Assessment of Timing of First Antenatal Care Booking and Associated who Factors Among Pregnant Women Attend Antenatal Care at Health Facilities in Dilla Town, Gedeo Zone, Southern Nations, Nationalities, and Peoples Region, Ethiopia, 2014

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Date

2014-06

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Addis Ababa University

Abstract

Introduction: Antenatal care is one of the interventions that can reduce maternal mortality andmorbidity. Yet in developing regions overall, only half of all pregnant women receive theminimum recommended number of antenatal visits four and lately timing of ANC booking.Studies revealed that socio-demographic characteristics of pregnant women, past experience ofAntenatal care service utilization, parity, knowledge on timing of ANC and pregnancy, andgender biased cultures had influence on timing of first ANC booking among pregnant women. Objective: To assess timing of first ANC booking and associated factors among pregnant womenin Dilla town, SNNPR, May 2014. Methods: Facility based Cross-Sectional design study was conducted to assess the timing of firstANC booking and associated factors. Study subjects were selected using systematic randomsampling.The data was collected using pre-tested structured questionnaires and data wereentered onto a computer using Epi-info 3.5.1 statistical program then exported to SPSS version 20for analysis. Descriptive were used to describe the characteristics of study subjects. Logisticregression model was used to predict timing of first ANC booking and associated factors and alsoOR & 95% CI was used to measure the associations. Result: this study finding revealed that 35.4% respondents were booked first Antenatal caretimely. The mean gestational age of timing of first ANC booking was 4 + 1.4 months.Multivariate analysis revealed that respondents age(OR=0.2, 95%CI, 0.03-0.5, P=0.005),Education (OR=0.4, 95%CI, 0.2-0.9, P=0.04), Parity(OR=1.8, 95%CI, 1.1-3, P=0.01), knowledgeon importance timely booking (OR=2, 95%CI, 1.3-3.3, P=0.003), those informed before to bookANC(OR=3, 95%CI, 1.1-9, P=0.03) and past ANC experience (OR=1.7, 95%CI, 1.1-2.8,P=0.022) were found as significant factors that influence timing of first Antenatal care booking. Conclusion and Recommendation: The findings of this study indicated that 35.4 % werebooked timely. Thus, women’s educational status, knowledge of women on importance of timelybooking, quality of ANC have to be considered when antenatal care programs are planned,implemented and evaluated to ensure timely booking of first ANC

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Health Facilities Southern Nations Nationalities

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