Focused Antenatal Care Service Utilization and Associated Factors in Dejen and Aneded Districts, Northwest Ethiopia

Getachew, Teshome; Abajobir, Amanuel Alemu; Aychiluhim, Mekonnen

doi:10.4172/2167-1079.1000170

Cited by 8 publications

(7 citation statements)

References 2 publications

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“…Marital status offered significant protection for ANC attendance, as unmarried women had reduced odds of making at least one ANC visit. This finding is consistent with many other studies conducted in Ghana (8,31,40,41), and Kenya (38), but contradicts the study results from Ethiopia (42,43). The possible reason for this finding could be attributed to society’s values on marriage and pregnancy.…”

Section: Discussionsupporting

confidence: 87%

A cross-sectional study to evaluate access to antenatal care services in Twifo Hemang Lower Denkyira district of Ghana

Hammond,

Adjei-Gyamfi,

Daniels

et al. 2024

Preprint

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Background: Antenatal care (ANC) which is an essential component of the reproductive, maternal, newborn, and child health continuum of care is found to positively correlate with supervised delivery and the reduction of maternal deaths. In Ghana, few studies have explored how ANC is influenced by the community-based health planning and services (CHPS) policy, and in the Central Region, evidence is non-existent. This study aimed to determine factors that influence access to ANC services provided through the CHPS policy in the Twifo Hemang Lower Denkyira district in the Central Region of Ghana. Methods: A cross-sectional study examined 310 women aged 15-49 years, having children less than 12 months, and interviewed using a structured questionnaire. Univariate and multivariate logistic regression analyses were conducted using STATA 17 and results were reported as odds ratios at a confidence level of 95%. Results: ANC coverage and proportion of early ANC initiation were 93.9% and 69.1% respectively. Being unmarried (AOR=0.125, 95%CI=0.012,0.926), and home delivery (AOR=0.013; 95%CI: 0.001,0.176) were associated with decreased odds of at least one ANC visit during pregnancy. Larger household size (AOR=3.848; 95%CI=1.914,16.21), lesser (<4) ANC contacts (AOR=6.332; 95%CI=2.049,19.57), and home visitation by CHPS staff (AOR=1.813; 95%CI=1.014,3.243) were associated with higher odds of late ANC initiation while average monthly income (AOR=0.123; 95%CI=0.024,0.630) was associated with reduced odds of late ANC initiation. Interestingly, knowledge about ANC and pregnancy, and geographical variables like receiving ANC services from CHPS zones, and distance to CHPS zones were not statistically significant with either ANC attendance or time of ANC initiation after controlling for the effect of other variables. Conclusion: Though ANC and early ANC initiation coverages were relatively high, the complexities in the given correlates of ANC accessibility require a multi-sectoral approach to strengthen community-based services to increase the survival of pregnant women and unborn babies.

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Section: Discussionsupporting

confidence: 87%

A cross-sectional study to evaluate access to antenatal care services in Twifo Hemang Lower Denkyira district of Ghana

Hammond,

Adjei-Gyamfi,

Daniels

et al. 2024

Preprint

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show abstract

“…Findings from Northwest Ethiopia revealed that the traveling time of respondents was significantly associated with the utilization of ANC service. Pregnant mothers who traveled less than one hour were eight times more likely to attend antenatal care than those who travel more than one hour [ 18 ]. A study done in Nepal mentioned cultural practices, shyness to be seen by men providers, and attitudes of health care providers to have influenced women´s decisions not to seek care [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Health care seeking behaviours of pregnant women in rural Amhara, Ethiopia: a qualitative study of perceptions of pregnant women, community members, and health care providers

