Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

Abstract

Background: Late antenatal care attendance among pregnant women at health facilities remains a significant public health problem. Globally, approximately 830 women die every day due to pregnancy-related complications and 99% of these deaths occur in developing countries whereby 86% of pregnant women access Antenatal Care (ANC) services at least once. Objective: The general objective of the study was to determine factors associated with late antenatal care seeking behavior among pregnant women at Kyenjojo general hospital. Methods: This was a descriptive cross sectional study design that considered quantitative data collection methods among pregnant women attending ANC. The sample size was determined using Kish and Leslie (1969) formula using a proportion of 37% (0.37) of women who sought late ANC. A systematic sampling technique was used to sample pregnant women on daily basis. Results: A total of 283 women participated in the study. Spouse's occupation was significantly associated with late ANC attendance (p = 0.026). On the other hand, education level of respondent (Fisher's = 8.363, p = 0.028*), religion (Fisher's = 5.77, p = 0.048*) and parity (Fisher's 10.312, p = 0.026*) revealed statistically significant association with late ANC attendance. In multivariate logistic regression, on occupation, women with unemployed spouses were significantly associated with 25% increase in attendance of late ANC compared to those in formal employment (AOR = 0.25, CI: 0.073-0.855, p = 0.027*). Conclusion: The Majority of pregnant women sought ANC at 90.1% (n = 255). There's a need for government to strengthen health promotion targeting women in rural communities.

Determinants of late antenatal care attendance among high parity women in Uganda: analysis of the 2016 Uganda demographic and health survey

“…Also, women living with their husbands are at the advantage of being reminded to seek ANC and get support in terms of transport or the Cost of care. This nding is similar to other studies by (11,42,43).…”

Antenatal care at rivers state university teaching hospital, southern Nigeria: who and when?

“…At booking, height is taken, blood pressure is measured to exclude pregnancy induced hypertension (PIH), blood samples are taken for haemoglobin concentration or packed cell volume, blood group, haemoglobin genotype, HBsAg, HIV 1 and 2, urine testing to exclude proteinuria, monitoring of weight to detect malnutrition and intra uterine growth restriction (IUGR). 7,8 There is also immunization against tetanus and administration of antiretroviral drugs to those that tested positive to HIV to prevent maternal to child transmission (MTCT). 7,8 Also during antenatal care, women are given iron and folic acid supplements to prevent anaemia, puerperal sepsis, low birth weight (LBW) and preterm delivery.…”

“…7,8 There is also immunization against tetanus and administration of antiretroviral drugs to those that tested positive to HIV to prevent maternal to child transmission (MTCT). 7,8 Also during antenatal care, women are given iron and folic acid supplements to prevent anaemia, puerperal sepsis, low birth weight (LBW) and preterm delivery. Folic acid prevents neural tube defects in babies.…”

Process Quality of Antenatal Care Among Clients of Antenatal Care Service Users and Service Providers in Public Hospitals of Woliata Zone, Southern Ethiopia

“…Developing regions account for approximately 99% (302,000) of the global maternal deaths which is roughly 20 times higher than that of developed regions, whereas sub-Saharan Africa (SSA) alone accounting for roughly 66% [1][2][3][4][5][6]. Maternal and child mortality have declined over the past 20 years in Ethiopia.…”

“…The World Health Organization (WHO) envisions a world where every pregnant woman and new-born receive quality care throughout the pregnancy, childbirth, and the postnatal period. If the quality of ANC is poor and women's experience of it is negative, the evidence shows that women will not attend ANC, irrespective of the number of recommended contacts in the ANC model [6,21]. Thus, the overarching aim of the ANC model is to provide pregnant women with respectful, individualized, personcentred care at every contact, with the implementation of effective clinical practices (interventions and tests), and provision of relevant and timely information, and psychosocial and emotional support, by practitioners with good clinical and interpersonal skills within a well-functioning health system.…”