Factors associated with utilization of preconception Sickle cell screening among women receiving antenatal care at Hoima regional referral hospital, Uganda

Abstract

Introduction Globally, it is estimated that over 300,000 babies are born with Sickle cell disease annually, yet the uptake of preconception sickle cell screening services is at 25% among the total population that become pregnant every year. In Uganda, about 20,000 babies are born annually but with a low utilization rate of Pre-Conception Sickle cell screening services among women at 11%. This study aimed at determining the utilization rate and factors associated with preconception sickle cell screening among pregnant women attending antenatal care at Hoima regional referral hospital, Uganda. Methodology A hospital-based cross-section study was done, systematic sampling used, and participants subjected to a semi-structured questionnaire. 334 participants were recruited, and data was collected, entered into Epidata, and analyzed using STATA version 14. Study findings The utilization rate of Pre-Conception Sickle cell screening services among women receiving Ante Natal Care was at 11.4%. There was a significant association between woman’s level of education, marital status, partners support and knowledge towards Pre-Conception Sickle cell screening services. Conclusions The utilization rate of Pre-Conception Sickle cell screening services is low with level of education, marital status, and having familial history of sickle cell disease, partner support and awareness being significant associated factors. Recommendation There is need to empower women to attain a formal education through adult literacy programs, massive sensitization and conducting regular health talks regarding Pre-Conception Sickle cell screening services.