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Focused Antenatal Care Service Utilization and Associated Factors in Damot Sore District, Southern Ethiopia, Community Based Cross Sectional Study

Received: 8 August 2017     Accepted: 18 September 2017     Published: 23 October 2017
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Abstract

One of the important factors in reducing maternal morbidity and mortality is focused antenatal care which considers every pregnant woman who was at high risk for developing pregnancy related complications. Hence, all pregnant women should receive at least four antenatal visits to early identify the complications and intervene accordingly. The study aimed to assess focused antenatal care service utilization and associated factors among mothers who gave birth within 6 month preceding the study in Damot Sore District. A community based cross sectional study was conducted using quantitative methods in April, 2017 in Damot Sore District. Study participants were selected by simple random sampling method from the sampling frame. Data were entered into Epidata 3.1 and exported to SPSS version 20 for analysis, and Bivariate and multivariable analysis was used to identify predictors of focused antenatal care service utilization. Variables with odds ratio <=0.05 in multivariable analysis were taken as independent predictors. A total of 490 mothers who have history of antenatal care for their last birth within 6 month preceding the study period were included in the study and 229(46.7%) mothers attended focused antenatal care service. Maternal age (25-34) (AOR= 1.92, 95%CI: 1.20, 3.09), husbands occupation (AOR=1.92, 95%CI: 1.30, 2.83) and women empowerment (AOR= 2.13, 95%CI: 1.43, 3.20) were significantly associated with focused antenatal care service utilization. The majority of pregnant mothers did not attend focused antenatal care during their last pregnancy. Maternal age, husband’s occupation and empowerment were identified as factors affecting focused antenatal care service utilization. Provision of focused antenatal care should be used as an opportunity for early detection of pregnancy related complications.

Published in American Journal of Health Research (Volume 5, Issue 6)
DOI 10.11648/j.ajhr.20170506.11
Page(s) 167-172
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), 2017. Published by Science Publishing Group

Keywords

Focused, Antenatal Care, Antenatal Care Service Utilization, Ethiopia

References
[1] Villar J (2001) WHO antenatal care randomized trial for the evaluation of a new model of routine antenatal care. 357: (1565-1570).
[2] Ministry of Health, Focused Ante Natal Care, Ministry of Health, Nairobi, Kenya, 2014.
[3] Central Statistical Agency and ORC Macro: Ethiopia Demographic and Health Survey 2011, Addis Ababa, Ethiopia and Calverton, Maryland, USA; 2012.
[4] WHO Maternal mortality ratio per100,000 live births. 2010; Available from: http://who.int/healthinfo/statistics/indmaternalmortality/en/index.html.
[5] World Health Organization. Mother-baby package: implementing safe motherhood in countries. Geneva: WHO; 1996.
[6] The United Nations Children’s Fund. Progress for Children: A Report Card on Maternal Mortality. p. 43, 2008, UNICEF, New York.
[7] World Health Organization, United Nations Children’s Fund, United Nation Population Division, The World Bank. The World Trends in maternal mortality: 1990 to 2010.
[8] WHO, UNICEF, UNFPA, World Bank and United Nations Population Division, Geneva, Switzerland, 2014.
[9] Abosse Z, Woldie M, Ololo S (2010) Factors Influencing Antenatal Care Service Utilization in Hadiya Zone. Ethiop J Health Sci. 20: 75-82.
[10] Mulat G, Kassaw T, Aychiluhim M (2015) Antenatal care service utilization and its associated factors among mothers who gave live birth in the past one year in Womberma District, North West Ethiopia. Epidemiology (Sunnyvale). S2: 003.
[11] Teshome Getachew et al, Focused Antenatal Care Service Utilization and Associated Factors in Dejen and Aneded Districts, Northwest Ethiopia, Primary Health Care 4:4, 2014.
[12] Bahilu Tewodros, Abebe g/Mariam, Yohannes Dibaba; factors affecting antenatal care utilization in yem special District, southwestern ethiopia; Ethiop J Health Sci. Vol. 19, No. 1 (March 2009).
[13] Kalayou K Berhe, Haftom G Welearegay, Gerezgiher B Abera, Hailemariam B Kahsay and Alemayehu B Kahsay, Assessment of Antenatal Care Utilization and its Associated Factors Among 15 to 49 Years of Age Women in Ayder Kebelle Mekelle City, American Journal of Advanced Drug Delivery, 2014, 062-075.
[14] Yenita Agus, and Shigeko Horiuchi Factors influencing the use of antenatal care inrural West Sumatra, Indonesia Agus and Horiuchi BMC Pregnancy and Childbirth 2012, 12:9.
[15] Myer L, Harrison A (2003) Why Do Women Seek Antenatal Care Late? Perspectives From Rural South Africa. The Journal of Midwifery & Women’s Health 48: 268–272.
[16] Pell C, Men˜ aca A, Were F, Afrah NA, Chatio S, et al. (2013) Factors Affecting Antenatal Care Attendance: Results from Qualitative Studies in Ghana, Kenya and Malawi. PLoS ONE 8(1): e53747. doi: 10.1371/journal.pone.0053747.
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  • APA Style

