Journal of Gynecology and Obstetrics

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Predictors of Timing of First Antenatal Care Booking at Public Health Centers in Mekelle City, Northern Ethiopia

Received: 03 April 2015    Accepted: 12 April 2015    Published: 22 April 2015
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Abstract

Background: Early antenatal care attendance during pregnancy is important to identify risk factors in pregnancy and to encourage women to have a skilled attendant at childbirth. But many pregnant women in sub-Saharan Africa start antenatal care attendance late, mostly in the second and third trimester. According to Ethiopian DHS 2011, Antenatal care coverage of Ethiopia is 34% and only 11% pregnant women start antenatal care timely. This indicates most pregnant mothers are not benefited from the services. Hence this study is aimed at assessing timing of first antenatal care visit and identifies factors affecting early attendance. Methods: Cross sectional descriptive study design was used. Data was collected from 410 systematically selected pregnant women who were attending antenatal care service at selected five governmental health centers of Mekelle city using pre-tested and interviewer administer structured questionnaire. SPSS version 16 was used to analyze the data. Socio demography, obstetric history and knowledge on advantage of early ANC booking and time when to start ANC were analyzed to see association with timing of antenatal care using bivarite and multivariate logistic regression analysis. Result: The proportion of respondents who made their first antenatal care within the recommended time (before or at 16 weeks of gestation) was found to be 32.7%. Multivariate analysis revealed that respondents with history of still birth, had obstetric problem for the current pregnancy, knowledge of timing of first visit and those pregnant women who had accompany to the health center for ANC visit were more likely to book ANC within the recommended time. Educational status of pregnant women and gravidity status has not significantly associated with timing of ANC booking. Conclusions: Majority of pregnant women do not practice early booking of antenatal care provided that the service is accessible. In order to improve the situation, adequate information should be provided to community.

DOI 10.11648/j.jgo.20150303.13
Published in Journal of Gynecology and Obstetrics (Volume 3, Issue 3, May 2015)
Page(s) 55-60
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Timing, First ANC Booking, Predictors, Northern Ethiopia

References
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[2] Central Statistical Agency [Ethiopia] and ICF International. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International; 2012.
[3] WHO/UNICEF. Antenatal care in developing countries: promises, achievements and missed opportunities: an analysis of trends, levels and differentials, 1990-2000. WHO, Geneva, Switzerland; 2004.
[4] Villar J. Bergsjø P. ANC: Randomized trial World Health Organization, Geneva; 2002.
[5] Federal Democratic Republic of Ethiopia, Ministry of Health, author. National Reproductive Strategy, 2006–2015. Addis Ababa, Ethiopia: FMOH; 2006.
[6] Pamela L, Paterson J, Wouldes T, et al. Factors affecting ANC attendance by mothers of Pacific infants in New Zealand, the New Zealand Medical Journal; 2005; 118 (1216).
[7] Phoya A, Kang’oma S. Factors Influencing Women’s Choice of Place of Delivery in Rural Malawi-An explorative study: African Journal of Reproductive Health. 2006; 10(3).
[8] Bahilu T. et al. Factors affecting antenatal care utilization in yem special woreda, southwestern Ethiopia Ethiop J. Health Sci. Vol. 19, No. 1 March 2009(45).
[9] Tariku A, Melkamu Y, Kebede Z.Previous utilization of service does not improve timely booking in antenatal care: Cross sectional study on timing of antenatal care booking at public health facilities in Addis Ababa: Ethiop J. Health dev.2010; 24(3):226-233.
[10] Myer L , Harrison A. Why do women seek antenatal care late? Perspectives from rural South Africa. Journal of Midwifery and Women’s Health July – August 2003;48 (4)
[11] Akinyi M, Janet N, Nascimento R. Variations in Antenatal Care Between Women of Different Communities in Kenya African Population and Health Research Center Population Council Nairobi, Kenya.
[12] Mohale M. Health seeking practice among primigravidae in Gauten province, South Africa; 2006.
[13] Phafoli SH , Van Aswegen, Alberts UU, et al. Variables influencing delay in antenatal clinic attendance among teenagers in Lesotho SA Fam Pract 2007:49(9).
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Author Information
  • Department of Public Health, College of Health Science, Mekelle University, Mekelle, Ethiopia

  • Department of Public Health, College of Health Science, Mekelle University, Mekelle, Ethiopia

  • Department of Nursing, School of Health science, Sheba University College, Mekelle, Ethiopia

  • Department of Public Health, College of Health Science, Mekelle University, Mekelle, Ethiopia

  • Department of Public Health, College of Health Science, Mekelle University, Mekelle, Ethiopia

  • Department of Public Health, College of Health Science, Mekelle University, Mekelle, Ethiopia

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    Girmatsion Fisseha, Gebremeskel Miruts, Mulu Tekie, Abraha W/Michael, Dejen Yemane, et al. (2015). Predictors of Timing of First Antenatal Care Booking at Public Health Centers in Mekelle City, Northern Ethiopia. Journal of Gynecology and Obstetrics, 3(3), 55-60. https://doi.org/10.11648/j.jgo.20150303.13

