Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania

Introduction Maluku Province was one of the provinces in Indonesia with a high utilization of non-trained delivery attendants during childbirth. The study aims to examine factors associated with utilization of non-trained delivery attendants in the catchment area of Negeri Lima Puskesmas of Leihitu Peninsula in Maluku Province. Methods Data were derived from a household survey conducted in November 2018, in five villages as the catchment areas of Negeri Lima Health Center. Information was collected form 99 mothers who recently delivered in the last six months. Multivariate logistic regression analyses were employed to analyze factors associated with use of non-trained delivery attendants. Results More than 45% of mothers who delivered in the last six months used non-trained delivery attendants at childbirth. A significantly lower odds for using non-trained attendants was found in mothers who graduated from senior high school (aOR=0.23, 95% CI: 0.06-0.83) or academy/university (aOR=0.06, 95% CI: 0.01-0.34) than those graduated from primary school or lower. A similar pattern was found with father’s education. Additionally, the odds of using non-trained attendants reduced significantly amongst mothers attending four or more antenatal care services (aOR=0.34, 95% CI: 0.12-0.96). Conclusions Interventions to promote optimum use of antenatal care and improve community awareness and knowledge about mother and child health care are still essential. Involvement of different types of community members in health promotion activities, in addition to efforts to assign new roles to traditional birth attendants will help to increase the uptake of trained delivery attendants at childbirth amongst mothers in this area. Keywords: education, antenatal care, delivery attendants, Negeri Lima Health Center, Maluku Province

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Prevalence and factors associated with late antenatal care visit among pregnant women in Lushoto, Tanzania

Tanzania Journal of Health Research ◽

10.4314/thrb.v19i3.4 ◽

2017 ◽

Vol 19 (3) ◽

Author(s):

Flora Njiku ◽

Herman Wella ◽

Adellah Sariah ◽

Joyce Protas

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Health Care Services ◽

First Trimester ◽

Antenatal Clinic ◽

World Health ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Care Services

Background: Adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The World Health Organization recommends pregnant women to attend antenatal care services as early as in the first trimester. However, many women due to various reasons fail to meet the recommendations. The objective of this study was to determine the prevalence and factors associated with late antenatal booking among pregnant women in Lushoto district of north-eastern Tanzania.Methods: This hospital based cross sectional study involved pregnant women and was conducted in August-September 2015. A standardized questionnaire was used to obtain participants demographic characteristics and obstetrics history. Data analysis was done using (SPSS) and relationship between outcome variables and exposure variable was done using Chi-square test. Multivariate logistic regression was used to measure the association.Results: A total of 240 participants were involved in the study. Out of these, 169 (70.4%) participants booked late for antenatal care (ANC) services. Delayed booking was mainly associated with not being married (AOR=3.08; 95%CI 1.149-8.275; P value=0.025) and unemployment (AOR=4.28; 95% CI 2.11-8.679; p-value=0.000)Conclusion: Late first antenatal clinic visit was high in Lushoto, and was highly associated with unmarried and unemployment status. Therefore, provision of continuous health education and community sensitization on the importance of timely seeking ANC services should be strengthened.

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Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey

PLoS ONE ◽

10.1371/journal.pone.0197324 ◽

2018 ◽

Vol 13 (5) ◽

pp. e0197324 ◽

Cited By ~ 34

Author(s):

Emmanuel Olorunleke Adewuyi ◽

Asa Auta ◽

Vishnu Khanal ◽

Olasunkanmi David Bamidele ◽

Cynthia Pomaa Akuoko ◽

...

Keyword(s):

Antenatal Care ◽

Comparative Study ◽

Health Survey ◽

Demographic And Health Survey ◽

Factors Associated ◽

Care Services ◽

Rural And Urban

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Family planning utilization and associated factors among postpartum women in Addis Ababa, Ethiopia, 2018

PLoS ONE ◽

10.1371/journal.pone.0245123 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0245123

Author(s):