    Abera Beyamo, Wolde Facha, Alemu Lire. (2017). Focused Antenatal Care Service Utilization and Associated Factors in Damot Sore District, Southern Ethiopia, Community Based Cross Sectional Study. American Journal of Health Research, 5(6), 167-172. https://doi.org/10.11648/j.ajhr.20170506.11

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    ACS Style

    Abera Beyamo; Wolde Facha; Alemu Lire. Focused Antenatal Care Service Utilization and Associated Factors in Damot Sore District, Southern Ethiopia, Community Based Cross Sectional Study. Am. J. Health Res. 2017, 5(6), 167-172. doi: 10.11648/j.ajhr.20170506.11

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    AMA Style

    Abera Beyamo, Wolde Facha, Alemu Lire. Focused Antenatal Care Service Utilization and Associated Factors in Damot Sore District, Southern Ethiopia, Community Based Cross Sectional Study. Am J Health Res. 2017;5(6):167-172. doi: 10.11648/j.ajhr.20170506.11

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  • @article{10.11648/j.ajhr.20170506.11,
      author = {Abera Beyamo and Wolde Facha and Alemu Lire},
      title = {Focused Antenatal Care Service Utilization and Associated Factors in Damot Sore District, Southern Ethiopia, Community Based Cross Sectional Study},
      journal = {American Journal of Health Research},
      volume = {5},
      number = {6},
      pages = {167-172},
      doi = {10.11648/j.ajhr.20170506.11},
      url = {https://doi.org/10.11648/j.ajhr.20170506.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20170506.11},
      abstract = {One of the important factors in reducing maternal morbidity and mortality is focused antenatal care which considers every pregnant woman who was at high risk for developing pregnancy related complications. Hence, all pregnant women should receive at least four antenatal visits to early identify the complications and intervene accordingly. The study aimed to assess focused antenatal care service utilization and associated factors among mothers who gave birth within 6 month preceding the study in Damot Sore District. A community based cross sectional study was conducted using quantitative methods in April, 2017 in Damot Sore District. Study participants were selected by simple random sampling method from the sampling frame. Data were entered into Epidata 3.1 and exported to SPSS version 20 for analysis, and Bivariate and multivariable analysis was used to identify predictors of focused antenatal care service utilization. Variables with odds ratio <=0.05 in multivariable analysis were taken as independent predictors. A total of 490 mothers who have history of antenatal care for their last birth within 6 month preceding the study period were included in the study and 229(46.7%) mothers attended focused antenatal care service. Maternal age (25-34) (AOR= 1.92, 95%CI: 1.20, 3.09), husbands occupation (AOR=1.92, 95%CI: 1.30, 2.83) and women empowerment (AOR= 2.13, 95%CI: 1.43, 3.20) were significantly associated with focused antenatal care service utilization. The majority of pregnant mothers did not attend focused antenatal care during their last pregnancy. Maternal age, husband’s occupation and empowerment were identified as factors affecting focused antenatal care service utilization. Provision of focused antenatal care should be used as an opportunity for early detection of pregnancy related complications.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Focused Antenatal Care Service Utilization and Associated Factors in Damot Sore District, Southern Ethiopia, Community Based Cross Sectional Study
    AU  - Abera Beyamo
    AU  - Wolde Facha
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    AB  - One of the important factors in reducing maternal morbidity and mortality is focused antenatal care which considers every pregnant woman who was at high risk for developing pregnancy related complications. Hence, all pregnant women should receive at least four antenatal visits to early identify the complications and intervene accordingly. The study aimed to assess focused antenatal care service utilization and associated factors among mothers who gave birth within 6 month preceding the study in Damot Sore District. A community based cross sectional study was conducted using quantitative methods in April, 2017 in Damot Sore District. Study participants were selected by simple random sampling method from the sampling frame. Data were entered into Epidata 3.1 and exported to SPSS version 20 for analysis, and Bivariate and multivariable analysis was used to identify predictors of focused antenatal care service utilization. Variables with odds ratio <=0.05 in multivariable analysis were taken as independent predictors. A total of 490 mothers who have history of antenatal care for their last birth within 6 month preceding the study period were included in the study and 229(46.7%) mothers attended focused antenatal care service. Maternal age (25-34) (AOR= 1.92, 95%CI: 1.20, 3.09), husbands occupation (AOR=1.92, 95%CI: 1.30, 2.83) and women empowerment (AOR= 2.13, 95%CI: 1.43, 3.20) were significantly associated with focused antenatal care service utilization. The majority of pregnant mothers did not attend focused antenatal care during their last pregnancy. Maternal age, husband’s occupation and empowerment were identified as factors affecting focused antenatal care service utilization. Provision of focused antenatal care should be used as an opportunity for early detection of pregnancy related complications.
    VL  - 5
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Author Information
  • School of Public Health, College of Health Sciences and Medicine, WolaitaSodo University, WolaitaSodo, Ethiopia

  • School of Public Health, College of Health Sciences and Medicine, WolaitaSodo University, WolaitaSodo, Ethiopia

  • Hadiya Zone Health Department, Hadiya Zone, Ethiopia

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