{"id":"https://openalex.org/W4389765893","doi":"https://doi.org/10.1101/2023.12.12.23299879","title":"Late start of antenatal care in Burundi: Effect of socio-demographic, socio-cultural, and health system-related factors","display_name":"Late start of antenatal care in Burundi: Effect of socio-demographic, socio-cultural, and health system-related factors","publication_year":2023,"publication_date":"2023-12-14","ids":{"openalex":"https://openalex.org/W4389765893","doi":"https://doi.org/10.1101/2023.12.12.23299879"},"language":"en","primary_location":{"id":"doi:10.1101/2023.12.12.23299879","doi":"https://doi.org/10.1101/2023.12.12.23299879","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1101/2023.12.12.23299879","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2023/12/14/2023.12.12.23299879.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2023/12/14/2023.12.12.23299879.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041897132","display_name":"Jean Marie Vianney Butoyi","orcid":"https://orcid.org/0000-0001-5118-5744","observed_orcids":["https://orcid.org/0000-0001-5118-5744"]},"institutions":[{"id":"https://openalex.org/I4210122385","display_name":"Light University of Bujumbur","ror":"https://ror.org/02w4pz848","country_code":"BI","type":"education","lineage":["https://openalex.org/I4210122385"]}],"countries":["BI"],"is_corresponding":true,"raw_author_name":"Jean M. Butoyi","raw_affiliation_strings":["Faculty of Health Sciences, Light University of Bujumbura, Burundi"],"raw_orcid":"https://orcid.org/0000-0001-5118-5744","affiliations":[{"raw_affiliation_string":"Faculty of Health Sciences, Light University of Bujumbura, Burundi","institution_ids":["https://openalex.org/I4210122385"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038495329","display_name":"Caleb Kimutai Sagam","orcid":"https://orcid.org/0000-0002-7316-3340","observed_orcids":["https://orcid.org/0000-0002-7316-3340"]},"institutions":[{"id":"https://openalex.org/I2841861","display_name":"Kenya Medical Research Institute","ror":"https://ror.org/04r1cxt79","country_code":"KE","type":"facility","lineage":["https://openalex.org/I2841861"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Caleb K. Sagam","raw_affiliation_strings":["Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya","institution_ids":["https://openalex.org/I2841861"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029941849","display_name":"B\u00e9lyse Munezero","orcid":"https://orcid.org/0000-0001-8572-2093","observed_orcids":["https://orcid.org/0000-0001-8572-2093"]},"institutions":[{"id":"https://openalex.org/I208899625","display_name":"Universit\u00e9 du Burundi","ror":"https://ror.org/003vfy751","country_code":"BI","type":"education","lineage":["https://openalex.org/I208899625"]},{"id":"https://openalex.org/I4405260641","display_name":"Institut National de sante publique","ror":"https://ror.org/042sjvf54","country_code":"BI","type":"education","lineage":["https://openalex.org/I4405260641"]}],"countries":["BI"],"is_corresponding":false,"raw_author_name":"Belyse Munezero","raw_affiliation_strings":["Interdisciplinary research group in Public Health, University of Burundi, Public Health Department, National Institute of Public Health, Ph.D. fellow at the University of Burundi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Interdisciplinary research group in Public Health, University of Burundi, Public Health Department, National Institute of Public Health, Ph.D. fellow at the University of Burundi","institution_ids":["https://openalex.org/I208899625","https://openalex.org/I4405260641"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073226996","display_name":"Anatole Nkeshimana","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405260641","display_name":"Institut National de sante publique","ror":"https://ror.org/042sjvf54","country_code":"BI","type":"education","lineage":["https://openalex.org/I4405260641"]}],"countries":["BI"],"is_corresponding":false,"raw_author_name":"Anatole Nkeshimana","raw_affiliation_strings":["National institute of public health of Bujumbura, Burundi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National institute of public health of