Assesment of Late Initiation of Antenatal Care And Associated Factors Among Antenatal Care Attendees in Selected Health Centers of Addis Ababa, Ethiopia, 2015
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Date
2015-06
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Addis Ababa University
Abstract
Background:-Antenatal care is a type of care given for women during pregnancy and is
a key strategy for reducing maternal and neonatal morbidity and mortality. The goal of
ANC is to prevent health problems of pregnant women through detection of
complications and treatment of pregnancy related illness. Thus, late antenatal
attendance makes difficult to implement effectively the routine ANC strategies that
enhance maternal wellbeing and good prenatal outcomes.
Objective:-The objective of this study is to assess the prevalence of late initiation of
antenatal care and associated factors among antenatal care attendants in selected Health
Centers of Addis Ababa, Ethiopia.
Methodology:-A quantitative cross-sectional institution based study was used to assess
late initiation of antenatal care and factors associated with it in selected 10 health
centers of Addis Ababa. Four hundred twenty six pregnant women who attend ANC
were included in this study. Data was entered, coded and analyzed using SPSS, version
20. Descriptive statistics like frequencies and percentages was used to present the
results.
Result:-Out of 407 pregnant mothers included in this study, 267 (65.6%) pregnant
mothers started their first ANC visit early while the remaining 140 (34.4%) pregnant
mothers started ANC late. In both cases, the timing of the first ANC booking ranged
from 4 weeks to 32 weeks of gestation with mean timing of 13 weeks with standard
deviation of 5.47 weeks. Multivariate analysis revealed that respondents with the
educational level of high school and above, who had knowledge on the importance of
ANC, those who received advise from HEW and media, those advised to be booked
within 12 weeks of gestation and those who reasoned the time of booking was
appropriate were more likely to be booked early compared to their counter parts
(AOR= 3.346, 95%, CI: 1.618, 6.918), (AOR = 2.666, 95% CI: 1.266, 5.616), (AOR=
3.716, 95% CI: 1.671, 8.266), (AOR= 20.928, 95% CI: 4.499, 97.347), and (AOR=
14.765, 95% CI: 7.109, 30.667), respectively.
Conclusion:-The results of this study indicated that two-third of the respondents had
started their ANC within the recommended time (65.6%) and the rest one-third were
booked late (34.4%). The Respondents educational level, knowledge on the importance
of ANC service utilization, Source of the information which contributed to book timely
for the current pregnancy and the advice given on the time of first ANC booking are
significantly and positively influenced early initiation of ANC in Addis Ababa.
However, there is still more work is required to fully achieve ANC utilization in the
recommended time.
Key words: Antenatal care, late initiation, timely booking, pregnancy, Addis Ababa
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Keywords
Antenatal care, late initiation, Imely booking, Pregnancy