Volume 8, Issue 2, April 2020, Page: 31-38
Determinants of Late Initiation for First Antenatal Care Visit Among Pregnant Women in Public Health Institutions, Dale District, Southern Ethiopia; Unmatched Case Control Study
Teka Senay Wolderufael, Social and Population Department, Yirgalem Hospital Medical College, Yirgalem, Ethiopia
Tinsay Bekele Areda, Medicine and Health Sciences College, Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia
Urgessa Warsamo Ganebo, School of Public Health, Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia
Fasika Fanta Gebreyesus, Social and Population Department, Yirgalem Hospital Medical College, Yirgalem, Ethiopia
Received: Oct. 4, 2019;       Accepted: Apr. 20, 2020;       Published: Apr. 28, 2020
DOI: 10.11648/j.sr.20200802.11      View  165      Downloads  64
Abstract
Background: Late initiation to first ANC visit is the predominant problem in most developing countries including Ethiopia. Despite antenatal care services being provided for free of charge in Ethiopia, significant number of pregnancy women seek first ANC visit lately. According to EDHS 2016, about 80% of pregnant women had first ANC visits lately. This study tried to assess predictors of late initiation for Antenatal care visit Among Pregnant Women in Public Health Institutions’ Dale District, Southern Ethiopia, 2018. The study design was A facility based Unmatched Case Control Study design was employed. Data was collected from pregnant women who were attending ANC unit’ by using structured questionnaire. Multistage sampling technique was employed. The Sample size for this study was calculated using EPI info software statcalc version 7.1.3. Data was edited, entered into computer and coded, descriptive, bivariate and multivariate analysis was done. The main reasons for late initiation for first ANC visits were being busy and unaware of ANC visit time. Husband’s educational status and knowledge about pregnancy related danger signs were found significantly associated and had positive relationship with late start of first ANC visit (AOR=4.91; 95% CI: 1.516-15.914) and (AOR=2.553; 95% CI: 1.456-4.475) respectively. In Conclusion the main reasons for late initiation of first ANC visit during last pregnancy were being busy due to house responsibilities and unaware of ANC visit time. Husband’s educational status and mothers poor knowledge about pregnancy related danger signs were found significantly predictors of late first ANC visit.
Keywords
Late Initiation, ANC Visits, Predictors, Dale District, Southern Ethiopia, Unmatched Case Control Study
To cite this article
Teka Senay Wolderufael, Tinsay Bekele Areda, Urgessa Warsamo Ganebo, Fasika Fanta Gebreyesus, Determinants of Late Initiation for First Antenatal Care Visit Among Pregnant Women in Public Health Institutions, Dale District, Southern Ethiopia; Unmatched Case Control Study, Science Research. Vol. 8, No. 2, 2020, pp. 31-38. doi: 10.11648/j.sr.20200802.11
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Byass P et al. Diversity and divergence the dynamic burden of poor maternal health. Lancet 2016,. 388 (2164–75).
[2]
WHO. Strategies toward ending preventable maternal mortality. Geneva: World Health Organization, 2017.
[3]
Ornella Lincetto SM-A, Patricia Gomez, Stephen Munjanja,. Opportunities for Africa’s Newborns. Focused antenatal care (ANC): The four-visit ANC model outlined in WHO clinical guidelines 2015.
[4]
Magoma M, Requejo J, Campbell OM, Cousens S, Filippi V. High ANC coverage and low skilled attendance in a rural Tanzanian district: a case for implementing a birth plan intervention. BMC pregnancy and childbirth. 2010; 10: 13. Epub 2010/03/23.
[5]
Miller J, Hazari P. What's the significance of the ANC? Nursing. 2012; 42 (2): 68. Epub 2012/01/19.
[6]
Mohammed F, Musa A, Amano A. Prevalence and determinants of unintended pregnancy among pregnant woman attending ANC at Gelemso General Hospital, Oromiya Region, East Ethiopia: a facility based cross-sectional study. BMC women's health. 2016; 16 (1): 56. Epub 2016/08/19.
[7]
Oladokun A et al. Proximate predictors of early antenatal registration among Nigerian pregnant women. Ann Afr Med. 2010; 9 (4): 222-5.
