scholarly journals FACTORS AFFECTING UTILIZATION OF ANTENATAL CARE SERVICES IN SANA'A CITY, YEMEN

2017 ◽  
Vol 17 (3) ◽  
pp. 1-14
Author(s):  
Seham Othman ◽  
Taha Almahbashi ◽  
Alabed Ali A. Alabed
Keyword(s):  
Antenatal Care ◽  
Signs And Symptoms ◽  
First Trimester ◽  
Health Problems ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Danger Signs ◽  
Care Services ◽  
Mother Education

Antenatal care is a vital part of primary healthcare that is known to improve maternal and newborn outcomes. The aim of this study was to identify the factors affecting utilization of antenatal care services for women in reproductive age in Yemen. This cross-sectional community-based study was conducted in six districts of Sana’a City, Yemen. Data were collected from 460 mothers who gave birth in the past six months via face-to-face interviews at home between September to December 2010. Only 54% of mothers were found to have made four or more antenatal care visits. Almost two third of participants made their first visit during their first trimester due to presence of health problems and did not follow up when they became healthy during pregnancy. Reasons for not receiving antenatal care services due to absence of health problems, high cost of antenatal care services, long waiting time, and poor staff attitude. Sixty percent of participants were unaware of the danger symptoms of common health problems in pregnancy. The significant factors affecting utilization of antenatal services were mother education, residence place, age at first pregnancy, gravida, parity, occurrence of pregnancy without planning, and number of live children (P<0.05). The factors affecting the number of visits were mother education, place of residence, and husband work were (P<0.05). Future healthcare activities should focus on improving women’s awareness of the importance of antenatal care even in the absence of noticeable health problems and lack of education about the common danger signs and symptoms of pregnancy.

scholarly journals Utilization of antenatal care services and factors affecting antenatal care visits in Pokhara sub-metropolitan city

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Sabita Paudel ◽  
Tarun Paudel ◽  
Seshananda Sanjel
Keyword(s):  
Antenatal Care ◽  
Rural Areas ◽  
Nuclear Family ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Face To Face ◽  
Metropolitan City ◽  
Care Services

Background: In context of Nepal, although pregnant women from city areas contribute to maternal mortality, evidence of the study of utilization of antenatal care services and factors affecting antenatal care visits (ANC) are focused in rural areas where health institutions are not easily available. The objective of this study was to identify ANC services utilization by eligible women in Pokhara sub-metropolitan city. Methods: This was a cross-sectional study conducted applying face to face interviews with 240 eligible women bearing at least one youngest child below the age of two years. A structured and semi-structured questionnaire was used after translating into the Nepali language and pretesting it in the field. Data entered in Microsoft excel were transferred in SPSS (Statistical package for social sciences) version 21 and analysis were carried out. Both descriptive and inferential statistics were computed. The significance was set at the 0.05 level. Results: Approximately 97.0% of women had visited ANC during their recent pregnancy and about 56.0% of women had ≥4 ANC visits. The majority (80.3%) of the women used to seek ANC checkups during their first trimester and nearly half (49.0%) of the respondents belonged to the younger age of 15-19 years. Women’s (99.0%) and her husbands’ (86.0%) educational level significantly impacted ANC visits. Women having fewer numbers of children (98.0%) and the nuclear family (99.0%) had significantly higher ANC visits. Husbands’and mother-in-laws’ encouragement to go for ANC visits was significantly higher. All of the above-mentioned parameters were statistically significant at p< 0.05 level. Conclusions: There was variation in ANC service taking as per the encouragement from the husband and mother-in-law of the woman. Hence, awareness programs targeting husband and mother-in-law regarding the importance of ANC services are suggested. Conduction of detailed study in the future to explore the quality of services is recommended.

scholarly journals Determinants of Antenatal Care Attendance among Pregnant Women Living in Endemic Malaria Settings: Experience from the Democratic Republic of Congo

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Célestin Ndosimao Nsibu ◽  
Célestin Manianga ◽  
Serge Kapanga ◽  
Esther Mona ◽  
Philippe Pululu ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Male Partner ◽  
First Trimester ◽  
Reproductive Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Republic Of Congo