Bujumbura, Burundi","institution_ids":["https://openalex.org/I4405260641"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017789172","display_name":"Yves Coppieters","orcid":"https://orcid.org/0000-0001-8899-9549","observed_orcids":["https://orcid.org/0000-0001-8899-9549"]},"institutions":[{"id":"https://openalex.org/I132053463","display_name":"Universit\u00e9 Libre de Bruxelles","ror":"https://ror.org/01r9htc13","country_code":"BE","type":"education","lineage":["https://openalex.org/I132053463"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"Yves Coppieters","raw_affiliation_strings":["Health Systems and Policies \u2013 International Health, School of Public Health, Universit\u00e9 Libre de Bruxelles (ULB), Brussels, Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Systems and Policies \u2013 International Health, School of Public Health, Universit\u00e9 Libre de Bruxelles (ULB), Brussels, Belgium","institution_ids":["https://openalex.org/I132053463"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5041897132"],"corresponding_institution_ids":["https://openalex.org/I4210122385"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/antenatal-care-initiation","display_name":"antenatal care initiation","score":0.7990000247955322},{"id":"https://openalex.org/keywords/pregnant-women","display_name":"pregnant women","score":0.7590000033378601},{"id":"https://openalex.org/keywords/maternal-health","display_name":"maternal health","score":0.6320000290870667},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.6570000052452087},{"id":"https://openalex.org/keywords/unintended-pregnancy","display_name":"unintended pregnancy","score":0.8920000195503235},{"id":"https://openalex.org/keywords/teenage-pregnancy","display_name":"adolescent pregnancy","score":0.800000011920929},{"id":"https://openalex.org/keywords/sociocultural-factors","display_name":"sociocultural factors","score":0.5759999752044678},{"id":"https://openalex.org/keywords/health-system-factors","display_name":"health system factors","score":0.9049999713897705},{"id":"https://openalex.org/keywords/burundi","display_name":"Burundi","score":0.7089999914169312}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.718024730682373},{"id":"https://openalex.org/C2779703513","wikidata":"https://www.wikidata.org/wiki/Q34581","display_name":"Childbirth","level":3,"score":0.6876320242881775},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.6722939014434814},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5767750144004822},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5734840631484985},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4962025284767151},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.4259943962097168},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.4149535000324249},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3867526054382324},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3289322257041931},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32045984268188477},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.18658092617988586},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1101/2023.12.12.23299879","doi":"https://doi.org/10.1101/2023.12.12.23299879","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1101/2023.12.12.23299879","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2023/12/14/2023.12.12.23299879.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.1101/2023.12.12.23299879","doi":"https://doi.org/10.1101/2023.12.12.23299879","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1101/2023.12.12.23299879","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2023/12/14/2023.12.12.23299879.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4389765893.pdf","grobid_xml":"https://content.openalex.org/works/W4389765893.