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

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.

2021 ◽  
Author(s):  
Henry Sembatya ◽  
Justine Namuli ◽  
Judith Ajeani ◽  
Sam Ononge

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large


2017 ◽  
Vol 5 (1) ◽  
pp. 37 ◽  
Author(s):  
Nghitanwa Emma Maano ◽  
Shanyengange Tuwilika. N.

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.


2020 ◽  
Vol 3 (1) ◽  
pp. 11-21
Author(s):  
Sri Malemna Br barus ◽  
Marlinang l Silalahi

Coverage of K1 visits in North Sumatra in 2015 was 82.44% and K4 coverage was 75.50% ,. From the initial survey conducted with several pregnant women, information was also obtained that mothers did not check their pregnancies routinely due to very dense work factors, distance traveled and husband's support factors. Pregnant mothers also assumed that using health care services required large costs were still often found, especially for pregnant women who have a low economy. The purpose of this study was to determine whether there is any influence on knowledge, employment, husband's support and income by the use of antenatal care (ANC) services in the working area of ​​Darussalam Medan Health Center. This type of research used in this research is quantitative research with a research design using cross sectional design. The population in this study were all third trimester pregnant women and post-partum mothers during 2018 totaling 382 people. The research sample was 79 people. The results of this study were statistically tested using the Chi Square Test with a 95% confidence level using the SPSS version 16.0 program. The results showed there was an influence of husband support with the use of antenatal care (ANC) results of the P-Value value of 0.006 while knowledge (0.574), work (0.569), and income (0.902), which means there was no influence on the use of antenatal care services (ANC) ). The conclusion is that there is an influence of husband's support with the use of antenatal care (ANC) services at the Medan Medan Health Center and there is no effect of knowledge, employment and income on the use of antenatal care (ANC) services. It is recommended for health center staff / health workers the need to increase visits to the home of pregnant women whose access is easily accessible and pay attention to signs of risk for pregnant women.


2020 ◽  
Author(s):  
Desta Samuel Umuro ◽  
Yared Lasebew Asres ◽  
Gezahegn Mamo Muluneh

Abstract Background This study aimed to assess magnitude and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods Institution based cross sectional study design was conducted from December 1–30, 2018 on 405 pregnant women attending antenatal clinic. All pregnant women visiting the Antenatal care clinic during the study period and who fulfilled the eligibility criteria were included in the study. Secondary data was collected from clients register and personal files on hemoglobin, HIV, stool, and other variables. Descriptive statistics was used to analysis some variables by using SPSS. Logistic regression was carried out to identify factors associated with anemia in pregnancy. Adjusted odds ratio with their 95% of confidence interval and p < 0.05 are consider to have significant association. Results The magnitude of Anemia in pregnant women in this study was 19.8%, (95% CI 16.00-23.70). HIV infection (AOR = 6.12(95% CI 2.19, 17.08) parasitic infestation (AOR = 11.88 (95% CI 5.60, 25.20) and history of not taking fruit after meal during pregnancy (AOR = 3.12(95% CI 1.72, 5.67) were the major determinants of anemia. Conclusion This study showed that the magnitude of anemia among pregnant women was high especially at third trimester. Living with HIV /AIDS, parasitic infestation and no history of taking fruits after meal were the main factors.


2019 ◽  
Vol 19 (3) ◽  
pp. 2457-2461
Author(s):  
Stanley Mwita ◽  
Omary Meja ◽  
Deogratias Katabalo ◽  
Catherine Richard

Background: Anti- malarial self-medication practice in Africa is very common. It is considered as an alternative way for people who cannot afford the cost of health care services. This study was conducted to assess the magnitude and factors associated with anti-malarial self-medication practice among residents of Kasulu Town Council.Materials and methods: The study was a descriptive cross sectional study. Two hundred and eighty consenting respondents were selected by systematic random sampling and interviewed with the aid of a semi structured questionnaire to assess anti-malarial self- medication practice. A p value of less than 0.05 was considered statistically significant, at 95% confidence interval.Results: Prevalence of anti-malarial self-medication was (69.6%). Majority of the respondents (83.1%) reported that, they did not get better after self- medication. About 36% of the respondents metioned time taken in health facilities as the main factor for self- medication.Conclusion: This study revealed that, self-medication practice is very common among community members in Kasulu district. The main reasons identified for self-medication was long time taken to get treatment in health facilities.Keywords: Anti-malarial, Self- medication, Practice, Kasulu, Tanzania.