Background. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services.Methods. Determinants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo. Sociocultural bottlenecks were assessed via focus groups discussion of married men and women.Results. In this survey, 28 of the 500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester. The first visit is positively influenced by the reproductive age (OR: 0.52, 95% CI(0.28–0.95),p<0.04), the educational level (OR: 0.41,95% CI(0.17–0.97),p<0.04), the nearby health center (OR: 0.43, 95% CI(0.2–0.92),p<0.03), and the presence of a male partner (OR: 10.48, 95% CI(2.1–52.23),p<0.001). The barriers to early booking were (i) the cost of service; (ii) the appearance or individual income; (iii) the geographical inaccessibility or distance to health facilities; (iv) social and religious prohibitions; (v) the stigmatization from other women when conceiving in the late ages or young or while still lactating (parity); (vi) the time for waiting for services.Conclusion. The early ANC attendance is delayed among poor women with little education and living alone.

scholarly journals Determinants of utilization of antenatal care services in rural area of Bangladesh

2016 ◽  
Vol 44 (2) ◽  
pp. 67-71 ◽  
Author(s):  
Shayela Farah ◽  
Mohoshina Karim
Keyword(s):  
Antenatal Care ◽  
Care Service ◽  
Behavioural Change ◽  
Educational Status ◽  
Pregnancy Complication ◽  
Safe Motherhood ◽  
Family Welfare ◽  
Cross Sectional ◽  
Danger Signs ◽  
Care Services

Appropriate ante-natal care services promote safe motherhood and delivery with improved maternal and neonatal outcome. This population based cross sectional descriptive study was carried out to determine the utilization of antenatal care (ANC) services in a rural community of Bangladesh. Out of the 112 women studied, 63.4% mothers were found to receive antenatal care. Among them one third (32.4%) took it more than 4 occasions, 34(47.8%) pregnant women received antenatal care from government hospitals, 19(27%) from family welfare centre, 6(8.5%) from satellite clinics and around 12(17%) received from private hospitals. Around 71% mothers received ANC service from doctor while 17% mothers received from trained professionals. Seventy four percent mothers received tetanus (TT) injections. Only one fourth (25.3%) mothers had not received it. On an average, 90% mothers received iron tablets during their pregnancy. Regarding have danger signs during pregnancy, it was found that, 58.9% mothers were not aware about the have danger signs and 29.5% respondents knew about all the danger signs. Association between educational status and treatment seeking behaviour for pregnancy complication was found to be statistically significant (p<0.05). However, association between educational status and place of treatment for pregnancy complication was also found significant (p<0.01). Intensive awareness programme, behavioural change interventions and regular pregnancy monitoring may promote antenatal care service utilization in rural Bangladesh.Bangladesh Med J. 2015 May; 44 (2): 67-71

scholarly journals A study on utilization of antenatal care services in urban slums of Amritsar city, Punjab, India

2017 ◽  
Vol 4 (3) ◽  
pp. 698 ◽  
Author(s):  
Nidhi Sharma ◽  
Kiran Kumar H. V. ◽  
Shivesh Devgan
Keyword(s):  
Antenatal Care ◽  
Urban Poverty ◽  
Urban Slums ◽  
Reproductive Age ◽  
Antenatal Visit ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Rapid Urbanization ◽  
Care Services ◽  
Slum Areas

Background: Rapid urbanization in India is fuelling a growth in urban poverty, particularly in the urban slums where the quality of life is extremely poor. There have been limited efforts to capture the health of population living in urban slums and most severely affected are the women of childbearing age and children. So the present study was carried out to assess the utilization pattern of antenatal care and to identify the factors affecting it in urban slums of Amritsar city.Methods: A cross-sectional study was conducted in 1600 houses selected randomly in four slum areas of Amritsar city in which 659 married women in the reproductive age group of 15-49 years who had at least 1 child and had delivered the last child in the last 3 years were found. Total 659 women were interviewed using a pre-designed and pre-tested proforma.Results: 58.4% of respondent women attended at least one antenatal visit during last pregnancy. Maximum (43.4%) attended 2 antenatal visits. Majority (64.4%) had their first antenatal visit in 2nd trimester. Majority (57.1%) consumed <100 IFA tablets. Majority (65.6%) were fully immunized with 2 doses/booster of TT. Lack of knowledge about ANC services was the reason given by most of the women (31.0%) for not attending any antenatal visit. The utilization of antenatal care (ANC) services by women was found to be significantly associated with their age, education, birth order, socio-economic status and husband’s education.Conclusions: The utilization of antenatal care services was found to be poor in the study population. Important barriers to service utilization were found to be lack of awareness and lack of felt need. This shows the need for intensive efforts to be made in slum areas to create awareness among women by Behaviour Change Communication (BCC) activities. 