Lema Tafa ◽

Yoseph Worku

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Sexual Activity ◽

Health Facility ◽

Postnatal Care ◽

Associated Factors ◽

Addis Ababa ◽

Postpartum Women ◽

Factors Associated ◽

Care Services

Background Pregnancies that occur in the first year after birth can result in adverse outcomes for the mothers and their babies. Postpartum family planning (PPFP) can save lives of many mothers and children. Only few data are available about the magnitude of PPFP use and its determinants in Addis Ababa, Ethiopia. Objective To assess PPFP utilization and associated factors in Addis Ababa, Ethiopia. Method A facility-based cross-sectional study was conducted from April to June 2018. A total of 625 women were enrolled in the study. Statistical Package for the Social Sciences (SPSS) software was used to analyze the data. Binary logistic regression model with adjusted odd ratio (AOR) and 95% confidence interval (CI) was used to identify the factors associated with PPFP use. A p-value less than 0.05 was considered as significant. Result The magnitude of PPFP utilization in Addis Ababa was 71.8%. Previous family planning (FP) information (AOR = 13.2; 95% CI: (1.96, 88.07)), FP information from health facility visit (AOR = 2.23; 95% CI: (1.45, 3.43)), antenatal care (AOR = 4.96; 95% CI: (1.58, 15.64)), counseling on FP at postnatal care (AOR = 1.97; 95% CI: (1.27, 3.05)), menses resumption after birth (AOR = 1.75; 95% CI: (1.11, 2.76)), and commencing sexual activity after birth (AOR = 9.34; 95% CI: (5.39, 16.17)) were the factors associated with PPFP use. Conclusion and recommendation Though the magnitude of PPFP use is encouraging, still three out of the ten postpartum women did not use PPFP. The determinants of PPFP use were having FP information, having FP information from health facility visit, antenatal care, counseling about FP during postnatal care, menses resumption after birth, and commencing sexual activity after birth. The health system in the City and the healthcare providers should strive to reach every woman who is not accessing the PPFP services and antenatal care services, and improve counseling services on PPFP during delivery and postnatal care services.

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Factors Associated with Village Midwives Performance in Antenatal Care Services, Ogan Ilir Regency 2019

Proceedings of the 2nd Sriwijaya International Conference of Public Health (SICPH 2019) ◽

10.2991/ahsr.k.200612.051 ◽

2020 ◽

Author(s):

Iwan Stia Budi ◽

Ella Amalia ◽

Afriyan Firdaus

Keyword(s):

Antenatal Care ◽

Factors Associated ◽

Care Services

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Factors associated with utilization of antenatal care services among rural women, Telangana, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20182476 ◽

2018 ◽

Vol 5 (7) ◽

pp. 2807

Author(s):

Biranchi Narayan Das ◽

Seshasai Kanakamedala ◽

Mahesh kumar Mummadi

Keyword(s):

Health Care ◽

Antenatal Care ◽

Rural Women ◽

Cross Sectional ◽

Child Birth ◽

Factors Associated ◽

Care Services ◽

Telangana State ◽

The Government ◽

Antenatal Visits

Background: Antenatal care is the essential health care extended to pregnant women. Complete antenatal health care includes four antenatal visits, 2 TT injections, and consumption of 100 Iron and Folic acid tablets. In Telangana state the proportion of mothers received full ante natal care in rural area is only 37.3%. Hence, the present study conducted with an objective to assess the factors associated with utilization of antenatal care services among rural women in Telangana state.Methods: The study is a community based cross sectional study. It was conducted in villages of Moinabad Mandal of Telangana state. Sample size was calculated to 373.Out of 26 villages 20 villages were chosen randomly and from each village 20 houses were selected by stratified random method. Married women delivered at least one child during last five years were included. Pretested questionnaire was administered. The data were tabulated in MS Excel and analyzed by SPSS.Results: Among 373 participants, 89.3% mothers registered during 1st trimester, 92.8% confirmed their pregnancy in the Government sector, 81.3% mothers had four or more antenatal visits, nearly 87.7% mothers received two doses of TT and 77.2% had taken more than 100 Iron tablets. The factors identified to be having statistically significant (p< 0.05) association with better utilization of antenatal care were age at child birth >25 years, education10th class and above, Working mothers, first child birth, Socioeconomic class I- IV and early registration. On application of simple logistic regression predictors were found to be age, education, occupation, birth order, SES and early registration.Conclusions: Awareness should be made by the ASHA workers, ANMs and Anganwadi workers through better education and motivation of the target groups such as young mothers, homemakers, low socio-economic status groups and late registered mothers for better utilization.

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