Level of Antenatal Care Services Utilization and Associated Factors Among Mothers who have Given Birth in the Past Twelve Months in Gelemso Town, West Hararghe Zone, Oromia National Regional State, East Ethiopia

Background In Ethiopia, the levels of maternal and infant morbidity and mortality are among the highest in the world. This is attributed to, among other factors, none use of modern health care services by women. According to the 2011 Ethiopian Demographic Health Survey, more than seven in ten mothers did not receive antenatal care at all. Objectives The objective of this study was to determine level and identify factors influencing maternal antenatal care services utilization among mothers who gave birth in the last twelve months in Gelemso town west Hararghe Oromia, Ethiopia. Methods A community-based cross sectional study design was conducted on 347 study participants in Gelemso town west Hararghe Oromia Ethiopia from July 15, 2017 to August 15, 2017 G.C.A probability to proportional to size sampling technique was used to select the study population in two urban Kebeles. Data were collected using a pre tested structured questionairs. Descriptive results were presented using frequencies, and numerical summary measures. Bivariate analysis was carried out to assess the association between outcome variable and each in dependent variables. Odds ratio with 95% confidence level was estimated to identify factors associated with Antenatal Care (ANC) utilization using multivariable logistic regression. The statistical significance was declared at p- value < 0.05. Result The response rate this study was 98%. The prevalence of antenatal care service utilization was 64.6%. About 146 (42.1%) of the pregnant mother started antenatal care visit during the second trimester of pregnancy and a significant proportion 289(83.3%) had less than the recommended four visits. Educational status (AOR;15.19:CI 95%,6.006,38.417), husband attitude (AOR;1.995:CI 95%,1.016,3.916), marital status(AOR:4.587:CI 95%,1.888,11.146), planned pregnancy (AOR:4.938:CI 95%,2.514,9.702) were major factors associated with antenatal care service utilization. Conclusion Though more than half mother used antenatal care service in the study setting, two in ten of the mothers did not have the minimum number of visits recommended by World Health Organization. Promotion of information, education and communication in the community should be strengthened is to sustain antenatal care service utilization in the community.

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Utilization of Antenatal Care Services in Urban Slums of Nanded City

The Journal of Medical Research ◽

10.31254/jmr.2019.5207 ◽

2019 ◽

Vol 5 (2) ◽

pp. 69-73

Author(s):

Sunita P. Pawar ◽

◽

Geeta S. Pardeshi ◽

Shriram Gosavi ◽

◽

...

Keyword(s):

Antenatal Care ◽

Service Utilization ◽

Care Service ◽

Urban Slums ◽

Reproductive Age ◽

Care Utilization ◽

Special Focus ◽

Age Group ◽

Care Services ◽

Reproductive Age Group

Background: Complications during pregnancy and delivery are well documented and can be prevented and managed effectively especially with adequate antenatal care. Women in urban slums represent a marginalized community and improving health care utilization in this group remains a challenge. Objective: To study existing antenatal care practices and study the factors associated with it among women of reproductive age group in urban slums of Nanded city. Methods: This is a community based cross sectional descriptive study carried out from March 2010 to April 2011 in which 400 women reporting delivery in past two years were selected using Probability Proportionate Sampling. Data on Sociodemographic factors and different components of antennal care were collected using a Semi structured questionnaire. Analysis was done using chi square test. Results: Among the 400 women included in the study, coverage of full Antenatal care (ANC) services was reported by 80 (20%) respondents. While 381 (95%) women were immunized with Tetanus Toxoid, only 98 (25%) women had consumed 100 or more Iron and Folic acid tablets, 315 (79%) women had three or more antenatal check-ups and 213 (53%) had registered themselves in first trimester of pregnancy. There was significant association between full antenatal care and woman’s education, husband’s education and occupation, religion and socio-economic status of family (<0.05). Conclusion: There is a need to improve the utilization of full antenatal care package among women in urban slums with a special focus on early registration and IFA consumption. Sociodemographic variables of reproductive age group women have impact on utilization of antenatal care services. The risk factors identified for low antenatal care service utilization were low educational status of women and their husbands and low socioeconomic status. Special efforts should be made to motivate this group for antenatal care service utilization