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 Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey

2020 ◽  
Author(s):  
James Orwa ◽  
Samwel Maina Gatimu ◽  
Michaela Mantel ◽  
Stanley Luchters ◽  
Micheal A. Mugerwa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Level Of Education ◽  
Factors Associated ◽  
Danger Signs

Abstract Background: Delayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania.Methods: We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study.Results: Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7% and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78).Conclusion: Overall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

scholarly journals Exposure to different types of mass media and timing of antenatal care initiation: insights from the 2016 Uganda Demographic and Health Survey

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Quraish Sserwanja ◽  
Linet M. Mutisya ◽  
Milton W. Musaba
Keyword(s):  
Mass Media ◽  
Antenatal Care ◽  
Health Survey ◽  
First Trimester ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
World Health ◽  
Cross Sectional ◽  
Different Types

Abstract Background Early initiation of antenatal care (ANC) within the first trimester is highly recommended in the current 2016 World Health Organization (WHO) guidelines. Mass media has the potential to promote early initiation of ANC because it has been used successfully in several programs. However, there is paucity of literature on the effect of exposure to different types of media on the timing of ANC initiation in Uganda. Our study aimed at exploring associations between exposure to different types of mass media and timing of ANC initiation among women in Uganda. Methods We used a cross sectional study design, to conduct a secondary analysis of data collected in the 2016 Uganda Demographic and Health Survey (UDHS). We included weighted data of all the 10,152 women of reproductive age (15–49 years). Multistage stratified sampling was used to select study participants. Multivariable logistic regression was used to determine the association between exposure to different types of mass media and early initiation of ANC. Results Almost a third of the women (2953/10,152, 29.1%, 95% CI 27.9–29.6) initiated their first ANC contact in the first trimester. Women who listened to radio at least once a week (adjusted OR (aOR 1.14, 95% CI 1.01–1.30) and those who watched television less than once a week (aOR 1.28, 95% CI 1.07–1.53) had higher odds of initiating ANC earlier compared to their counterparts not exposed to radio and television respectively. Conclusion Exposure to radio and television is associated with timing of ANC initiation in Uganda. Importantly, the two types of mass media have the potential to reach women with low levels of education and encourage them to utilize maternal health services. The Ugandan government needs to prioritize and intensify the use of radio and television to promote the benefits associated with timing of ANC initiation.

scholarly journals Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
James Orwa ◽  
Samwel Maina Gatimu ◽  
Michaela Mantel ◽  
Stanley Luchters ◽  
Michael A. Mugerwa ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Level Of Education ◽  
Factors Associated ◽  
Danger Signs

Abstract Background Delayed health-seeking continues to contribute to preventable maternal and neonatal deaths in low resource countries. Some of the strategies to avoid the delay include early preparation for the birth and detection of danger signs. We aimed to assess the level of practice and factors associated with birth preparedness and complication readiness (BPCR) in Kenya and Tanzania. Methods We conducted community-based multi-stage cross-sectional surveys in Kilifi and Kisii counties in Kenya and Mwanza region in Tanzania and included women who delivered two years preceding the survey (2016–2017). A woman who mentioned at least three out of five BPCR components was considered well-prepared. Bivariate and multivariable proportional odds model were used to determine the factors associated with the BPCR. The STROBE guidelines for cross-sectional studies informed the design and reporting of this study. Results Only 11.4% (59/519) and 7.6% (31/409) of women were well-prepared for birth and its complications in Kenya and Tanzania, respectively, while 39.7 and 30.6% were unprepared, respectively. Level of education (primary: adjusted odds ratio (aOR): 1.59, 95% CI: 1.14–2.20, secondary: aOR: 2.24, 95% CI: 1.39–3.59), delivery within health facility (aOR: 1.63, 95% CI: 1.15–2.29), good knowledge of danger signs during pregnancy (aOR: 1.28, 95% CI: 0.80–2.04), labour and childbirth (aOR: 1.57, 95% CI: 0.93–2.67), postpartum (aOR: 2.69, 95% CI: 1.24–5.79), and antenatal care were associated with BPCR (aOR: 1.42, 95% CI: 1.13–1.78). Conclusion Overall, most pregnant women were not prepared for birth and its complications in Kilifi, Kisii and Mwanza region. Improving level of education, creating awareness on danger signs during preconception, pregnancy, childbirth, and postpartum period, and encouraging antenatal care and skilled birth care among women and their male partners/families are recommended strategies to promote BPCR practices and contribute to improved pregnancy outcomes in women and newborns.

