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 isa key strategy for reducing maternal and neonatal morbidity and mortality. The goal ofANC is to prevent health problems of pregnant women through detection ofcomplications and treatment of pregnancy related illness. Thus, late antenatalattendance makes difficult to implement effectively the routine ANC strategies thatenhance maternal wellbeing and good prenatal outcomes.
Objective:-The objective of this study is to assess the prevalence of late initiation ofantenatal care and associated factors among antenatal care attendants in selected HealthCenters of Addis Ababa, Ethiopia.
Methodology:-A quantitative cross-sectional institution based study was used to assesslate initiation of antenatal care and factors associated with it in selected 10 healthcenters of Addis Ababa. Four hundred twenty six pregnant women who attend ANCwere included in this study. Data was entered, coded and analyzed using SPSS, version20. Descriptive statistics like frequencies and percentages was used to present theresults.
Result:-Out of 407 pregnant mothers included in this study, 267 (65.6%) pregnantmothers started their first ANC visit early while the remaining 140 (34.4%) pregnantmothers started ANC late. In both cases, the timing of the first ANC booking rangedfrom 4 weeks to 32 weeks of gestation with mean timing of 13 weeks with standarddeviation of 5.47 weeks. Multivariate analysis revealed that respondents with theeducational level of high school and above, who had knowledge on the importance ofANC, those who received advise from HEW and media, those advised to be bookedwithin 12 weeks of gestation and those who reasoned the time of booking wasappropriate 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 hadstarted their ANC within the recommended time (65.6%) and the rest one-third werebooked late (34.4%). The Respondents educational level, knowledge on the importanceof ANC service utilization, Source of the information which contributed to book timelyfor the current pregnancy and the advice given on the time of first ANC booking aresignificantly 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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Antenatal care late initiation Imely booking Pregnancy