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W1821079258","https://openalex.org/W1984069681","https://openalex.org/W2015379124","https://openalex.org/W2032279019","https://openalex.org/W2035786657","https://openalex.org/W2061451309","https://openalex.org/W2073112804","https://openalex.org/W2119996715","https://openalex.org/W2169729085","https://openalex.org/W2171113201","https://openalex.org/W2317482135","https://openalex.org/W2346938913","https://openalex.org/W2537759670","https://openalex.org/W2561410997","https://openalex.org/W2692908184","https://openalex.org/W2743205920","https://openalex.org/W2754463265","https://openalex.org/W2755916764","https://openalex.org/W2768509995","https://openalex.org/W2768806056","https://openalex.org/W2791238514","https://openalex.org/W2803502933","https://openalex.org/W2819971059","https://openalex.org/W2888787984","https://openalex.org/W2902366725","https://openalex.org/W2914198384","https://openalex.org/W2916037493","https://openalex.org/W2991549106","https://openalex.org/W2994746067","https://openalex.org/W3012630371","https://openalex.org/W3013281871"],"related_works":["https://openalex.org/W4280571587","https://openalex.org/W3193982591","https://openalex.org/W4404774593","https://openalex.org/W7171865200","https://openalex.org/W7167714973","https://openalex.org/W3201643514","https://openalex.org/W4390512875","https://openalex.org/W2853572298","https://openalex.org/W2947988152","https://openalex.org/W2121105542"],"abstract_inverted_index":{"ABSTRACT":[0],"Despite":[1],"intensive":[2],"international":[3],"efforts":[4],"to":[5,37,47,53,124,220,227,282],"extend":[6],"the":[7,55,84,106,126,129,156,192,216,222,248,256],"coverage":[8],"of":[9,35,61,83,91,100,128,132,137,145,149,172,178,189,203,239,251,255,286],"primary":[10],"healthcare":[11],"services":[12],"for":[13,23,218,269],"women,":[14,150],"pregnancy":[15,45,146,204,210],"and":[16,26,31,40,117,152,158,169,215,234,273,276,280],"childbirth":[17],"still":[18],"represent":[19],"a":[20,175,267],"high-risk":[21],"period":[22],"both":[24],"mother":[25],"child,":[27],"particularly":[28],"in":[29,65,77,105,147,155],"low-":[30],"middle-income":[32],"countries.":[33],"Lack":[34,188],"access":[36],"antenatal":[38,62,96],"care":[39,63],"its":[41],"inadequate":[42],"use":[43],"during":[44,195],"contribute":[46],"maternal":[48],"mortality.":[49],"This":[50],"study":[51,73,88,257],"aimed":[52],"establish":[54],"factors":[56],"associated":[57,246],"with":[58,247],"late":[59,130,181,201,249],"start":[60,131,250,262],"(ANC)":[64],"Muramvya":[66,85],"health":[67,81,223],"district,":[68],"Burundi.":[69],"A":[70,98],"cross\u2013":[71],"sectional":[72],"was":[74,140],"carried":[75],"out":[76],"six":[78],"randomly":[79],"selected":[80],"facilities":[82],"district.":[86],"The":[87,253],"population":[89],"consisted":[90],"pregnant":[92],"women":[93,102,219,261,281],"who":[94],"attended":[95],"clinics.":[97],"total":[99],"280":[101],"were":[103,109,122],"included":[104],"study.":[107],"Data":[108],"collected":[110],"through":[111],"face-to-face":[112],"interviews.":[113],"Descriptive":[114],"statistics,":[115],"bivariate":[116],"multivariate":[118],"logistic":[119,164],"regression":[120],"models":[121],"used":[123],"measure":[125],"determinants":[127],"ANC":[133,139,180,196,263,287],"after":[134,142],"12":[135,143],"weeks":[136,144],"gestation.":[138],"initiated":[141],"72.50%":[148],"58.6%":[151],"13.9%":[153],"respectively":[154],"second":[157],"last":[159],"trimester.":[160],"Based":[161],"on":[162],"Multivariate":[163],"regression:":[165],"Women":[166],"between":[167,225],"20":[168],"35":[170],"years":[171],"age":[173],"have":[174],"lower":[176],"risk":[177],"starting":[179],"than":[182,236],"adolescents":[183,279],"(AOR":[184,197,211,230,241],"=":[185,198,212,231,242],"0.18;":[186],"95%CI:0.03-0.83).":[187],"knowledge":[190],"about":[191],"interventions":[193,272],"offered":[194],"2.37;":[199],"95%CI:1.32-4.25),":[200],"recognition":[202],"status":[205],"(AOR=":[206],"6.7;":[207],"95%CI:2.41-18.66),":[208],"unplanned":[209],"1.85":[213],"95%CI:1.01-3.40)":[214],"time":[217],"reach":[221],"facility:":[224],"30minutes":[226],"1":[228,237],"hour":[229,238],"2.40":[232],"95%CI:1.25-4.59)":[233],"more":[235],"walking":[240],"2.15;":[243],"95%CI:1.01-4.60)":[244],"are":[245],"ANC.":[252],"results":[254],"show":[258],"that":[259],"most":[260],"late.":[264],"There":[265],"is":[266],"need":[268],"effective":[270],"behavioral":[271],"public":[274],"awareness":[275],"education":[277],"targeting":[278],"improve":[283],"early":[284],"initiation":[285]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2023-12-15T00:00:00"}