scholarly journals Magnitude of antenatal care service uptake and associated factors among pregnant women: analysis of the 2016 Ethiopia Demographic and Health Survey

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043904
Author(s):  
Setegn Muche Fenta ◽  
Girum Ayenew ◽  
Berhanu Engidaw Getahun
Keyword(s):  
Secondary Education ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Women ◽  
Associated Factors ◽  
Care Service ◽  
Well Being ◽  
Reproductive Age ◽  
Service Utilisation ◽  
Pregnant Mothers

ObjectiveAntenatal and postnatal cares are crucial for the survival and well-being of both the mother and the child. WHO recommends a minimum of four antenatal care (ANC) visits during a pregnancy. In Ethiopia, only 38% of women in the reproductive age make a minimum of first ANC visits. This value is far below the typical rates of least developed countries. This study aimed to calculate the magnitude and identify associated factors of ANC service utilisation among pregnant women in Ethiopia.DesignCross-sectional study design.SettingEthiopia.ParticipantsA total of 7913 pregnant women participated in the study.Primary outcome measuresAntenatal care service uptake among pregnant women.ResultOnly 35.5% of the pregnant mothers have used ANC services at least four times and 64.5% of the pregnant mothers have used less than three times during their periods of pregnancy. The study showed that rich women (PR=1.077, 95% CI: 1.029 to 1.127), having access to mass media (PR=1.086, 95% CI: 1.045 to 1.128), having pregnancy complications (PR=1.203, 95% CI: 1.165 to 1.242), secondary education and above (PR=1.112, 95% CI:1.052 to 1.176), husbands’ having secondary education and above (PR=1.085, 95% CI: 1.031 to 1.142) and married (PR=1.187; 95% CI: 1.087 to 1.296), rural women (PR=0.884, 95% CI: 0.846 to 0.924) and women>30 years of age (PR=1.067, 95% CI: 1.024 to 1.111) significantly associated with the ANC service uptake.ConclusionThe magnitude of ANC service uptake was low. This low magnitude of ANC service utilisation calls for a need to improve community awareness about maternal health. More importantly, intensive health education is required for pregnant women to have better ANC service uptake and follow-up adherence.

scholarly journals Minimum Dietary Diversity and Associated Factors Among Pregnant Women Attending Antenatal Care in Government Health Facilities of Soro District, Hadiya Zone, Southern Ethiopia

2022 ◽  
Author(s):  
Tegegn Tadesse ◽  
Abera Beyamo ◽  
Yilma Markos ◽  
Dawit Sulamo ◽  
Lire Lema ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Government Health ◽  
Minimum Dietary Diversity ◽  
Pregnant Mothers ◽  
Hadiya Zone

Abstract Background: Dietary diversity is a good proxy indicator for micronutrient adequacy in pregnant women. Despite some improvements in dietary intake among pregnant mothers, achieving the minimum dietary diversity among them is still a great challenge in Ethiopia. There are no enough studies done on minimum dietary diversity among pregnant women and factors identified were more of local based. Therefore this study determined the prevalence of minimum dietary diversity and its associated factors among pregnant women attending antenatal care in government health facilities of Soro district, Hadiya Zone, Southern Ethiopia.Methods: This is the facility based study conducted in government health facilities of Soro district, Hadiya Zone from Oct. 2020-Jan 2021. Cross sectional study design was undertaken by using systematic sampling on 422 pregnant women attending antenatal care. Both bivariate and multivariable logistic regression analysis were used to assess the association of independent variables with outcome variable.Result: From the total of the 422 study subjects, 416 pregnant women attending antenatal care were participated in the study and making the response rate 98.6 percent. The overall prevalence of pregnant mothers who have met the minimum dietary diversity was only 7.9%. Maternal educational status being grade nine above, eating meal more than three times per day and women being currently not married were factors found to be significantly associated with minimum dietary diversity among pregnant mothers attending antenatal care in government health facilities.Conclusion: The prevalence of the minimum dietary diversity among pregnant women attending ANC in public health facilities of Soro district was very low and far from national and international recommendations to enhance the maternal food diversity. Inter sectoral collaboration is very important to enhance the minimum dietary diversity during pregnancy and should be worked intensively and in an integrated manner.

