scholarly journals Timing and factors associated with early antenatal visits among pregnant women in west Gojjam, northwest Ethiopia

2021 ◽  
Vol 15 (2) ◽  
pp. 1-11
Author(s):  
Amelework Getinet Alene ◽  
Oladapo O Olayemi ◽  
Yemane Berhane
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Full Range ◽  
Northwest Ethiopia ◽  
Factors Associated ◽  
Care Services ◽  
West Gojjam ◽  
To Receive

Background Early and appropriate antenatal care practices have the potential to save the lives of mothers and their children, and enable mothers to receive the full range of antenatal care services. However, in developing countries, including Ethiopia, a number of pregnant women do not attend antenatal care in the recommended time period. Therefore, this article assessed the timing and factors associated with early antenatal care visits in west Gojjam, northwest Ethiopia. Methods An institution-based cross-sectional study was conducted among pregnant women attending antenatal care services in west Gojjam. Data on participants' sociodemographic, obostetric and reproductive health information were collected from 820 participants using a structured interviewer-administered pretested questionnaire. Bivariate and multivariate logistic regression analyses were used to identify variables associated with early antenatal care visits. Variables with P<0.05 were considered significant. A visit was considered ‘early’ if a pregnant woman attended their first antenatal care session within the first 12 weeks of gestation. Results Almost a third (31.5%) of mothers started antenatal care early. The mean gestational age at the first visit was 17 weeks (standard deviation±7.7), with a range of 3–36 weeks. In multivariate analysis, it was found that being nulliparous (adjusted odds ratio: 2.3; P=0.013), travel time to the health facility being less than 30 minutes (adjusted odds ratio: 6.1; P<0.001) and living in an urban area (adjusted odds ratio: 2.4; P=0.001) were significantly associated with attending antenatal care early. Conclusions Early first antenatal care attendance was low in the study area. It is important to decentralise the provision of antenatal care services at health posts through an outreach service, by strengthening the mobilisation, screening and early referral system through health extension workers and the women development army. This will allow more women to receive antenatal care from skilled providers.

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

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.

scholarly journals Magnitude and factors associated with anemia among pregnant women admitted to labor ward of Hiwot Fana Specialized University Hospital, Eastern Ethiopia

2021 ◽  
Vol 9 ◽  
pp. 205031212110473
Author(s):  
Serkalem Abdu ◽  
Tilahun Ali ◽  
Adera Debella ◽  
Nega Assefa ◽  
Kedir Teji Roba
Keyword(s):  
Blood Loss ◽  
Confidence Interval ◽  
Pregnant Women ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
University Hospital ◽  
Meal Frequency ◽  
Eastern Ethiopia ◽  
Factors Associated ◽  
Labor Ward

Objectives: Anemia is a common medical problem among pregnant women that will influence pregnancy and birth outcomes. In Ethiopia, there is a paucity of evidences regarding the problem among pregnant women admitted to labor ward. Therefore, the objective of this study was to assess the magnitude and factors associated with anemia among pregnant women admitted to labor ward for deliveries at Hiwot Fana Specialized University Hospital, Eastern Ethiopia. Methods: A cross-sectional study was conducted among 314 pregnant women admitted to labor ward at Hiwot Fana Specialized University Hospital in June 2020. Data were collected using an interviewer administered questionnaire and were entered into EpiData and analyzed using SPSS. Descriptive statistics and multiple logistic regression analysis were done to identify predictors of anemia. Results: In this study, the magnitude of anemia was 37.9% (95% confidence interval: 32.4, 43.0). Short birth interval (adjusted odds ratio = 2.5; 95% confidence interval: 1.02, 6.13), history of blood loss during pregnancy (adjusted odds ratio = 4.3; 95% confidence interval: 1.86, 9.9), less consumption of citrus fruit within a week (adjusted odds ratio = 2.9; 95% confidence interval: 1.2, 6.9), and meal frequency less than three times per day during pregnancy (adjusted odds ratio = 2.2; 95% confidence interval: 1.0, 4.6) were significantly associated with anemia, respectively. Conclusion: This study pointed out that more than one-third of pregnant women affected by anemia. Thus, interventions that could reduce anemia, such as counseling about increasing of meal frequency during pregnancy, foods rich in iron, and prevention and management of blood loss are recommended.

