Faotors Affecting Antenatal Care Attendanoe and Preferenoes of Plaoe of Delivery by pregnant Women in Gulele Distriot, Addis Ababa
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Date
1992-03
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Addis Abeba Universty
Abstract
A community based cross sectional study was conducted in
Gulele district, Addis Ababa to asses the utilization patterns of
antenatal care services and the factors affecting antenatal care
attendance and preference of place of delivery.
A total of 441 pregnant women in the third trimester from 24
out of the 27 kebeles of the district were included in the study to
whom pretested questionnaire were administered.
The study showed that about 39 % of the third trimester
pregnant women had not attended antenatal clinics at all. Only 26%
of those attending antenatal care clinics had their first visit
during the first trimester. The most important reason for not
attending antenatal care clinics was being too busy (49.2%).
Out of a total of 15.8 points, the mean knowledge score on MCH
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for those attending antenatal care clinics was 10.9±2.1 whereas it
was 7.42± 2.5 for those not attending antenatal care.
In mUltiv<!l:-iate analysis the risk of non-attendance was higher
for those pregnant women whose income was low, (OR 1.77,
95% CI 1.44,2.76), whose husband's or partner's attitude was
negative or unknown, (OR 2.63, 95% CI 1.9,3.64), who were first
pregnant at the age of 10-18 years (OR 1.85, 95% CI 1.20 , 2. 8 1)
and lower for the nulliparae ( OR 0.52 , 95% CI 0.33 , 0.82).
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Three fourths of the respondents preferred to deliver in health
institutions and one fourth preferred to deliver at home. The most
frequent reason for preference of place of delivery (40 . 8%) was
high quality of service.
In mUltivariate analysis the risk of preference to deliver at
home was higher for those who were illiterate (OR 1.5, 95% CI 1.57,
2.00); for those whose husband's or partner's attitude towards
antenatal care attendance is negative or unknown, (OR 1.82, 95%
CI 1.34,2 . 49) and did not attend antenatal care clinics (OR 2.19,
95% CI 1.69,2.96). It was lower for the nulliparae (OR 0.52, 95%
CI O. 3 , 0 . 9) .
It is recommended to strengthen health education activities on
early attendance of ANC,modern contraceptive methods and age at
first pregnancy. Supportive and regular supervision of antenatal
care clinics should be considered seriously. Support and training
of community health workers should continue. Further studies should
be carried out on factors associated with antenatal care attendance
in diverse setups and well designed studies should address the
influence of antenatal care on pregnancy outcome. In addition,
proportion of pregnant women from the total population now used for
all practical purposes should be reconsidered for Addis Ababa.
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Faotors Affecting Antenatal Care Attendanoe