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Assessing the influence of digital technologies on antenatal care visits in Zimbabwe:insights from 2019 Zimbabwe Multiple Indicator Cluster Survey

摘要Background and objective:To provide good health and well-being as established by the Sustainable Development Goal(SDG)3,access to digital technologies can act as conduits to achieve such progress in a population.As guided by the World Health Organization,antenatal care(ANC)attendance is one of the measures promoted to curtail the global health burden of maternal and infant mortality.ANC services are seldom utilized to their full potential in Zimbabwe.This study explores if any of the women's digital technology characteristics were associated with antenatal care visits.Methods:The study analyzed population-based cross-sectional data with a subsample of 1 932 women aged 15-49 years from the 2019 Zimbabwe Multiple Indicator Cluster Survey.Test of associations with chi-square test,bivariate,and multivariate multinomial logistic regression analyses were used to examine the predictors of adequate(4-7)and optimal(≥ 8)ANC visits relative to undesirable(1-3)antenatal care visits among women who had given births 2 years before the survey.Results:The results indicate that 64.5%(1246/1 932)of the women attained adequate ANC while about 9.8%(189/1 932)attained optimal ANC.Reading a newspaper/magazine at least once a week(odds ratio[OR]1.73,β'=0.551,t=2.030,P=0.043)and watching television at least once a week(OR 1.72,β'=0.545,t=2.454,P=0.015),listening to the radio less than once a week(OR 1.28,β'=0.247,t=1.750,P=0.080),and owning a mobile phone(OR 1.48,β'=0.394,t=3.020,P=0.003)were positively associated with adequate ANC.Optimal ANC was significantly associated with women being able to read a newspaper at least once a week(OR 2.93,β'=1.074,t=3.120,P=0.002),listen to the radio less than once a week(OR 2.07,β'=0.73,t=2.700,P=0.007)and have ownership of a mobile phone(OR 1.88,β'=0.631,t=2.620,P=0.009).Conclusion:Access to a newspaper,radio,television,and mobile phone were important predictors of a woman's ability to achieve her ANC attendance.Policies to improve the knowledge of ANC packages can be facilitated using digital technology to achieve adequate and preferably optimal ANC in Zimbabwe.It is important to improve digital infrastructure to support digital technologies in providing ANC services.

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作者 Elliot Mbunge [1] Garikayi Bernard Chemhaka [2] Tafadzwa Dzinamarira [3] Enos Moyo [4] 学术成果认领
作者单位 Department of Computer Science,Faculty of Science and Engineering,University of Eswatini,Kwaluseni,Manzini,M201,Eswatini [1] Department of Statistics and Demography,Faculty of Social Sciences,University of Eswatini,Kwaluseni,Manzini,M201,Eswatini [2] School of Health Systems and Public Health,University of Pretoria,Pretoria 0028,South Africa [3] School of Nursing and Public Health,College of Health Sciences,University of KwaZulu-Natal,Durban 3601,South Africa [4]
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DOI 10.1016/j.glohj.2023.07.003
发布时间 2023-12-21(万方平台首次上网日期,不代表论文的发表时间)
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