Factors associated with the delay in seeking first antenatal  care service among pregnant women at Katutura  state hospital, Khomas region

Maano, Nghitanwa Emma; Tuwilika., N Shanyengange

doi:10.14419/ijm.v5i1.7152

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…In Kyenjojo General Hospital, the maternal mortality is very high at 750 per 100,000 live births [9]. It is also indicated that ANC attendance in the region has remained very low at (50%) despite the fact that WHO recommends eight ANC contacts during pregnancy (Kasule et al 2013) [11].…”

Section: Background Of the Studymentioning

confidence: 99%

Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

Komuhangi¹

2020

OJN

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Background: Late antenatal care attendance among pregnant women at health facilities remains a significant public health problem. Globally, approximately 830 women die every day due to pregnancy-related complications and 99% of these deaths occur in developing countries whereby 86% of pregnant women access Antenatal Care (ANC) services at least once. Objective: The general objective of the study was to determine factors associated with late antenatal care seeking behavior among pregnant women at Kyenjojo general hospital. Methods: This was a descriptive cross sectional study design that considered quantitative data collection methods among pregnant women attending ANC. The sample size was determined using Kish and Leslie (1969) formula using a proportion of 37% (0.37) of women who sought late ANC. A systematic sampling technique was used to sample pregnant women on daily basis. Results: A total of 283 women participated in the study. Spouse's occupation was significantly associated with late ANC attendance (p = 0.026). On the other hand, education level of respondent (Fisher's = 8.363, p = 0.028*), religion (Fisher's = 5.77, p = 0.048*) and parity (Fisher's 10.312, p = 0.026*) revealed statistically significant association with late ANC attendance. In multivariate logistic regression, on occupation, women with unemployed spouses were significantly associated with 25% increase in attendance of late ANC compared to those in formal employment (AOR = 0.25, CI: 0.073-0.855, p = 0.027*). Conclusion: The Majority of pregnant women sought ANC at 90.1% (n = 255). There's a need for government to strengthen health promotion targeting women in rural communities.

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Section: Background Of the Studymentioning

confidence: 99%

Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

Komuhangi¹

2020

OJN

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“…Many pregnant women in sub-Saharan Africa start their first antenatal care attendance late, mostly in the second and third trimester[3, 9]. Thus, late antenatal attendance makes difficult to implement effectively the routine ANC strategies that enhance maternal wellbeing and good prenatal outcomes [10–12].…”

Section: Introductionmentioning

confidence: 99%

Magnitude and factors associated with late antenatal care booking on first visit among pregnant women in public health centers in central zone of Tigray Region, Ethiopia: A cross sectional study

Grum

Brhane

2018

PLoS ONE

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BackgroundAntenatal care (ANC) is a care given for pregnant women and is a good opportunity to deliver maternal health interventions. Even though pregnant women should start their first antenatal care within 12 weeks of gestational age, many pregnant women start their first ANC late. So, the aim of this study is to determine magnitude of late ANC booking at first visit and factors associated with it.MethodsInstitutional based cross sectional study design was conducted in central zone of Tigray Region, Ethiopia from November 1/2017 to January 30/2018 among total of 632 pregnant women. Stratified multi stage cluster sampling method was used to select health centers and systematic random sampling technique was used during the selection of study units. Data were collected using interview administer questionnaire by face to face. The collected data were entered into EPI info-7. Later on, it was exported to STATA-14 for further analysis. Proportion was used to estimate the magnitude of late ANC booking. Bivariable and multivariable analysis were done to see factors associated with the magnitude of late ANC booking.ResultsThe magnitude of late ANC booking at first visit were 85.67% (95%, CI: 82.89, 88.45). Factors that were independently associated with the late ANC booking at first visit in multivariable analysis were; having home delivery in previous delivery (AOR = 2.2, 95%, CI: 1.1, 4.49), women who had no previous ANC follow up (AOR = 3.43, 95%, CI: 1.32, 8.92) and women with poor knowledge about the advantage and service availability of ANC (AOR = 3.9, 95%, CI: 1.83, 8.29).ConclusionIn summary, most of pregnant women were not started their first ANC at the recommended time. Home delivery and history of ANC in previous pregnancy as well as women with poor knowledge about ANC were associated with late ANC booking at first visit. Health workers should work on avoiding home delivery and increasing the knowledge of pregnant women on ANC may help on reducing late ANC booking at first visit.

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“…In a similar study by Komuhangi et al, there was no statistically significant relationship between age, marital status and late booking but there was significant relationship between level of education, religion, parity and late booking. 7,26 This was a retrospective study where only the information in medical records were used.…”

Section: Nonye-enyidahmentioning

confidence: 99%

Antenatal care at rivers state university teaching hospital, southern Nigeria: who and when?

Nonye-Enyidah,

O. A.,

I. Jumbo

et al. 2024

Int J Res Med Sci

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Background: Antenatal care prepares pregnant women physically and psychologically for birth and parenthood. It also prevents, detects and manages health problems affecting mothers and their babies. Objectives were to identify and characterise those attending antenatal care at RSUTH and when they register for antenatal care. Methods: A retrospective study conducted from 1st January, 2015-31st December, 2020 at ANC of RSUTH. Records of 9990 pregnant women who booked for antenatal care were retrieved and reviewed. Socio-demographic characteristics and gestational age at booking were studied. Data was analyzed using SPSS version 23.0. P value <0.05 was statistically significant. Results: During the study period, 9990 pregnant women booked for antenatal care. Most (23.3%) registered in 2016. Mean age at booking was 31.4±4.7 years. Highest age group (62.4%) was 30-39 years. Modal parity was para 0 and majority (37.5%) were para 2-4. Mean gestational age at booking was 20.5±7.5 weeks. More than 70% had tertiary education and 67.9% were traders and civil servants. More than 97% were married and 58.3% registered in their second trimester. When gestational age at booking was compared with the various socio-demographic parameters, those with the differences statistically significant and associated with late booking were educational level, age, parity, occupation and employment status. Conclusions: Most women at booking were in their thirties, second trimester, married, multiparous, working class and had tertiary level of education. Most socio-demographic parameters showed statistically significant differences when compared with the gestational age at booking.

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Factors associated with the delay in seeking first antenatal care service among pregnant women at Katutura state hospital, Khomas region

Cited by 5 publications

References 6 publications

Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

Magnitude and factors associated with late antenatal care booking on first visit among pregnant women in public health centers in central zone of Tigray Region, Ethiopia: A cross sectional study

Antenatal care at rivers state university teaching hospital, southern Nigeria: who and when?

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