[8]
Ann-Beth Moller MP, Doris Chou, Lale Say,. Early antenatal care visit: a systematic analysis of regional and global levels and trends of coverage from 1990 to 2013. Lancet Glob Health 2017,. 2017; 5: e977–83.
[9]
Beeckman K, Louckx F, Putman K. Determinants of the number of antenatal visits in a metropolitan region. BMC public health. 2010; 10: 527. Epub 2010/09/03.
[10]
USAID U, S persident's malaria intatives. 2016 WHO Antenatal Care Guidelines. March 2018.
[11]
Graham W, Woodd S, Byass P, Filippi V, Gon G, Virgo S, et al. Diversity and divergence: the dynamic burden of poor maternal health. Lancet. 2016; 388 (10056): 2164-75. Epub 2016/09/20.
[12]
Moller AB, Petzold M, Chou D, Say L. Early antenatal care visit: a systematic analysis of regional and global levels and trends of coverage from 1990 to 2013. The Lancet Global health. 2017; 5 (10): e977-e83. Epub 2017/09/16.
[13]
Aung TZ OW, Khaing W, Lwin N, Dar HT,. Late initiation of antenatal care and its determinants: a hospital based cross-sectional study. Int J Community Med Public Health 2016; 2016; 3:: 900-5.
[14]
Central Statistical Agency,. Demographic and Health Survey Addis Ababa, Ethiopia July 2017.
[15]
Gebrekidan K, Worku A. Factors associated with late ANC initiation among pregnant women in select public health centers of Addis Ababa, Ethiopia: unmatched case-control study design. Pragmatic and observational research. 2017; 8: 223-30. Epub 2017/11/16.
[16]
WHO. Sexual and reproductive health. 2017.
[17]
Thogarapalli N, Mkandawire P, Kangmennaang J, Luginaah I, Arku G. Gestational age at first antenatal visit in Namibia. International journal of public health. 2016; 61 (9): 1089-97. Epub 2016/09/03.
[18]
Michelle J. K. et al. National VitalStatistics Reports Timing and Adequacy of Prenatal Care in the United States, 2016
[19]
Gebremeskel F, Dibaba Y, Admassu B. Timing of first antenatal care attendance and associated factors among pregnant women in Arba Minch Town and Arba Minch District, Gamo Gofa Zone, south Ethiopia. Journal of environmental and public health. 2015; 2015: 971506. Epub 2015/11/07.
[20]
Mengesha Boko Geta WWY. Early Initiation of Antenatal Care and Factors Associated with Early Antenatal Care Initiation at Health Facilities in Southern Ethiopia. HINDAWI. 2017; 6 (Advances in Public Health).
[21]
Ewunetie et al. DELAY on first antenatal care visit and its associated factors among pregnant women in public health facilities of Debre Markos town, North West Ethiopia. BMC Pregnancy and Childbirth (2018) 2018; 18: 173.
[22]
Aliyu AA, Dahiru T. Predictors of delayed Antenatal Care (ANC) visits in Nigeria: secondary analysis of 2013 Nigeria Demographic and Health Survey (NDHS). The Pan African medical journal. 2017; 26: 124. Epub 2017/05/24.
[23]
Wolde F, Mulaw Z, Zena T, Biadgo B, Limenih MA. Determinants of late initiation for antenatal care follow up: the case of northern Ethiopian pregnant women. BMC research notes. 2018; 11 (1): 837. Epub 2018/11/30.
[24]
Nyongesa C, Xu X, Hall JJ, Macharia WM, Yego F, Hall B. Factors influencing choice of skilled birth attendance at ANC: evidence from the Kenya demographic health survey. BMC pregnancy and childbirth. 2018; 18 (1): 88. Epub 2018/04/11.
[25]
Weldemariam S, Damte A, Endris K, Palcon MC, Tesfay K, Berhe A, et al. Late antenatal care initiation: the case of public health centers in Ethiopia. BMC research notes. 2018; 11 (1): 562. Epub 2018/08/08.
[26]
Cáceres-Manrique FdM, Ruiz-Rodríguez M. Prevalence of late initiation of prenatal care. Association with the socioeconomic level of the pregnant woman. Cross-sectional study. Bucaramanga, Colombia, 2014-2015. Revista Colombiana de Obstetricia y Ginecología. 2018; 69: 22-31.
Browse journals by subject