Mekonnen, Wubegzier (Associate Professor)Seme, Assefa(Associate Professor)Meseret, Hana2024-11-282024-11-282023-12https://etd.aau.edu.et/handle/123456789/3787Background: Ethnic induced conflict has displaced over 1.8 million people in Tigray, more than 1 million people in Amhara, and 334,196 in Afar regions. There is paucity of information on the utilization of maternal and child health services among internally displaced persons (IDPs). Objective: The aim of this study was to assess the magnitude of antenatal care (ANC) service utilization and its associated factors among internally displaced reproductive-age Amhara women in the North-Shewa camps of Amhara region. Methods: A facility based cross-sectional study was conducted from February to March, 2023 among internally displaced women in Semen Shewa zone Amhara region. Thus a total of 512 women were included in the study with simple random sampling. The bi-variable and multi-variable logistic regression model were employed to identify factors significantly associated with ANC utilization. Adjusted odds ratio (AOR) with 95% CI was estimated to show the strength of association. Finally p-value 0.05 in multivariable logistic regression analysis was used to identify factors associated with ANC service utilization. Finally, key findings of the study are portrayed using tables and graphs with adequate textual descriptions. Result: Overall 51% of mothers received at least one Antenatal care service during pregnancy and 5.2% of women had the recommended four and above visits. Women whose husbands attained primary and above level of education [AOR: 2.6, 95% CI: (1.24-5.27)], pregnancy complications [AOR: 4.1, 95% CI: (2.07-8.07)], good knowledge on ANC services [AOR: 5.67, 95% CI: (2.93-10.99)], wanted pregnancy [AOR: 8.1, 95% CI: (3.97- 16.55)] and distance to health facility[AOR: 4.45, 95% CI:(2.07-9.45)] were significantly associated with ANC service utilization. Using Poisson regression, empowered women (AIRR=1.3: 95% CI (1.07-1.59), those with good knowledge about ANC (AIRR=1.29: 95% CI (1.09-1.53), living in a camp where health facilities are available (AIRR=1.72: 95% CI (1.32-2.35) and women whose pregnancies are both wanted and desired (AIRR=1.27: 95% CI (1.09-1.48) had association with frequency of ANC visits. Conclusion and Recommendations: Close to half of women didn’t utilize ANC services during their pregnancy and only about 5% of them had four plus ANC visits. Availing health facilities in the camps, and enhancing education and awareness creation about ANC service could help women utilize ANC service.en-USAt least one ANC visitnumber of ANC visitsIDPsAmhara regionEthiopia.Thesis