scholarly journals Antenatal care service satisfaction and its associated factors among pregnant women in public health centres in Hawassa city, Southern Ethiopia

2021 ◽  
pp. 201010582110078
Author(s):  
Tsegaye Lire ◽  
Berhane Megerssa ◽  
Yisalemush Asefa ◽  
Agete Tadewos Hirigo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Client Satisfaction ◽  
Care Service ◽  
Service Satisfaction ◽  
Southern Ethiopia ◽  
Health Centres

Background: Self-reported client satisfaction is vital in order to address service provider and facility-based factors that can be upgraded to maximise antenatal care (ANC) satisfaction and utilisation in service-providing institutions. Objective: This study aimed to assess ANC service satisfaction and associated factors among pregnant women attending Hawassa city public health centres (HC), Sidama regional state, Southern Ethiopia. Methods: This health facility–based cross-sectional study was conducted on 422 pregnant women from 14 March to 13 April 2017. Exit interview data were collected from pregnant women attending care service at five randomly selected public HC. Results: Overall, 79.2% were satisfied with the ANC service. As per specific components, 74.2% of respondents were satisfied with the information provided, and 74.2% were satisfied with the institution’s health care. Respondents who had received iron tablets were 3.2 times more likely to be satisfied than their counterparts (adjusted odds ratio (AOR)=3.2, 95% confidence interval (CI) 1.7–5.9). Pregnant women who were counselled on human immunodeficiency virus infection and its testing were 4.3 times more likely to be satisfied than those who had not received such counselling (AOR=4.3, 95% CI 2.2–8.4). Also, those women who waited ⩽30 minutes (AOR=2.6, 95% CI 1.2–5.5) and who received information on foetal movement (AOR=3.5, 95% CI 1.8–6.5) were significantly associated with ANC service satisfaction. Conclusion: More than 20% of pregnant women were not satisfied with ANC services. This reflects a need for attention in each aspect of health-care service provision in order to assure client satisfaction.

scholarly journals Traditional Practices among Rural Women to Relieve Their Common Pregnancy Minor Discomforts: A Descriptive Study

2019 ◽  
Vol 3 (2) ◽  
pp. p56
Author(s):  
Hanan Elzeblawy Hassan ◽  
Soheir Sobhy ◽  
El-Sayed Rakha ◽  
Iman El-Khayat
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Women ◽  
Family Income ◽  
Occupational Status ◽  
Well Being ◽  
Traditional Practices ◽  
Age At Marriage ◽  
Care Services ◽  
In Series

Background: Pregnancy is a normal process that results in ? series of both physiological and psychological changes in women that require adjustment and adaptation on the part of the mother. The observable result of physiological changes is minor discomforts. The most common discomforts are morning sickness, heartburn, constipation, backache, and leg cramps. Although minor discomforts are non-serious, their presences detract from the mother feeling of comfort and well-being in many instances they can be avoid by preventive measures or healthful practices once they do occur. Aim: This study was done to assess the practices adopted by rural pregnant women to relive their common minor discomforts. Subject & Methods: The study was conducted at six maternal and child health centers in El-Mahalla Elkobra. A sample of 300 pregnant women was selected. Data were collected by an interview questionnaire. Results: the mean age of mothers was 27.44±5.36, 61.0% of them had 3 pregnancies or more, 76.7% used antenatal care services during their previous pregnancies, and 74.4% of the study subjects had irregular follow-up visits. The majority of them used harmful measures to overcome their minor discomfort than useful ones. Women’s mothers were the main sources of women’s information about practices to overcome common minor discomforts. Significant statistical relationships were observed between traditional practices to overcome common minor discomforts and some times of women’s characteristics as educational level, occupational status, age at marriage, family income and utilization of antenatal care services by the studied subjects. Conclusion: Most of the rural dwellers used traditional measures to relieve associated pregnancy minor discomforts. Traditional practices among pregnant women to relieve common minor discomfort during pregnancy in the rural area tended to be more harmful than useful ones. Usage of traditional practiced affected by women’s education, occupation, age at marriage, family income, and regular utilization of ANC services. Recommendations: Continuous education and training programs about pregnancy and its accompanied minor discomforts should be conducted for physicians, nurses, midwives, and TBAs to manage minor discomforts. Measures to combat women’s delay in initiation antenatal care services should be taken.

