Zemzem, Mohammed (2014) Assessment of Timing of First Antenatal Care (ANC) Initiation and Associated Factors among Pregnant Women in Selected Public Health Centers in Addis Ababa, Ethiopia, 2014. Masters thesis, Addis Ababa University.
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Abstract
Background: The purpose of ANC is to improve pregnancy outcome for both the mother and fetus. Antenatal care is more beneficial in preventing adverse pregnancy outcomes when it is initiated early in the pregnancy and continued until delivery. Despite the widespread availability of free antenatal care services, most women in our country attend their first antenatal clinic late in pregnancy and fail to return for follow-up care, which potentially leads to prenatal and maternal complications. Objective: The objective of this study was to assess timing of first ANC initiation and factors that influence timing of first ANC initiation among pregnant women at selected public Health Centers in Addis Ababa. Methods: The research was done using cross-sectional study design on randomly selected 383 samples of pregnant women attending antenatal care at selected public health centers found in Addis Ababa city administration. The respondents were interviewed by trained and experienced data collectors, after informed consent was obtained. The collected data was then entered using Epi info version 3.5.4 and the data cleared and analyzed using SPSS version 21. Result: Two hundred seventy five (71.8%) of participants started antenatal care early within 16 weeks of gestation. Three hundred sixty two (94.5%) and 365(95.3%) of respondents perceived and rated that ANC is highly important for the health of the mother and fetus respectively. Three hundred sixty (94%) of the respondents perceived that the correct time of ANC visit was before 16 weeks of gestation. Two hundred forty (62.7%) of the respondents have ever attended ANC services while 143 (37.3%) not. Out of 211 respondents who informed the time that they had started ANC service for the last pregnancy preceding this one, 66 (31.3%) had started at 12th week of gestation while 53(25.1%) and 38(18%) had started at 16th and 20th weeks of gestation respectively. Conclusion: About quarter (28.2%) of women were entered late to first antenatal visit. Recommendation: There is a need for improvement in the timely initiation of antenatal care in health centers of Addis Ababa. Further study is also needed to look at health care system practices to conclude what changes are needed that would make possible that more pregnant women to receive early and continuous antenatal care.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 02 Aug 2018 07:19 |
| Last Modified: | 02 Aug 2018 07:19 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8365 |
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