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Antenatal Care Service Utilization and Associated Factors in Fogera District, Northwest Ethiopia- a Community-based Cross-sectional Study

Received: 4 June 2020     Accepted: 17 June 2020     Published: 4 July 2020
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Abstract

Background: Antenatal care (ANC) is the care that a pregnant woman receives while she is pregnant through a series of consultations with a trained health care provider. Adverse pregnancy outcomes can be minimized or avoided if antenatal care is received early in the pregnancy and continued through delivery. Despite it is a serious public health problem in Ethiopia, formation on the proportion and determinant factors of antenatal care service utilization is not well documented, particularly in the study area. This study aimed to identify determinant factors and the proportion of antenatal care service utilization in Fogera district, North West Ethiopia, 2019. Objectives: To assess antenatal care service utilization and its associated factors in the Fogera district, Northwest Ethiopia, 2019. Methods: Community- based cross-sectional study was conducted from December-01- to December-30- 2019 among mothers who gave live birth in the past one year before the study. Data were collected from 409 mothers using an interviewer-administered structured questionnaire. The data were analyzed manually and the chi-square test was used to describe relevant variables. Results: Antenatal care service utilization was 61.8% in the Fogera district. Variables such as age, Parity, Previous ANC visit, planned recent pregnancy, History of abortion were found to be associated with antenatal care service utilization with (df=2, x2=17.035 and p<0.001), (df=2, x2=10.50 and p<0.01), (df=1, x2=39.7 and p<0.001), (df=1, x2=31.91 and p<0.001) and (df=1, x2=6.39 and p<0.02) respectively. Conclusion: In this study, the proportion of antenatal care service utilization among mothers who gave live birth in the past one year, in Fogera district was found to be 61.8% and age, parity, history of abortion, planned recent pregnancy, previous ANC visit was found to be significantly associated with antenatal care service utilization. Recommendation; Based on this research every pregnant mother should receive the recommended antenatal care visits as it is important in identifying risk factors for adverse pregnancy outcomes, both for the mother and newborn and in providing preventive and promotive health services.

Published in Journal of Gynecology and Obstetrics (Volume 8, Issue 4)
DOI 10.11648/j.jgo.20200804.14
Page(s) 91-97
Creative Commons

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), 2020. Published by Science Publishing Group

Keywords

Antenatal Care, Factors, Community-based Study, Ethiopia

References
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[2] World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization; 2016.
[3] Care M. Standards for Maternity Care 2008.
[4] Fseha B. Assessment of Mothers Level of Satisfaction with Antenatal Care Services Provided at Alganesh Health Center Shire, North West Tigray, Ethiopia. Biomedical Journal of Scientific & Technical Research. 2019 Mar 1; 16 (1): 11798-802.
[5] Accorsi S, Bilal NK, Farese P, Racalbuto V (2010) Countdown to 2015: comparing progress towards the achievement of the health Millennium Development Goals in Ethiopia and other sub-Saharan African countries. Trans R Soc Trop Med Hyg 104: 336-342.
[6] Halle-Ekane GE, Fotabong CM, Njotang PN, et al. Quality of antenatal care and outcome of pregnancy in a semi-urban area in Fako Division, Cameroon: a cross-sectional study. Women Health Open J. 2015; 1 (2): 31-39. doi: 10.17140/WHOJ-1-105.
[7] Federal Ministry of Health in Ethiopia. Annual Performance Report 2002 EFY (2009/2010).
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[11] Tsegay Y, Gebrehiwot T, Goicolea I, Edin K, Lemma H, et al. (2013) Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study. Int J Equity Health 12: 30.
[12] Gedefaw M. Muche B, Aychiluhem M. Current Status of Antenatal Care Utilization in the Context of Data Conflict: The Case of Dembecha District, Northwest Ethiopia. Open Journal of Epidemiology. 2014; 4, 208-216. http://dx.doi.org/10.4236/ojepi.2014.44027.
[13] Fogera Woreda annual report on maternal and child health 2018/19.
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[17] Central Statistical Agency [Ethiopia] 2014. Ethiopia Mini Demographic and Health Survey 2014. Addis Ababa, Ethiopia.
[18] Mulat G, Kassaw T, Aychiluhim M. Antenatal Care service utilization and its associated factors among mothers who gave live birth in the past one year in Womberma Woreda, North West Ethiopia. Epidemiology (Sunnyvale).2015; S2: 003. doi: 10.4172/2161-1165. S2-003.
[19] Ramesh Kumar Dahal. Utilization of Antenatal Care Services in the Rural Area of Nepal. International Journal of Collaborative Research on Internal Medicine & Public Health, Vol. 5 No. 2 (2013).
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[21] Junayde A. Adamu A. Mitike M. Preferences of Place of delivery and Birth Attendants among Women of Shashemene Town, Oromia Regional State. International journal of technology enhancements and emerging engineering research, vol 2, issue 7 1 ISSN 2347-4289: 2012.
[22] N. Nisar, F. White. Factors affecting utilization of Antenatal Care in an urban squatter settlement of Karachi; JPMA (Journal Of Pakistan Medical Association) Vol 53, No. 2, Jan. 2008.
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    Getachew Asmare Adella. (2020). Antenatal Care Service Utilization and Associated Factors in Fogera District, Northwest Ethiopia- a Community-based Cross-sectional Study. Journal of Gynecology and Obstetrics, 8(4), 91-97. https://doi.org/10.11648/j.jgo.20200804.14

