Why Pregnant Women Delay to Attend Prenatal Care? Cross Sectional Study on Timing of First Antenatal Care Booking at Public Health Institutions in Addis Ababa

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Addis Abeba Universty


Background: The purpose of antenatal care is to improve pregnancy outcome for both the mother and the fetus. Antenatal care is more beneficial in preventing adverse pregnancy outcomes when it is sought early in the pregnancy and continued through to delivery. However, existing evidence from developing countries including Ethiopia indicate that few women seek ANC at early stage of their pregnancy. Objective: The objective of this study is to assess timing of fist antenatal care booking and factors that influence the timing. Method: A cross sectional study design was used to collect data from 630 pregnant women who were attending antenatal care service at 10 government health centers in Addis Ababa from March 1 to 30, 2008. Result: The proportion of respondents who made their first antenatal care within the recommended time [before or at 12 weeks of gestation] was found to be 40.2%. The timing of antenatal care booking ranges from 1st month to 9th months of gestation. The mean timing was 4 months [SD 1.8]. Multivariate analysis revealed that respondents with parity zero, who said their pregnancy was planned and who received advice on advantage of early booking were more likely to book timely compared to others [OR= 1.860, 95% CI: 1.005, 3.441], [OR=1.918, 95% CI:1.105,3.328] and [OR=10.236, 95%CI: 4.580, 22.875] respectively. Past service utilization did not seen as predictors for timely booking. Conclusions: Majority of pregnant mothers do not practice early booking of antenatal care provided that the service is accessible. In order to improve the situation, implementation of focused antenatal care, clear guidelines for the service, and the need for training service providers are important.



Why Pregnant Women Delay to Attend Prenatal Care