Previous Early Antenatal Service Utilization Improves Timely Booking: Cross-Sectional Study at University of Gondar Hospital, Northwest Ethiopia

Abstract

Background. Early booking of antenatal care (ANC) is regarded as a cornerstone of maternal and neonatal health care. However, existing evidence from developing countries indicate that lots of pregnant woman begin ANC booking lately. Objective. It was aimed to assess timing of ANC booking and associated factors among pregnant women attending ANC clinic at University of Gondar Hospital, 2013. Methods. An institution based cross-sectional study design was used to collect data with a face-to-face interview technique. Bivariate and multivariate analysis was used to identify associated factors for early ANC visit using SPSS version 20. Results. From total women (N = 369) interviewed, 47.4% were timely booked. Mothers with younger age (AOR = 3.83, 95% CI: 1.89, 10.53), formal education (AOR = 1.06, 95% CI: 1.03, −7.61), previous early ANC visit (AOR = 2.39, 95% CI: 2.23, 9.86), and perceived ANC visit per pregnancy of four and greater were significantly associated with early ANC visit. Conclusions. Although late booking is a problem in this study, previous early utilization of ANC visit favors current timely booking. This indicates that the importance of early booking was appropriately addressed from previous visits. Counseling of timely booking during ANC visit should be strengthened. Moreover, empowering through education is also recommended.

Predictors of Early Antenatal Care Booking in Government Health Facilities of Hossana Town, Hadiya Zone, South Ethiopia: Unmatched Case Control Study

“…Sample size was calculated using proportion of pregnant women who made previous antenatal care first time visit before and at 12 weeks (main exposure variable which gives adequate sample size) among the cases and controls estimated to be 56.9% and 35.6% respectively [9]. Using 80% power, 95% confidence interval (CI), 2 odds ratio (OR) and case to control ratio of 1:2.…”

“…The conceptual frame work was adapted from the Andersons health seeking behaviour model which was used by many of researchers on factors related with health service utilization [4,6,7,9] (Figure 1). …”

“…Data collection tool or the questionnaire was prepared in English adapted from different literatures [4,6,7,9,10] and translated to Amharic language. Back translation to English was done by another person to check consistence of words and concepts.…”

“…Studies reported that maternal education, younger age, first pregnancy, lower parity, planned pregnancy, previous history of still birth, previous early antenatal care visit, perceived number of four antenatal care visit, advice on early antenatal care visit were associated with early antenatal care booking [4,6,7,9,10]. There are few literatures available in Ethiopia which was conducted on factors affecting antenatal care utilization, maternal health care service and timing of antenatal care [1,4,5,9] but no study on early antenatal care booking conducted yet in the area.…”

“…There are few literatures available in Ethiopia which was conducted on factors affecting antenatal care utilization, maternal health care service and timing of antenatal care [1,4,5,9] but no study on early antenatal care booking conducted yet in the area. Therefore, this study using Andersons health seeking behavior model application, will attempt to identify independent predictors of early antenatal care booking in the study area so as to implement interventions.…”