Magnitude and Factors Affecting Late Initiation of Antenatal Care Service Utilization among Pregnant Women in Government Health Institutions, Mekelle Town, Ethiopia.

Haileselassie, Daniel (2010) Magnitude and Factors Affecting Late Initiation of Antenatal Care Service Utilization among Pregnant Women in Government Health Institutions, Mekelle Town, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background: Antenatal care is concerned mainly about preventive, early diagnosis and treatment of general medical and pregnancy associated disorders. For it to meaningful, timely initiation is recommended. However, late entry to antenatal care is still a major problem. Pregnant women who do not have timely and appropriate care would be ill-equipped to make choices that will contribute to their own well-being. Assessment of magnitude and factors affecting late initiation of antenatal care among pregnant women in antenatal clinics is helpful for future planning. Objective: To assess the magnitude and factors affecting late initiation of antenatal care service utilization among pregnant women who attended antenatal care clinics in Mekelle town governmental health institutions during the study period. Methodology: Across sectional facility based study was conducted in Mekelle town from February 1, to March 1, 2010 on 419 pregnant women attending antenatal care at government health institutions. Data collection tools were adopted from different literatures, modified to the local context and pre-tested. Face-to-face interview of women were done by trained Nurses. Consecutive sampling technique was employed to select the study subjects. Bivariate analysis was employed to see the association between variables and the final model was constructed using stepwise logistic regression selection method. Ethical clearance was obtained from Ethical committee of Addis Ababa University School of Public health office before starting data collection. Results: Mean ages of the respondents were 26.2 + 5.4 years. Prevalence of late entry to antenatal care was 64.7%. The timing of antenatal care booking ranges from 1st month to 8th months of gestation. The median timing was 4 months (SD 1.6). Multivariate analysis revealed that respondents age, educational status, knowledge on the benefit of ANC to child health, wantedness of pregnancy, and recommended gestational age to start ANC (OR= 0.12, 95% CI: 0.34,0.39),(OR=0.12,95%CI:0.34,0.39),(OR=4.65,95%CI:1.04,20.75),(OR=2.61,95%CI:1.00, 6.77), and (OR=27.49, 95%CI:9.49, 79.64),respectively were found to be independent predictors of initiation time of antenatal care service utilization. Conclusion:- Late booking is still a major problem in this part of the study area. Public health education and reducing unwanted pregnancy would be helpful in reducing the problem.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 12 Oct 2018 12:22
Last Modified: 12 Oct 2018 12:22
URI: http://thesisbank.jhia.ac.ke/id/eprint/6825

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