Factors Associated with Adequate Antenatal Care Use Among Women of Childbearing Age in Burkina Faso: Finding From the 2010 and 2021 Demographic and Health Surveys

Abstract Introduction: Antenatal care (ANC) is a critical determinant of maternal and infant well-being and is a reliable method for reducing maternal and infant mortality. This study aimed to determine individual, family and community factors associated with the ANC use in 2010 and 2021. Method: The data used in this study is procured from the Demographic and Health Surveys carried out in Burkina Faso in 2010 and 2021. Binary logistic regression analysis was used to analyse factors associated with the use of prenatal care. Adjusted odds ratios (AOR) were estimated to assess the strength of associations, and 95% confidence intervals were used for significance testing. A proportion test was used to examine differences in ANC utilisation between 2010 and 2021 in Burkina Faso. The data were cleaned, coded and analysed using Stata version 16.1 software. Results: In our study sample, 22.92% of the respondents in 2010 had adequate ANC use, compared to 46.34% in 2021. The results demonstrate the influence of the woman’s individual characteristics, the household and the community characteristics on the adequate ANC use in Burkina Faso. Regarding the woman’s individual characteristics, age, educational level, marital status, occupation and modern contraceptive methods use were significantly associated with adequate ANC use in 2010 and 2021. In terms of the woman's living environment, the household well-being quintile, the degree of exposure to the media and the region of residence were significantly associated with adequate prenatal care use in 2010 and 2021. Conclusion: This study notes that Burkina Faso has made enormous progress in improving the coverage of prenatal care between 2010 and 2021, and indicates several factors influencing adequate ANC use. These factors, including individual, family and community factors. For optimal efficacy, interventions promoting the adoption of antenatal care services must take these outcomes into account.