Assessment of Factors Affecting Utilization of Focused Antenatal Care Among Women in Gibe Wereda, Hadiya Zone, Snnpr Ethiopia, 2015
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Date
2015-06
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Addis Ababa University
Abstract
BACKGROUD: Focused antenatal care (FANC) is one of the important factors in dropping
maternal morbidity and mortality; meanwhile, many women in Ethiopia do not receive such
care. However, little is known about determinants factor of FANC service utilization in
Ethiopia and particularly in Gibe Wereda.
OBJECTIVES: To determine focused antenatal care status and associated factors among
mothers who gave birth within 3 month preceding the study in Gibe Wereda.
METHOD: A community based cross sectional study was conducted using quantitative
methods from April, 2015 in Gibe Wereda, on 287 women who gave birth 3 month
preceding the study. To select study participant in the Wereda, 8 out of 22 Kebeles were
selected randomly. A study participant or mothers were selected by simple random sampling
method from the sampling frame. Data was entered by Epidata 3.1 and analyzed using SPSS
version 16.0, and ethical clearance, consent letter and informed consent was obtained from
Addis Ababa ethical review committee, Gibe Wereda administration and study participant
respectively.
RESULT: Majority the respondents 166 (58.7%) were between 25-34 age group with
mean age of 29.14years. In this study the overall coverage for Antenatal care utilization was
242 (85.5%). Among 283 interviewed mothers 114 (40.3%) followed four and above times
ante natal care visit during their last pregnancy and 169 (59.7%) mothers followed less than
four times.Mother’s educational status, travel time, knowledge of danger signs, plan for last
pregnancy and knowledge on starting ANC were found to be predictors of focused antenatal
care utilization.
Conclusion and recommendation: Even if there was relatively high antenatal care
utilization among the study participants but focused antenatal care utilization was low in the
study area. Women’s education status, teaching month’s of starting ANC and educating
about obstetric danger signs is an important factor for utilization of FANC service in the
study area suggesting that educating girls will have a great impact on improving future
utilization of FANC in the area. Availing health infrastructure is crucial in reducing time
travel to reach health facility will enhance women to follow FANC.
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Keywords
Utilization, Antenatal care