Factors associated with food taboos among pregnant women in the Dimma district, Gambella, Ethiopia

2020 ◽  
Vol 14 (4) ◽  
pp. 1-9
Author(s):  
Ageze Teshome ◽  
Beakal Zinab ◽  
Tekle Wakjira ◽  
Dessalegn Tamiru
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Statistical Significance ◽  
Mustard Seed ◽  
Factors Associated ◽  
Food Taboos ◽  
Food Taboo ◽  
Key Informant

Background/Aims A food taboo is a food or drink that people are prohibited from consuming, often as a result of an incorrect perception of the food or for religious reasons, especially in low- and middle-income countries. During pregnancy, many women are subject to food taboos that can have deleterious effects on the fetus. This study aimed to assess the magnitude ofand factors associated with food taboos among pregnant women in Dimma district, Gambella, Ethiopia. The findings of this study can advise how to address the cultural malpractices that affect dietary behaviours of pregnant women, especially in developing countries like Ethiopia. Methods A facility-based cross-sectional study was conducted among 276 pregnant women from March 6 to May 8 2019, in Dimma district, Gambella. Data were collected using a pretested interviewer-administered structured questionnaire and key informant interviews. A total of 14 key informant interviews were conducted. Descriptive statistics and multivariable logistic regression models were fitted to isolate independent predictors of food taboo practices. All tests were two sided and P<0.05 was used to set statistical significance. Qualitative data were audio taped and transcribed verbatim. Results Over one-third (34.7%) of the study participants restricted themselves from at least one food item during pregnancy. Common food taboos were fruits, cereals, honey, sugarcane, garden cress, mustard seed and yam. The main reasons behind food taboos were fear of maternal and fetal complications, including abortion, cardiac problems and anaemia. Food taboo practice was more common in participants aged ≥25 years (adjusted odds ratio=2.72; P=0.002), who had only attended primary education (adjusted odd ratio=2.56, P=0.019) and had a gestational age ≥7 months (adjusted odds ratio=4.33, P<0.001). Conclusions More than one-third of pregnant mothers were practicing food taboos during pregnancy in Dimma Woreda, Gambella region, which was significantly associated with older participants and a lack of formal education. Therefore, intensive nutrition education should be given by both government and non-government organisations, focusing on pregnant women.

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

2017 ◽  
Vol 5 (1) ◽  
pp. 37 ◽  
Author(s):  
Nghitanwa Emma Maano ◽  
Shanyengange Tuwilika. N.
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
State Hospital ◽  
Care Service ◽  
First Trimester ◽  
Antenatal Clinic ◽  
Long Distance ◽  
Factors Associated ◽  
Care Services ◽  
First Trimester Of Pregnancy

The purpose of this study was to identify the factors associated with the delay in seeking first antenatal care (ANC) service among pregnant women at Katutura state hospital, Khomas region. A qualitative, explorative and descriptive design was used to gain the data from pregnant women started first antenatal care later than twelve weeks of gestation.Data was collected through in-depth interview among pregnant women during their first visit at Katutura state hospital antenatal clinic, Khomas region. The data analysis was done in line with thematic analysis and themes and sub-themes were identified.The study findings concluded that most pregnant women attend their first ANC later than twelve weeks gestation because of work commitment, long distance to health facilities, and lack of knowledge about the important of starting ANC in first trimester of pregnancy.The study recommends the establishment and implementation of a community based health education programs about the antenatal care services in order to create awareness and knowledge in the community about the importance of starting antenatal care services during the first trimester of pregnancy.

