Factors determining late antenatal care booking and the content of care among pregnant mother attending antenatal care services in East Wollega administrative zone, West Ethiopia

Ejeta, Eyasu; Dabsu, Regea; Zewdie, Olifan; Merdassa, Elias

doi:10.11604/pamj.2017.27.184.10926

Cited by 42 publications

(58 citation statements)

References 9 publications

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“…This finding is consistent with studies done in the Kembata Tembaro zone, Hadiya zone and a study done using EDHS 2011 [31,38,39]. This proportion of pregnant women who booked late was found lower compared to different studies conducted in Africa and Ethiopia [10, 23-27, 29, 34, 35] and higher than different studies conducted in different countries [28,30,32,33,36,37]. The discrepancy might be due to most of the indicated studies are institution-based with small sample size.…”

Section: Discussionsupporting

confidence: 90%

“…Specifically, in Africa, late ANC booking is still a devastating issue which ranges from 44% in Cameroon and 86.6% in Zambia [10,[23][24][25][26][27][28]. Ethiopia is also one of the developing African countries with a high prevalence of late ANC initiation which ranges from 42% in Addis Ababa to 81.8% in western Wolega [29][30][31][32][33][34][35][36][37][38][39].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and associated factors of delayed first antenatal care booking among reproductive age women in Ethiopia; a multilevel analysis of EDHS 2016 data

Teshale

Tesema

2020

PLoS ONE

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Background Early or timely initiation of antenatal care and regular visits based on the schedule have a tremendous effect on both maternal and fetal health. Despite the paramount benefits of early initiation of ANC within the first 12 weeks of pregnancy, women still do not have adequate and equal access to high-quality early antenatal care. Objective To determine the prevalence and factors associated with delayed first ANC booking in Ethiopia. Method A secondary data analysis was conducted using the 2016 Ethiopian demographic and health survey data. All reproductive age women who gave birth in the five years preceding the survey and who had ANC visit for their last child were included in this study. The total weighted sample size analyzed was 4,741. Due to the hierarchical nature of the EDHS data, Multi-level logistic regression model was used to identify the individual and community level factors associated with delayed first ANC booking.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of delayed first antenatal care booking among reproductive age women in Ethiopia; a multilevel analysis of EDHS 2016 data

Teshale

Tesema

2020

PLoS ONE

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“…In this study, the magnitude of late ANC booking at first visit were found that 85.67% (95%, CI: 82.89, 88.45). This magnitude of late booking is slightly higher than studies conducted in East Wollega 81.5%[15], Gondar town 74.6%[16] and Kembata Tembaro zone 68.8%[17]. This implies that significant proportion of pregnant women are not started their first ANC visit at recommended time of gestational age.…”

Section: Discussionmentioning

confidence: 71%

Magnitude and factors associated with late antenatal care booking on first visit among pregnant women in public health centers in central zone of Tigray Region, Ethiopia: A cross sectional study

Grum

Brhane

2018

PLoS ONE

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BackgroundAntenatal care (ANC) is a care given for pregnant women and is a good opportunity to deliver maternal health interventions. Even though pregnant women should start their first antenatal care within 12 weeks of gestational age, many pregnant women start their first ANC late. So, the aim of this study is to determine magnitude of late ANC booking at first visit and factors associated with it.MethodsInstitutional based cross sectional study design was conducted in central zone of Tigray Region, Ethiopia from November 1/2017 to January 30/2018 among total of 632 pregnant women. Stratified multi stage cluster sampling method was used to select health centers and systematic random sampling technique was used during the selection of study units. Data were collected using interview administer questionnaire by face to face. The collected data were entered into EPI info-7. Later on, it was exported to STATA-14 for further analysis. Proportion was used to estimate the magnitude of late ANC booking. Bivariable and multivariable analysis were done to see factors associated with the magnitude of late ANC booking.ResultsThe magnitude of late ANC booking at first visit were 85.67% (95%, CI: 82.89, 88.45). Factors that were independently associated with the late ANC booking at first visit in multivariable analysis were; having home delivery in previous delivery (AOR = 2.2, 95%, CI: 1.1, 4.49), women who had no previous ANC follow up (AOR = 3.43, 95%, CI: 1.32, 8.92) and women with poor knowledge about the advantage and service availability of ANC (AOR = 3.9, 95%, CI: 1.83, 8.29).ConclusionIn summary, most of pregnant women were not started their first ANC at the recommended time. Home delivery and history of ANC in previous pregnancy as well as women with poor knowledge about ANC were associated with late ANC booking at first visit. Health workers should work on avoiding home delivery and increasing the knowledge of pregnant women on ANC may help on reducing late ANC booking at first visit.