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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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Factors Associated with Utilization of Postnatal Care Services in Mali, West Africa

International Journal of Translational Medical Research and Public Health ◽

10.21106/ijtmrph.318 ◽

2021 ◽

Vol 5 (1) ◽

pp. 23-32

Author(s):

Bright Opoku Ahinkorah ◽

Abdul-Aziz Seidu ◽

Eugene Budu ◽

Ebenezer Kwesi Armah-Ansah ◽

Ebenezer Agbaglo ◽

...

Keyword(s):

Service Utilization ◽

Postnatal Care ◽

Care Service ◽

Economic Status ◽

Maternal Mortality Ratio ◽

Complete Information ◽

The Sustainable Development ◽

Factors Associated ◽

Creative Commons ◽

Care Services

Background and Objective: Postnatal care is recognized as one of the most effective ways of preventing and managing physical and mental disabilities that occur during the postpartum period. Despite the importance of postnatal care, its utilization is low in Mali. The present study investigates factors associated with utilization of postnatal care services in Mali. Methods: A total of 5,778 women who had complete information on all the variables of interest were included in our study. The data were analyzed with Stata version 14.2 by employing a multilevel logistic regression approach. The results were presented using adjusted odds ratios (aOR) at 95% confidence interval (CI). Results: We found that 25.18% of childbearing women in Mali utilized postnatal care. Women with no education (aOR=1.28, 95% CI=1.02-1.62) and those with primary level of education (OR=1.38, 95% CI=1.06- 1.81) had higher odds of postnatal care uptake, compared to those with secondary/higher education. On the contrary, postnatal care service utilization was lower among women who were not covered by health insurance (aOR=0.63, 95% CI=0.46-0.88), those who were not working (aOR=0.82, 95% CI=0.70-0.96), and those who were not exposed to mass media (aOR=0.80, 95% CI=0.70-0.93). Similarly, compared to women in the Mopti region, women in all other regions were less likely to utilize postnatal care services. Postnatal care service utilization was lower among women in communities with low educational level (aOR = 0.42, 95% CI=0.27-0.66) and medium socio-economic status (aOR=0.59, 95% CI=0.36-0.99). Conclusion and Implications for Translation: The study revealed several individual, household and community level factors as predictors of utilization of postnatal care services in Mali. Public health interventions intended to improve postnatal care services uptake in Mali should pay attention to these factors. This will help achieve the Sustainable Development Goal 3.1 which focuses on reducing the global maternal mortality ratio to less than 70 per 100 000 live births by 2030. Copyright © 2021 Ahinkorah 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.

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EXPLAINING THE GAP IN ANTENATAL CARE SERVICE UTILIZATION BETWEEN YOUNGER AND OLDER MOTHERS IN GHANA

Journal of Biosocial Science ◽

10.1017/s0021932015000218 ◽

2015 ◽

Vol 48 (3) ◽

pp. 342-357 ◽

Cited By ~ 3

Author(s):

Sheila A. Boamah ◽

Jonathan Amoyaw ◽

Isaac Luginaah

Keyword(s):

Antenatal Care ◽

Service Utilization ◽

Care Service ◽

Policy Implications ◽

Sub Saharan Africa ◽

World Health ◽

Group Differences ◽

Wealth Status ◽

Older Mothers ◽

Explanatory Variables

SummaryOver two-thirds of pregnant women (69%) have at least one antenatal care (ANC) coverage contact in sub-Saharan Africa. However, to achieve the full life-saving potential that ANC promises for women and babies, a nuanced understanding of age-specific gaps in utilization of ANC services is required. Using the 2008 Ghana Demographic and Health Survey of 1456 individuals, this study examined the disparities in the use of ANC services between younger and older mothers by applying four counterfactual decomposition techniques. The results show that cross-group differences in the explanatory variables largely account for the differentials in ANC service utilization between younger and older mothers. Birth order (parity) accounts for the largest share of the contribution to the overall explained gap in ANC utilization between the younger and older mothers, suggesting that ANC differentials between the two groups are probably due to biosocial factors. To a lesser extent, wealth status of the two groups also contributes to the overall explained gap in ANC service utilization. The policy implications of these findings are that in order to bridge the ANC service utilization gap between the two groups, policymakers must systematically address gaps in cross-group differences in the explanatory variables in order to increase the utilization of ANC to attain the minimum recommendation of four visits as per World Health Organization guidelines.