scholarly journals Factors associated with timely initiation of antenatal care among pregnant women in Bahir Dar city, Northwest Ethiopia: Cross‐sectional study

Nursing Open ◽  
2021 ◽  
Author(s):  
Azimeraw Arega Tesfu ◽  
Amlaku Mulat Aweke ◽  
Getahun Belay Gela ◽  
Kihinetu Gelaye Wudineh ◽  
Fentahun Yenealem Beyene
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Bahir Dar ◽  
Sectional Study ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Factors Associated

scholarly journals Detectable HIV-RNA Viral Load Among HIV-Infected Pregnant Women on Treatment in Northern Uganda

2020 ◽  
Vol 9 (2) ◽  
pp. 232-241
Author(s):  
Agnes Napyo ◽  
James K Tumwine ◽  
David Mukunya ◽  
Josephine Tumuhamye ◽  
Anna Agnes Ojok Arach ◽  
...  
Keyword(s):  
Viral Load ◽  
Global Health ◽  
Protease Inhibitor ◽  
Pregnant Women ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Northern Uganda ◽  
Detectable Viral Load ◽  
Factors Associated ◽  
National Implementation

Background / Objectives: Detectable HIV viral load among HIV-infected pregnant women remains a public health threat. We aimed to determine factors associated with detectable viral load among HIV-infected pregnant women in Lira, Northern Uganda. Methods: We conducted a cross-sectional survey among 420 HIV-infected pregnant women attending Lira Regional Referral Hospital using a structured questionnaire and combined it with viral load tests from Uganda National Health Laboratories. We conducted multivariable logistic regression while adjusting for confounders to determine the factors associated with detectable viral load and we report adjusted odds ratios and proportion of women with viral load less than 50 copies/ml and above 1000 copies, respectively. Results: The prevalence of detectable viral load (>50 copies/ml) was 30.7% (95%CI: 26.3% - 35.4%) and >1000 copies/ml was 8.1% (95% CI: 5.7% – 11.1%). Factors associated with detectable viral load were not belonging to the Lango ethnicity (adjusted odds ratio = 1.92, 95%CI: 1.05 – 3.90) and taking a second-line (protease inhibitor-based) regimen (adjusted odds ratio = 4.41, 95%CI: 1.13 – 17.22). Conclusions and Global Health Implications: HIV-infected pregnant women likely to have detectable viral load included those taking a protease inhibitor-based regimen and those who were not natives of Lira. We recommend intensified clinical and psychosocial monitoring for medication compliance among HIVinfected pregnant women that are likely to have a detectable viral load to significantly lower the risk of vertical transmission of HIV in Lira specifically those taking a protease inhibitor-based regimen and those who are non-natives to the study setting. Much as the third 90% of the global UNAIDS 90-90-90 target has been achieved, the national implementation of PMTCT guidelines should be tailored to its contextual needs. Key words: • HIV • Women • Pregnancy • Pregnant women • Viral load • Viral suppression • PMTCT • Antiretroviral therapy • Uganda   Copyright © 2020 Napyo et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

scholarly journals Pregnant women’s satisfaction with antenatal care services and its associated factors at public health facilities in the Harari region, Eastern Ethiopia

2020 ◽  
Vol 8 ◽  
pp. 205031212097348
Author(s):  
Simon Birhanu ◽  
Melake Demena ◽  
Yohannes Baye ◽  
Assefa Desalew ◽  
Bedru Dawud ◽  
...  
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Facility ◽  
Associated Factors ◽  
Care Service ◽  
Eastern Ethiopia ◽  
Factors Associated ◽  
Care Services ◽  
History Of