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    ACS Style

    Girmatsion Fisseha; Gebremeskel Miruts; Mulu Tekie; Abraha W/Michael; Dejen Yemane, et al. Predictors of Timing of First Antenatal Care Booking at Public Health Centers in Mekelle City, Northern Ethiopia. J. Gynecol. Obstet. 2015, 3(3), 55-60. doi: 10.11648/j.jgo.20150303.13

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    AMA Style

    Girmatsion Fisseha, Gebremeskel Miruts, Mulu Tekie, Abraha W/Michael, Dejen Yemane, et al. Predictors of Timing of First Antenatal Care Booking at Public Health Centers in Mekelle City, Northern Ethiopia. J Gynecol Obstet. 2015;3(3):55-60. doi: 10.11648/j.jgo.20150303.13

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  • @article{10.11648/j.jgo.20150303.13,
      author = {Girmatsion Fisseha and Gebremeskel Miruts and Mulu Tekie and Abraha W/Michael and Dejen Yemane and Tesfay Gerezigiher},
      title = {Predictors of Timing of First Antenatal Care Booking at Public Health Centers in Mekelle City, Northern Ethiopia},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {3},
      number = {3},
      pages = {55-60},
      doi = {10.11648/j.jgo.20150303.13},
      url = {https://doi.org/10.11648/j.jgo.20150303.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.jgo.20150303.13},
      abstract = {Background: Early antenatal care attendance during pregnancy is important to identify risk factors in pregnancy and to encourage women to have a skilled attendant at childbirth. But many pregnant women in sub-Saharan Africa start antenatal care attendance late, mostly in the second and third trimester. According to Ethiopian DHS 2011, Antenatal care coverage of Ethiopia is 34% and only 11% pregnant women start antenatal care timely. This indicates most pregnant mothers are not benefited from the services. Hence this study is aimed at assessing timing of first antenatal care visit and identifies factors affecting early attendance. Methods: Cross sectional descriptive study design was used. Data was collected from 410 systematically selected pregnant women who were attending antenatal care service at selected five governmental health centers of Mekelle city using pre-tested and interviewer administer structured questionnaire. SPSS version 16 was used to analyze the data. Socio demography, obstetric history and knowledge on advantage of early ANC booking and time when to start ANC were analyzed to see association with timing of antenatal care using bivarite and multivariate logistic regression analysis. Result: The proportion of respondents who made their first antenatal care within the recommended time (before or at 16 weeks of gestation) was found to be 32.7%. Multivariate analysis revealed that respondents with history of still birth, had obstetric problem for the current pregnancy, knowledge of timing of first visit and those pregnant women who had accompany to the health center for ANC visit were more likely to book ANC within the recommended time. Educational status of pregnant women and gravidity status has not significantly associated with timing of ANC booking. Conclusions: Majority of pregnant women do not practice early booking of antenatal care provided that the service is accessible. In order to improve the situation, adequate information should be provided to community.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Predictors of Timing of First Antenatal Care Booking at Public Health Centers in Mekelle City, Northern Ethiopia
    AU  - Girmatsion Fisseha
    AU  - Gebremeskel Miruts
    AU  - Mulu Tekie
    AU  - Abraha W/Michael
    AU  - Dejen Yemane
    AU  - Tesfay Gerezigiher
    Y1  - 2015/04/22
    PY  - 2015
    N1  - https://doi.org/10.11648/j.jgo.20150303.13
    DO  - 10.11648/j.jgo.20150303.13
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 55
    EP  - 60
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20150303.13
    AB  - Background: Early antenatal care attendance during pregnancy is important to identify risk factors in pregnancy and to encourage women to have a skilled attendant at childbirth. But many pregnant women in sub-Saharan Africa start antenatal care attendance late, mostly in the second and third trimester. According to Ethiopian DHS 2011, Antenatal care coverage of Ethiopia is 34% and only 11% pregnant women start antenatal care timely. This indicates most pregnant mothers are not benefited from the services. Hence this study is aimed at assessing timing of first antenatal care visit and identifies factors affecting early attendance. Methods: Cross sectional descriptive study design was used. Data was collected from 410 systematically selected pregnant women who were attending antenatal care service at selected five governmental health centers of Mekelle city using pre-tested and interviewer administer structured questionnaire. SPSS version 16 was used to analyze the data. Socio demography, obstetric history and knowledge on advantage of early ANC booking and time when to start ANC were analyzed to see association with timing of antenatal care using bivarite and multivariate logistic regression analysis. Result: The proportion of respondents who made their first antenatal care within the recommended time (before or at 16 weeks of gestation) was found to be 32.7%. Multivariate analysis revealed that respondents with history of still birth, had obstetric problem for the current pregnancy, knowledge of timing of first visit and those pregnant women who had accompany to the health center for ANC visit were more likely to book ANC within the recommended time. Educational status of pregnant women and gravidity status has not significantly associated with timing of ANC booking. Conclusions: Majority of pregnant women do not practice early booking of antenatal care provided that the service is accessible. In order to improve the situation, adequate information should be provided to community.
    VL  - 3
    IS  - 3
    ER  - 

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