scholarly journals The determinant of Antenatal Care Visits among Pregnant Women in Ethiopia

2019 ◽  
Author(s):  
Setegn Muche Fenta
Keyword(s):  
Health Care ◽  
Mass Media ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Women ◽  
Sub Saharan Africa ◽  
World Health ◽  
Antenatal Care Visit ◽  
Care Visit ◽  
Pregnant Mothers

Abstract Background Health care services during a pregnancy and after delivery are important for the survival and well being of both the mother and the infant. The World Health Organization recommends a minimum of four antenatal care visits during a pregnancy. In Ethiopia, only 38% of women aged 15-49 with a live birth received at least one-time antenatal care visits from a skilled provider. This value is much more below the average rates of least developed countries and Sub-Saharan Africa. This study aimed to identify the determinant factor of antenatal care service visits among pregnant women in EthiopiaMethod The national-level cross-sectional Ethiopian Demographic and Health 2016 survey data were accessed and used for the analysis. A total of 7913 pregnant women were included in the study. Zero-inflated Poisson regression models were employed to identify the determinant of antenatal care visits.Results Only 35.5% of the pregnant mothers have visited at least four times and 64.5% of the pregnant mothers have visited less than four times during their periods of pregnancy. The study revealed that rich women (IRR 1.077, 95% CI: 1.029,1.127), having access to mass media (IRR=1.086, 95% CI: 1.045, 1.128), having pregnancy complications (IRR=1.203, 95% CI: 1.165, 1.242), secondary or above-educated women (IRR=1.112, 95% CI:1.052, 1.176), husband's having secondary or above level of education (IRR=1.085, 95% CI: 1.031, 1.142), being married (IRR = 1.187; 95% CI: 1.087,1.296) and women age >30 years (IRR=1.067, 95% CI: 1.024, 1.111) were strongly positively associated with the antenatal care visit. Rural pregnant women less antenatal visits (IRR=0.884, 95% CI: 0.846, 0.924) had also a statistically significant association with antenatal care visits.Conclusion This study was revealed rural women, poor women, uneducated mothers, uneducated husbands, not having access to mass media, unmarried women, have not pregnancy a complication was significantly associated with less number of antenatal care visit. Therefore, efforts are needed to advance the socioeconomic status of women, increasing the educational level of women and their husbands. The concerned body also should be made maternal health-care programs should be stretched and intensified in rural areas.

scholarly journals Prevalence of Anemia and Associated Factors Among Pregnant Women Attending Antenatal Care Service in Worabe Comprehensive Specialized Hospital, Silte Zone, SNNPR State, Ethiopia

2021 ◽  
Author(s):  
Neja Awol Mohammed
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Care Service ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Specialized Hospital ◽  
Independent Variable ◽  
Prevalence Of Anemia

Abstract ObjectiveThe aim of this study was to determine the prevalence ofanaemia and associated factor among pregnant women attending ANC service in Worabe Comprehensive Specialized Hospital from September to December 2016, Silte ZoneSouthern Ethiopia.MethodA Cross-sectional study was conducted from September to December 2016.on pregnant women. Demographic and other required data that has association contributing for the occurrence of anaemia in pregnant women was collected using pre structured questionnaires, & haemoglobin were measured using Mindray CD-3200 Machine. The association of data collected with independent variable are analysed by using SPSS and possible conclusions and recommendations was forwarded depending on the findings.

