• E M Webb, B Girdler-Brown, J Mostert, and S Ngcobo.
• School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria. elize.webb@up.ac.za.
• S. Afr. Med. J. 2024 Jun 24; 114 (6b): e1332e1332.

BackgroundMany studies have shown that South African women tend to initiate antenatal care late in their pregnancies. This presents challenges in the provision of quality healthcare to both mother and child. There are several studies on the social and cultural reasons for late booking. However, understanding the factors in a woman's choice to initiate antenatal care is important in informing healthcare strategies and policies.MethodsThis study was an analytical cross-sectional study of household and general health factors associated with attendance of antenatal care by pregnant women in Tshwane in 2015. It was a secondary data analysis from complete data sampling households registered on AitaHealthTM. Univariate and multivariate logistic regression was used to assess which factors are associated with antenatal care attendance.ResultsThe age of the head of the household was a significant factor in the attendance of antenatal care. The odds of attending antenatal care were 3.3, 2.1 and 1.8 times higher in households where the head of the household was 30 - 39 years of age, 20 - 29 or 40-49 years of age, respectively, than when between 10-19 years of age. Factors that increased the odds of attending antenatal care were living in households that had electricity and piped water, and running a business from home. Residing in a permanent dwelling and being food secure increased the odds of antenatal care attendance.ConclusionThe identified health and household factors should inform policies and programmes geared towards improving services around antenatal care provision.

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