Factors Associated with Timely First Antenatal Care Booking among Pregnant Women Attending Antenatal Clinics in Asella Town Public Health Institutions, Arsi Zone Oromia Regional State, Ethiopia, 2017
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Date
2017-06
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Addis Ababa University
Abstract
Background: The burden of maternal mortality is the issue of both developed and developingcountries, especially sub-Saharan Africa including Ethiopia. This is known due to poor qualityof maternal health care services. Almost all causes of maternal death are preventable, so ANCis the entry point to tackle those causes of maternal death as well as complications duringpregnancy. However, early initiation of first ANC visit is not well practiced in country Ethiopiaaccording to evidences different literatures. Due to this reason many mothers died because ofpregnancy complications.
Objective: To assess factors associated with timely booking of first antenatal care visit amongpregnant women attending ANC clinics in Asella town public health institutions, Ethiopia,2017
Methods: Facility based Cross-Sectional study design was conducted from March – April,2017 to assess the timing of first ANC booking and associated factors on 334 pregnant women.Study subjects were selected by using systematic random sampling. Data was collected by 3BSc midwives recruited from other health facility and supervised by one Ass. Lecturer. Datawas collected by questionnaire and entered onto a computer using Epi-info 7 statistical programthen exported to SPSS version 22 for analysis. Logistic regression model was used to predicttiming of first ANC booking and associated factors. Lastly, Significant of statistical associationwas assured or tested using 95% confidence interval (CI) and p value (<0.05).
Results: The study revealed that only 37% of the study respondents were started first ANC visittimely. Husband involvement(AOR=8.17,3.15-21,P=0.0001), pregnancy related complications(AOR= 2.83,1.21-6.56,P=0.016), Birth experience(AOR= 2.54,1.42-4.56,p=0.002), Knowledgeon time begin ANC(AOR=5.6,3.32-945,P=0.0001),Payment of service (AOR=0.534,0.319-0.895,p=0.017),waiting time (AOR=0.557,0.318-0.977,P=0.041) have shown significantassociation with timely booking of first ANC.
Conclusion: The proportion of pregnant mothers who practiced timely booking is low.
Keyword:Timing of first antenatal booking; Pregnancy; Antenatal care; Asella town
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Keywords
Timing of first antenatal booking Pregnancy Antenatal care Asella town