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

International Journal of Medicine ◽

10.14419/ijm.v5i1.7152 ◽

2017 ◽

Vol 5 (1) ◽

pp. 37 ◽

Cited By ~ 1

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.

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Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community-Based Cross-Sectional Study

International Journal of Reproductive Medicine ◽

10.1155/2016/7095352 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 25

Author(s):

Miteku Andualem Limenih ◽

Zerfu Mulaw Endale ◽

Berihun Assefa Dachew

Keyword(s):

Service Utilization ◽

Postnatal Care ◽

Care Service ◽

Cross Sectional Study ◽

Maternal And Newborn Health ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Factors Associated ◽

Care Services

Improving maternal and newborn health through proper postnatal care services under the care of skilled health personnel is the key strategy to reduce maternal and neonatal mortality. However, there were limited evidences on utilization of postnatal care services in Ethiopia. A community based cross-sectional study was conducted in Debremarkos town, Northwest Ethiopia. Cluster sampling technique was used to select 588 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with postnatal care utilization. Odds ratio with 95% confidence interval was computed to determine the level of significance. Postnatal care service utilization was found to be 33.5%. Awareness about maternal complication (AOR: 2.72, 95% CI (1.71, 4.34)), place of delivery of last child (AOR: 1.68, 95% CI: (1.01, 2.79)), outcome of birth (AOR: 2.71, 95% CI (1.19, 6.19)), delivery by cesarean section (AOR: 4.82, 95% CI (1.86, 12.54)), and delivery complication that occurred during birth (AOR: 2.58, 95% CI (1.56, 4.28)) were factors associated with postnatal care service utilization. Postnatal care service utilization was found to be low. Increasing awareness about postnatal care, preventing maternal and neonatal complication, and scheduling mothers based on the national postnatal care follow-up protocol would increase postnatal care service utilization.

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

SAGE Open Medicine ◽

10.1177/2050312120973480 ◽

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.

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Postnatal care service utilization and associated factors in Ethiopia: A systematic review and Meta-analysis

10.21203/rs.2.10475/v1 ◽

2019 ◽

Author(s):

Bekalu Kassie ◽

Melaku Desta ◽

Habtamu Chanie ◽

Bekele Tesfaye ◽

Muluken Wubetu ◽

...

Keyword(s):

Systematic Review ◽

Antenatal Care ◽

Service Utilization ◽

Postnatal Care ◽

Associated Factors ◽

Care Service ◽

Meta Analysis ◽

Wealth Quintile ◽

Care Services

Abstract Background: In Ethiopia, literatures are not in agreement on magnitude of utilization of postnatal care service and factors are not well identified. Hence, this systematic review and meta-analysis aimed to engender pooled evidence of magnitude of postnatal care service utilization and associated factors. Methods: For this systematic review and meta-analysis international databases such as, HINARI, PubMed, Medline, EMBASE, Google scholar and Cochrane library were used for searching studies published from 2002 to 2018 in English language. The Modified Newcastle- Ottawa quality assessment scale was used to assess the quality of studies and meta-analysis was conducted using STATA version 14. Q statistics and I2 test were used to assess the heterogeneity. The random effect model was used to estimate the pooled utilization of postnatal care at 95%CI. Result: Total of 22 articles with total samples of 42,320 women were included to this review. The pooled prevalence of postnatal care service utilization in Ethiopia was 41.5% (95%CI: 28.51-54.52). Women who attended formal education (OR, 2.37, 95%CI: 1.13, 4.97), had middle level and above household’s wealth quintile (OR, 2.57, 95%CI: 1.31,5.05), had antenatal care visit (OR, 6.72, 95%CI: 4.16, 10.87), being multigravida (OR, 0.68, 95%CI: 0.53, 0.88) and gave birth in health institutions (OR, 3.86, 95%CI: 2.89, 5.16) were high likely to utilize postnatal care services while rural resident women (OR, 0.17, 95%CI: 0.05, 0.60) were less likely to utilize postnatal care services. Conclusion: Postnatal care service utilization in Ethiopia is low (41.5%). It is affected by educational status, residence, wealth quintile, gravidity, antenatal care follow up and place of delivery. Scale up the service and awareness for rural people, improving economic status of the household, improve antenatal care follow up, and promote institutional delivery are having paramount importance. Key words: Health care service utilization, Ethiopia, systematic review, Meta-analysis

