Use of prenatal contacts by pregnant women in the Republic of Congo
- International Journal of Family & Community Medicine
Jean-Alfred Mbongo,1,2 Ange Clauvel Niama,1 Gilbert Ndziessi,1 Christ Eya,1 Judicaël Bantsimba-Moundongo,1 Rostin Kintsakieno,1 Jérémie Mouyokani2
PDF Full Text
Introduction: According to the WHO, antenatal contact increases the likelihood of
a favourable pregnancy outcome by 87%. The aim of this study is to assess the use of
antenatal contacts in the Congo.
Methodology: This cross-sectional survey was conducted from September to December
2021 throughout the Republic of Congo. The data were analysed using R Studio© version
4.2 software. Quantitative variables were expressed as means and standard deviations and
qualitative variables as frequency. The significance level was set at 5%.
Results: Out of a total of 1,797 pregnant women and 64 health facilities, the average age
of the women was 26 ± 6 years, and 94% of them had had at least one prenatal contact. For
75.5% of women, the first contact occurred more than 3 months earlier, and the number
of prenatal contacts was four or more in 21.42% of cases. There was low coverage of
Intermittent Preventive Treatment during pregnancy with sulfadoxine-pyrimethamine (IPT
g-SP) and a lack of immunisation against neonatal and maternal tetanus (30.9% and 16.6%
respectively). Of the 912 women surveyed to calculate coverage rates for Intermittent
Preventive Treatment during pregnancy with sulfadoxine-pyrimethamine (IPT g-SP),
30.9% had good coverage. There are 16.6% of women not immunised against neonatal and
maternal tetanus. The centres are geographically accessible to most of the women surveyed
(74.7%). Of the 912 women surveyed to calculate coverage rates for Intermittent Preventive
Treatment during pregnancy with sulfadoxine-pyrimethamine (IPT g-SP), 30.9% had good
coverage. The proportion of women not immunised against neonatal and maternal tetanus
was 16.6%. Of the 64 health facilities surveyed, public facilities accounted for 89.1%.
The activity package consisted of curative consultations, antenatal care, iron and folic
acid supplementation, all at a rate of 64%. These were followed by consultations, family
planning (60%) and vaccination (60%). Prevention of mother-to-child transmission of HIV
(PMTCT) is provided at 53%.
Conclusion: The rate of use of antenatal contacts remains high in the Congo, but the package of activities required to meet the health needs of pregnant women is inadequate and exposes them to the risk of maternal and foetal morbidity and mortality. There is therefore an urgent need to improve the completeness and quality of antenatal care in order to prevent maternal and foetal mortality.
prenatal contact, pregnant women, use, Congo