Shiferie¹,

Abate²,

Shifraw³

et al. 2023

Pan Afr Med J

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Introduction in Ethiopia, increasing access to basic antenatal and neonatal health services may improve maternal and newborn survival. This study examined perceptions regarding antenatal health seeking behaviors from pregnant women, their families, community members, and health care providers in rural Amhara, Ethiopia. Methods the study was conducted in four rural districts of the Amhara region of Ethiopia. A total of forty participants who were living and working within the catchment areas of the selected health centres were interviewed from October 3 rd through October 14 th , 2018. A phenomenological qualitative study design was used to understand participants’ perceptions and experiences about pregnant women's health care seeking behaviors. Results early disclosure of pregnancy status was not common in the study area. However, the data from the present study further provided new information, suggesting that some women did disclose their pregnancy status early but preferentially only to their partners and close relatives. Most women did not seek care unless sick or experienced new discomfort or pain. Some reasons for the low utilization of available antenatal services include long distance to health facilities, lack of transportation, difficult topography, and discomfort with male providers. Conclusion despite the rapid expansion of health posts and deployment of health extension workers since 2003, there are still critical barriers to accessing facility-based care that limit women’s health care seeking practices.

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“…However, it is also consistent with another similar study conducted in 2009 in Yem special Woreda, southwestern Ethiopia, where 28.5% of women had FANC services during their last pregnancy, while, higher than the studies done in Northeast, Northwest, and southern Ethiopia. [20][21][22] This variation may be due to differences in time of study and settings.…”

Section: Discussionmentioning

confidence: 99%

Health Extension Workers Involvement in the Utilization of Focused Antenatal Care Service in Rural Sidama Zone, Southern Ethiopia: A Cross-Sectional Study

Gebretsadik

Teshome

Mekonnen

et al. 2019

Health Services Research and Managerial Epidemiology

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Background: Health extension workers (HEWs) are primarily been assigned in rural areas of Ethiopia to provide maternal and child health services. Few studies have been done to investigate HEWs’ contributions towards maternal health services. This study describes HEWs involvement in the utilization of focused antenatal care (FANC). Methods: A population-based cross-sectional survey was conducted between January 21 and February 4, 2017. Mothers (2300) who gave birth in the last 6 months (0-6 months) in randomly selected 30 kebeles in the rural Sidama zone, participated in the study. A face-to-face interview was done using a structured questionnaire adapted from the Saving Newborn Lives Program. The main outcome variable was FANC utilization. Descriptive statistics and multivariate logistic regression analysis were used using SPSS statistical software. Results: The FANC was used by 525 (24.36%; 95% confidence interval [CI]: 22.5%-26.2%) women. Health extension workers accounted for 244 (46.47%; 95% CI: 43.5-47.7%) of mothers. The FANC utilization was less likely among those who were illiterate (adjusted odds ratio [AOR]: .32; 95% CI: .18-.57) and those who attended first cycle (AOR: .41; 95% CI: .23-.74), those who attended secondary cycle (AOR: .47; 95% CI: .27-.82), primipara (AOR: 0.53; 95% CI: .35-.83), and those who gave birth at home (AOR: .66; 95% CI: .51-.84). Mothers who had knowledge of pregnancy danger signs (AOR: 1.42; 95% CI: 1.2-1.7) and exposure to mass media (AOR: 1.35; 95% CI: 1.1-1.66) were more likely to utilize FANC. Conclusions: FANC utilization in this study was low compared to other studies. The HEWs had a major contribution to the services. However, it is low when compared to the plan set by the state ministry of health. The existing health extension program could be strengthened by increasing the number of HEWs. Empowering rural mothers through continuous education program to enhance the utilization of maternal health services.

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Focused Antenatal Care Service Utilization and Associated Factors in Dejen and Aneded Districts, Northwest Ethiopia

Cited by 8 publications

References 2 publications

A cross-sectional study to evaluate access to antenatal care services in Twifo Hemang Lower Denkyira district of Ghana

A cross-sectional study to evaluate access to antenatal care services in Twifo Hemang Lower Denkyira district of Ghana

Health care seeking behaviours of pregnant women in rural Amhara, Ethiopia: a qualitative study of perceptions of pregnant women, community members, and health care providers

Health Extension Workers Involvement in the Utilization of Focused Antenatal Care Service in Rural Sidama Zone, Southern Ethiopia: A Cross-Sectional Study

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