scholarly journals EVALUATING SOCIO-CULTURAL BARRIERS TO ANTENATAL CARE UTILIZATION AMONG REPRODUCTIVE AGE WOMEN IN WUSHISHI AND ZUNGERU COMMUNITIES IN NIGER STATE, NIGERIA: A LOGISTIC REGRESSION APPROACH

2020 ◽  
Vol 1 (4) ◽  
pp. 93-100
Author(s):  
Phillips Edomwonyi Obasohan ◽  
Dorcas Nike Obasohan ◽  
Egbako Umar Ahmed ◽  
Muhammad Jibril Toroko
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Care Service ◽  
Traditional Birth Attendant ◽  
Health Facilities ◽  
Reproductive Age ◽  
World Health ◽  
Care Utilization ◽  
Childbearing Age ◽  
African Region

More than 33% of Nigerian pregnant women do not use the Antenatal Care service during pregnancy. In 2015, for instance, World Health Organization (WHO) revealed that only 61% of Nigerian pregnant women had attended ANC at least once during their pregnancy period. Only 51% of these women met the WHO standard of a minimum of 4 visits. This ANC rate is, without doubt, lower than the WHO African region average of 77%. The situation in Wushishi and Zungeru communities of Niger State may not be different. Despite the number of health facilities available in these communities, some women of childbearing age do not access antenatal care. Most times, many of them lose their lives during delivery at home, some end up with complications or lose their babies at births. This situation raised concern why pregnant women do not attend antenatal care in health facilities around them? This paper examined the socio-cultural impediments to accessing antenatal care services among reproductive-aged women in Wushishi and Zungeru Communities of Niger State. We used a Multivariate Logistic Analysis. A total of 150 subjects were involved in this study comprising 83 from Zungeru and 67 from Wushishi. The questionnaire used for data collection was a structured consist of 17 items. The results indicated that ethnicity and preference for traditional birth attendant are major influences to accessing ANC in these communities

scholarly journals Antenatal Depression and Associated Factors among Pregnant Women Attending Antenatal Care Service in Kochi Health Center, Jimma Town, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Yonas Tesfaye ◽  
Liyew Agenagnew
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Associated Factors ◽  
Care Service ◽  
Antenatal Depression ◽  
Chi Square ◽  
Chi Square Test ◽  
History Of ◽  
Jimma Town

Background. Antenatal depression has immense public health importance, as it can adversely affect both the mother and child health. The problem contributes to the disease burden in both developed and developing countries. Despite this, it is less investigated and not getting the necessary attention in the study setting. Objective. The aim of the study was to assess the prevalence of antenatal depression and associated factors among women attending antenatal care (ANC) service in Kochi Health Center, Jimma town, southwest Ethiopia, 2019. Method. Institutional based cross-sectional survey was conducted on 314 pregnant women attending Kochi Health Center from February 15 to April 15, 2019. A systematic random sampling technique was used to include the study participants. Antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9) tool. Data was collected through face-to-face interviews using a pretested and structured questionnaire. Descriptive statistics was done to summarize the dependent and independent variables. Moreover, the chi-square test analysis was done to determine the association between the outcome and explanatory variables. Results. A total of 314 pregnant women participated in the study, making a response rate of 96.7%. The study has revealed a total of 52 (16.6%) of the respondent had antenatal depression. A chi-square test of independence analysis showed a significant association between antenatal depression and marital status, family history of depression, pregnancy planning, history of abortion, social support, and intimate partner violence ( P < 0.00001 ). Conclusion. The study has shown that the prevalence of antenatal depression was high and associated with multiple psychosocial, clinical, and obstetric factors. Therefore, screening pregnant women for depression and the provision of necessary mental health services is recommended to mitigate the adverse health outcome of the problem.

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