2020 ◽  
Vol 9 (2) ◽  
pp. 123
Author(s):  
Umi Khasanah

Integrated Antenatal Care is a comprehensive and quality antenatal service for all pregnant women provided by trained and professional medical personnel. Providing quality services and services needed by pregnant women will make the perception of pregnant women about Antenatal Care services better. The purpose of this study was to analyze the relationship of education of pregnant women to the perception of service quality at Antenatal Care service visits in the Surakarta Region Health Center. This quantitative research method uses a cross-sectional approach with an accidental sampling technique in sampling so that as many as 108 respondents obtained then the data analysis uses chi-square. The results of this study most of the highly educated pregnant women expressed a good perception about the quality of Antenatal Care Services in the Surakarta Region Health Center. The conclusion of the study is that there is a relationship between the level of education of pregnant women with the perception of service quality at Antenatal Care visits with a p-value of 0.027. The p-value is smaller than 0.05 (0.027 <0.05). Improving the level of education in the community needs to be done so that pregnant women are more understanding and critical about services provided during Antenatal Care visits.


Author(s):  
Julieth Kristoamani ◽  
Gladys Reuben Mahiti

Antenatal care serves as a key entry point for a pregnant woman to receive a broad range of services and should be initiated at the onset of pregnancy. The World Health Organization recommends for the first antenatal visits to be before 12 weeks of gestation. However, many pregnant women due to various reasons attend first antenatal care services very late and little information is known on why pregnant women delay initiating antenatal care clinics during the first trimester. This study aimed to explore the perceptions of pregnant women contributing to the late initiation of antenatal care during the first trimester Ubungo Municipal Council. The study used purposive sampling to recruit thirty pregnant women for data collection through individual in-depth interviews. Pregnant women who attended antenatal care were recruited during antenatal care clinics and were interviewed in a room at the antenatal care unit. An in-depth interview was conducted with 30 pregnant women. Data were analyzed using thematic coding analysis. The finding of this study indicates that, lack of awareness on the appropriate time to start antenatal care first visit, pregnancy as a normal health condition which does not require health personnel attention, late identification of the pregnancy, transport cost and service cost as a barrier due to low income, long waiting hours at the facility, lack of support from the spouse and men’s working time table were major factors which pregnant women perceive to contribute late initiation in the antenatal care during the first trimester. Results conclude that, community awareness-raising and training on the significance of early antenatal clinic (ANC) visits are needed. Stakeholders should also address factors affecting facility and service levels such as high service costs and long waiting times at healthcare facilities.


Author(s):  
Citra Hadi Kurniati

Midwives play an important role in the process of health care, especially antenatal care services (ANC). The quality of midwife services determines the success of the service process. The perception of pregnant women when they come for a pregnancy is related to their availability to return to Antenatal Care examination. This study aims to determine the quality of midwives in ANC services on the perception of pregnant women. This type of research uses observational analytic research, where researchers are directed to explain a situation or situation. The time approach used is cross sectional. Analysis was conducted to test the quality of midwives in providing ANC services to the perception of pregnant women. Analysis of the data in research with ordinal and scale variables is non-parametric statistics. Hypothesis testing using the Chi Square Test. The results showed that there was no relationship between the quality of midwives on perceptions of pregnant women with a p value of valeu> 0.05 with an X × count of 0.325. The conclusion of this study is that there is no relationship between the quality of midwives in providing ANC services to the perception of pregnant women


2019 ◽  
Author(s):  
Desta Samuel Umuro ◽  
Yared Lasebew Asres ◽  
Gezahegn Mamo Muluneh

Abstract Background: This study aimed to assess magnitude and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods: Institution based cross sectional study design was conducted from December 1, 2018 to January 15, 2019 on 405 pregnant women attending antenatal clinic. All pregnant women visiting the Antenatal care clinic during the study period and who fulfilled the eligibility criteria were included in the study. Secondary data was collected from clients register and personal files on hemoglobin, HIV, stool, and other variables. Descriptive statistics was used to analysis some variables by using SPSS. Logistic regression was carried out to identify factors associated with anemia in pregnancy. Adjusted odds ratio with their 95% of confidence interval and p<0.05 are consider to have significant association. Results: The magnitude of Anemia in pregnant women in this study was 19.8 %, (95% CI 16.00-23.70). HIV infection (AOR=6.12(95% CI 2.19, 17.08) parasitic infestation (AOR= 11.88 (95% CI 5.60, 25.20) and history of not taking fruit after meal during pregnancy (AOR=3.12(95% CI 1.72, 5.67) were the major determinants of anemia. Conclusion: This study showed that the magnitude of anemia among pregnant women was high especially at third trimester. Living with HIV /AIDS, parasitic infestation and no history of taking fruits after meal were the main factors. Key words: Magnitude, Anemia, Pregnant women


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