":"print"},{"value":"2633-4941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"26334941241305074"}}