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“…Studies showed that the majority of pregnant women begin their first ANC visit lately. A study conducted in Western Ethiopia indicated that 81.5% of women got ANC service lately [11]. Another study in Northern Ethiopia also reported that more than half of pregnant women initiated ANC after the recommended period time [12].…”

Section: Introductionmentioning

confidence: 99%

Association between pregnancy intention and late initiation of antenatal care among pregnant women in Ethiopia: a systematic review and meta-analysis

et al. 2020

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Background: Antenatal care is one of the continua of reproductive health care, and inadequate antenatal care utilization results in an adverse feto-maternal outcome. Pregnancy intention is an essential factor that plays a paramount role on timing of antenatal care service. The finding of a few studies conducted on the association between pregnancy intention and late initiation of ANC among pregnant women in Ethiopia presented inconclusive. Therefore, the objective of this systematic review and meta-analysis was to determine the pooled estimate of the association between pregnancy intention and late initiation of ANC among pregnant women in Ethiopia. Methods: Both published and unpublished studies were accessed through electronic search from databases such as MEDLINE, Scopes, PubMed, CINAHL, PopLine, MedNar, Cochrane library, the JBI Library, the Web of Science, and Google Scholar. All observational studies that were conducted on the association between pregnancy intention and late initiation of ANC among pregnant women in Ethiopia were included. STATA 14.1 version was used for data analysis. A random effects model was used to estimate the pooled estimate with a 95% confidence interval (CI). The Cochrane Q test statistic and I 2 tests were used to assess heterogeneity. Presence of publication bias was checked by funnel plots and Egger's statistical tests. Results: A total of 670 published and unpublished studies were identified from several databases and fourteen studies fulfilled inclusion criteria and included in the meta-analysis. The overall pooled estimate indicates the odds of late initiation of antenatal care were 2.16 times higher among pregnant women who had unintended pregnancy as compared to pregnant women who had intended pregnancy (OR 2.16, 95% CI 1.62, 2.88). Conclusion: The systematic review and meta-analysis found a statistically significant effect of pregnancy intention on late initiation of antenatal care among pregnant women in Ethiopia. Increased effort should be made to improve women's behavior towards contraceptive use through health education and counseling, especially those with unintended pregnancies. Furthermore, health education, counseling, and communication campaigns related to the timing of ANC and frequency should be promoted nationally.

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Factors determining late antenatal care booking and the content of care among pregnant mother attending antenatal care services in East Wollega administrative zone, West Ethiopia

Cited by 42 publications

References 9 publications

Prevalence and associated factors of delayed first antenatal care booking among reproductive age women in Ethiopia; a multilevel analysis of EDHS 2016 data

Prevalence and associated factors of delayed first antenatal care booking among reproductive age women in Ethiopia; a multilevel analysis of EDHS 2016 data

Magnitude and factors associated with late antenatal care booking on first visit among pregnant women in public health centers in central zone of Tigray Region, Ethiopia: A cross sectional study

Association between pregnancy intention and late initiation of antenatal care among pregnant women in Ethiopia: a systematic review and meta-analysis

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