Background: Antenatal care coverage is very low in low-and middle-income countries, including Ethiopia. Self-reported pregnant women’s satisfaction may be important in identifying the demographic, provider-, and facility-related factors that can be improved to increase antenatal care satisfaction. However, there is a paucity of data on pregnant women’s satisfaction in Ethiopia, particularly in the study setting. Therefore, this study aimed to assess antenatal care service satisfaction and associated factors among pregnant women at public health facilities in the Harari region of eastern Ethiopia. Methods: A health institution–based cross-sectional study was conducted among women who were attending antenatal care clinics in February 2017. All 531 pregnant women were selected using a systematic random sampling method. Data were collected using an interviewer-administered questionnaire, entered into EpiData version 3.1, and analyzed using SPSS version 22.0 software. A logistic regression model was applied to control for confounders. The level of significance was determined at a p-value of less than 0.05. Results: The magnitude of pregnant women’s satisfaction with antenatal care services was 70.3% (95% confidence interval (CI) = 66.4%–74.3%). Receiving antenatal care services from the hospital (adjusted odds ratio (AOR) = 2.44, 95% CI = 1.50–3.98), did not attend formal education (AOR = 2.53, 95% CI = 1.52–4.20) and attended primary education (AOR = 2.17, 95% CI = 1.17–4.04), having a repeated visit to antenatal care (AOR = 4.62, 95% CI = 2.98–7.17), initiating antenatal care services within the first trimester (AOR = 1.74, 95% CI = 1.12–2.71), having no history of stillbirth (AOR = 2.52, 95% CI = 1.37–4.65), and waiting for no more than 30 min in the health facility to get service (AOR = 2.31, 95% CI = 1.28–4.16) were factors associated with pregnant women’s satisfaction with antenatal care services. Conclusion: More than two-thirds of pregnant women were satisfied with the antenatal care service. The type of health facility, education status, number and initiation time of antenatal visit, history of stillbirth, and waiting time to get service were factors associated with pregnant women’s satisfaction with antenatal care services.

scholarly journals Quality of antenatal care and associated factors among pregnant women attending government hospitals in Sidama Region, Southern Ethiopia

2021 ◽  
Vol 9 ◽  
pp. 205031212110580
Author(s):  
Assefa Philipos Kare ◽  
Amelo Bolka Gujo ◽  
Nigussie Yohanes Yote
Keyword(s):  
Quality Of Care ◽  
Confidence Interval ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Southern Ethiopia ◽  
Selection Of

Background: Good-quality antenatal care improves maternal health in the least developed countries. This study was aimed at assessing the quality of antenatal care and associated factors among pregnant women attending hospitals in the Sidama Region, Southern Ethiopia. Method: A facility-based cross-sectional study was conducted from 1 February to 30 April 2020 among 372 pregnant women. A two-stage sampling technique—the first stage, selection of health facilities; the second stage, selection of respondents—was used. Trained data collectors administered exit interviews. Data were entered into EPI Info 7 and analyzed using IBM SPSS version 25. Quality of care was assessed using a validated questionnaire containing 68 attributes of quality. Good quality of care was determined by the proportion of respondents who scored ⩾80% of 68 variables. Bivariable and multivariable logistic regressions were used in the analysis. The outputs were presented using an adjusted odds ratio with 95% confidence intervals. Results: This study revealed that 41.2% (95% confidence interval: 36.2%–46.2%) of pregnant women had received good-quality antenatal care. Increased odds of the utilization of quality antenatal care were observed among women who lived in urban areas (adjusted odds ratio = 4.32, 95% confidence interval: 2.58–7.21), attained primary education and more (adjusted odds ratio = 2.68, 95% confidence interval: 1.60–4.48), earned a monthly income >3000 Ethiopia Birr (US$93.3) (adjusted odds ratio = 3.86, 95% confidence interval: 2.28–6.51), and visited hospitals for antenatal care ⩾4 times (adjusted odds ratio = 3.68, 95% confidence interval: 2.21–6.10). Conclusions: The proportion of women who received good-quality antenatal care was low. Good quality care was associated with residence, education status, income level, and frequency of antenatal care visits. Training care providers, strengthening counseling, and promoting women’s economic empowerment to improve the utilization of quality antenatal care are recommended.

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