A STUDY ON UTILIZATION OF ANTENATAL CARE SERVICES IN THE RURAL AREA OF WEST GODAVARI DISTRICT, ANDHRA PRADESH.

2021 ◽  
pp. 32-38
Author(s):  
Spandana Pamidi ◽  
JJ Babu Geddam ◽  
N. Parthasarathy
Keyword(s):  
Antenatal Care ◽  
Rural Area ◽  
Andhra Pradesh ◽  
Positive Association ◽  
Reproductive Age ◽  
Care Utilization ◽  
Health Seeking ◽  
Cross Sectional ◽  
Care Services ◽  
Poor Women

Introduction: Antenatal care is vital for prevention, early diagnosis and treatment of general and pregnancy-related complications. However, there is vast disparity in the utilization of antenatal care services. 1) To determine the level of the utilization of antenatal care services (ANC) at PHC lev Objectives: el. 2) To study the association between socio-demographic factors and utilization of ANC services. 3) To increase awareness of ANC services through health education. A cross-sectional community based study was carried out among the women o Methods: f reproductive age group (15- 49 years) for six months from 1st January to 31st june 2017 in the rural area of West Godavari District, Andhra Pradesh using a predesigned, pretested proforma. A total of 22 Results: 4 women were studied; 79 p.c were Hindus, only 6.7 p.c were illiterate, 99.6 p.c were aged 18 and above, 80.4 p.c were housewives and 49.1 p.c were primigravida. All the women were registered for Antenatal checkups, of whom 82.1 p.c were registered in the rst trimester; 54.5 p.c had more than four ANC visits during their pregnancies; 51.8 p.c received full course of IFA tablets and 100 p.c had received at least one Tetanus Toxoid injection, (30.4 p.c) women received full package of ANC. Many of the women (67.6 p.c) utilized government health facility for full ANC package. The results reveal that women who were in socio-economically a Conclusion: dvantageous position were much more likely to use ANC services. The most important result from this analysis on health-seeking behaviour is that several socio-economic characteristics, particularly education of the women as well as economic status of household have strong positive association with health-care utilization. The access to maternal and health services for women who belong to the poor economic background was limited. So, study suggests there is a strong need for exhilarating the coverage of ANC services among poor women. The factors which effected on ANC utilization services were poor women, less educated women, very young mothers, women of marginalized communities, women who were most disadvantaged were least likely to utilize available ANC services to the full extent.

scholarly journals Assessment of Factors Affecting Attendance of Antenatal Care in Kagote Health Center III, Kabarole District, Uganda

2021 ◽  
Author(s):  
◽  
MARGARET APISO
Keyword(s):  
Antenatal Care ◽  
Health Facility ◽  
Sampling Method ◽  
Service Providers ◽  
Health Workers ◽  
Reproductive Age ◽  
Evaluation Methodology ◽  
Long Distance ◽  
Cross Sectional ◽  
Factors Affecting

Background: Antenatal care is generally thought to be an effective method of improving outcomes in pregnant women and their babies, although many specific Antenatal Care practices have not been subject to rigorous evaluation Methodology: A descriptive cross-sectional study was carried out in Kagote HCIII aimed at assessing the factors affecting ANC attendance in the Kabarole district. Using a convenience sampling method, Kagote HCIII was chosen by the random sampling method. A sample of 100 respondents was interviewed. Questionnaires were used to obtain data from the individuals and these were in form of closed and open-ended questions. Results: The majority of the respondents 92(92%) used ANC information in subsequent pregnancies. 48(48%) said that multiparous women did not need to attend ANC if they were healthy while 12% were not sure. Challenges include long distance from the ANC clinic 32(13%), harsh health service providers 8(3%), lack enough support from husbands 22(9%), segregation and discrimination 12(5%), negative attitude towards ANC 16(7%), high transport costs 37(15.4%), lack of enough money 43(18%), lack of enough time 10(4%), too much workload at home 16(7%), long waiting time 20(8.3%), unavailability of some drugs at times 24(10%). Conclusion and recommendation: The factors affecting ANC attendance in Kagote HCIII are; age, occupation, education level, marital status, address, the number of health workers, their cadre, skill, authority, knowledge, nature, the services they and how they offer them, availability of incentives like drugs, multiparity, the order of pregnancy and the challenges mentioned above.  There is a need for the MOH to continue sensitizing people about the importance of ANC attendance, outreaches by the health facility to the community to offer the service and encourage attendance, a collaboration between the health facility and the village health team continued health education of women of reproductive age about ANC and its attendance. 

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