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Factors Associated with Antenatal Care Services Utilization and Institutional deliveries

IOSR Journal of Dental and Medical Sciences ◽

10.9790/0853-134496100 ◽

2014 ◽

Vol 13 (4) ◽

pp. 96-100 ◽

Cited By ~ 1

Author(s):

Dr. Kusum Lata Gaur ◽

◽

Dr. Prerna Gupt ◽

Dr. Rajveer Kuldeep ◽

Dr. Mahesh C. Sharma ◽

...

Keyword(s):

Antenatal Care ◽

Services Utilization ◽

Factors Associated ◽

Care Services ◽

Institutional Deliveries

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Violence and discrimination among Ugandan residents during the COVID-19 lockdown

BMC Public Health ◽

10.1186/s12889-021-10532-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Elizabeth Katana ◽

Bob Omoda Amodan ◽

Lilian Bulage ◽

Alex R. Ario ◽

Joseph Nelson Siewe Fodjo ◽

...

Keyword(s):

Law Enforcement ◽

Control Measures ◽

Sub Saharan Africa ◽

World Health ◽

Vulnerable Groups ◽

Transport Systems ◽

Outcome Variable ◽

Cross Sectional ◽

Factors Associated ◽

The Past

Abstract Background In March 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. Many countries in Sub-Saharan Africa, Uganda inclusive, implemented lockdowns, curfew, banning of both private and public transport systems, and mass gatherings to minimize spread. Social control measures for COVID-19 are reported to increase violence and discrimination globally, including in Uganda as some may be difficult to implement resulting in the heavy deployment of law enforcement. Media reports indicated that cases of violence and discrimination had increased in Uganda’s communities following the lockdown. We estimated the incidence and factors associated with experiencing violence and discrimination among Ugandans during the COVID-19 lockdown to inform control and prevention measures. Methods In April 2020, we conducted a secondary analysis of cross-sectional data under the International Citizen Project (ICP) to assess adherence to public health measures and their impact on the COVID-19 outbreak in Uganda. We analyzed data on violence and discrimination from the ICP study. We performed descriptive statistics for all the participants’ characteristics and created a binary outcome variable called experiencing violence and/or discrimination. We performed logistic regression analysis to identify the factors associated with experiencing violence and discrimination. Results Of the 1726 ICP study participants, 1051 (58.8%) were males, 841 (48.7%) were currently living with a spouse or partner, and 376 (21.8%) had physically attended work for more than 3 days in the past week. Overall, 145 (8.4%) experienced any form of violence and/or discrimination by any perpetrator, and 46 (31.7%) of the 145 reported that it was perpetrated by a law enforcement officer. Factors associated with experiencing violence or discrimination were: being male (AOR = 1.60 CI:1.10–2.33), having attended work physically for more than 3 days in the past week (AOR = 1.52 CI:1.03–2.23), and inability to access social or essential health services since the epidemic started (AOR = 3.10 CI:2.14–4.50). Conclusion A substantial proportion of Ugandan residents experienced violence and/or discrimination during the COVID-19 lockdown, mostly perpetrated by law enforcement officers. We recommend mitigation of the collateral impact of lockdowns with interventions that focus on improving policing quality, ensuring continuity of essential services, and strengthening support systems for vulnerable groups including males.

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