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    Getachew Asmare Adella. Antenatal Care Service Utilization and Associated Factors in Fogera District, Northwest Ethiopia- a Community-based Cross-sectional Study. J. Gynecol. Obstet. 2020, 8(4), 91-97. doi: 10.11648/j.jgo.20200804.14

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    AMA Style

    Getachew Asmare Adella. Antenatal Care Service Utilization and Associated Factors in Fogera District, Northwest Ethiopia- a Community-based Cross-sectional Study. J Gynecol Obstet. 2020;8(4):91-97. doi: 10.11648/j.jgo.20200804.14

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  • @article{10.11648/j.jgo.20200804.14,
      author = {Getachew Asmare Adella},
      title = {Antenatal Care Service Utilization and Associated Factors in Fogera District, Northwest Ethiopia- a Community-based Cross-sectional Study},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {8},
      number = {4},
      pages = {91-97},
      doi = {10.11648/j.jgo.20200804.14},
      url = {https://doi.org/10.11648/j.jgo.20200804.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200804.14},
      abstract = {Background: Antenatal care (ANC) is the care that a pregnant woman receives while she is pregnant through a series of consultations with a trained health care provider. Adverse pregnancy outcomes can be minimized or avoided if antenatal care is received early in the pregnancy and continued through delivery. Despite it is a serious public health problem in Ethiopia, formation on the proportion and determinant factors of antenatal care service utilization is not well documented, particularly in the study area. This study aimed to identify determinant factors and the proportion of antenatal care service utilization in Fogera district, North West Ethiopia, 2019. Objectives: To assess antenatal care service utilization and its associated factors in the Fogera district, Northwest Ethiopia, 2019. Methods: Community- based cross-sectional study was conducted from December-01- to December-30- 2019 among mothers who gave live birth in the past one year before the study. Data were collected from 409 mothers using an interviewer-administered structured questionnaire. The data were analyzed manually and the chi-square test was used to describe relevant variables. Results: Antenatal care service utilization was 61.8% in the Fogera district. Variables such as age, Parity, Previous ANC visit, planned recent pregnancy, History of abortion were found to be associated with antenatal care service utilization with (df=2, x2=17.035 and p2=10.50 and p2=39.7 and p2=31.91 and p2=6.39 and p<0.02) respectively. Conclusion: In this study, the proportion of antenatal care service utilization among mothers who gave live birth in the past one year, in Fogera district was found to be 61.8% and age, parity, history of abortion, planned recent pregnancy, previous ANC visit was found to be significantly associated with antenatal care service utilization. Recommendation; Based on this research every pregnant mother should receive the recommended antenatal care visits as it is important in identifying risk factors for adverse pregnancy outcomes, both for the mother and newborn and in providing preventive and promotive health services.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Antenatal Care Service Utilization and Associated Factors in Fogera District, Northwest Ethiopia- a Community-based Cross-sectional Study
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    AB  - Background: Antenatal care (ANC) is the care that a pregnant woman receives while she is pregnant through a series of consultations with a trained health care provider. Adverse pregnancy outcomes can be minimized or avoided if antenatal care is received early in the pregnancy and continued through delivery. Despite it is a serious public health problem in Ethiopia, formation on the proportion and determinant factors of antenatal care service utilization is not well documented, particularly in the study area. This study aimed to identify determinant factors and the proportion of antenatal care service utilization in Fogera district, North West Ethiopia, 2019. Objectives: To assess antenatal care service utilization and its associated factors in the Fogera district, Northwest Ethiopia, 2019. Methods: Community- based cross-sectional study was conducted from December-01- to December-30- 2019 among mothers who gave live birth in the past one year before the study. Data were collected from 409 mothers using an interviewer-administered structured questionnaire. The data were analyzed manually and the chi-square test was used to describe relevant variables. Results: Antenatal care service utilization was 61.8% in the Fogera district. Variables such as age, Parity, Previous ANC visit, planned recent pregnancy, History of abortion were found to be associated with antenatal care service utilization with (df=2, x2=17.035 and p2=10.50 and p2=39.7 and p2=31.91 and p2=6.39 and p<0.02) respectively. Conclusion: In this study, the proportion of antenatal care service utilization among mothers who gave live birth in the past one year, in Fogera district was found to be 61.8% and age, parity, history of abortion, planned recent pregnancy, previous ANC visit was found to be significantly associated with antenatal care service utilization. Recommendation; Based on this research every pregnant mother should receive the recommended antenatal care visits as it is important in identifying risk factors for adverse pregnancy outcomes, both for the mother and newborn and in providing preventive and promotive health services.
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Author Information
  • Department of Reproductive Health and Nutrition, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia

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