Use of antenatal care, maternity services, intermittent presumptive treatment and insecticide treated bed nets by pregnant women in Luwero district, Uganda

Kiwuwa, Mpungu Steven; Mufubenga, Patrobas

doi:10.1186/1475-2875-7-44

Cited by 61 publications

(53 citation statements)

References 18 publications

(18 reference statements)

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“…This finding is similar to what was found in Ibadan by Dairo et al 16 , in the Sagamu study 13 and in an Uganda study by Kiwuwa et al 17 where utilization of ANC services was found to be 76.8%, 84.6% and 94.4% respectively. This is in contrast to what was found in Kano where only 24.7% of the women had visited a clinic or facility for ANC at least once during their most recent pregnancy.…”

Section: Discussionsupporting

confidence: 80%

Pattern of utilization of ante-natal and delivery services in a semi-urban community of North-Central Nigeria

Abimbola¹,

Makanjuola²,

Ganiyu³

et al. 2017

Afr H. Sci.

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Abstract:Background: Nigeria accounts for only 2% of the world's population, but contributes up to 10 % of the global estimates of maternal deaths. The study assesses the utilization of antenatal and delivery services by women of reproductive age in Afon community. Methodology: It was a descriptive cross-sectional study that collected both quantitative and qualitative data using semi-structured interviewer administered questionnaire and focus group discussions (FGD). Interviews were house-hold based. FGD had two homogenous groups. Data was analysed using Epi-info version 3.5.1 software package. Level of statistical significance was set at p <0.05. Results: There was a high level of utilization of antenatal/delivery services in the community. Barriers to utilization of ANC/ delivery services include lack of money, distance from health facility, long waiting time, poor attitude of health workers and no permission from husbands. Level of education and employment status were significantly associated with utilization of ANC/ delivery services. Conclusion: Girl-child education and women empowerment are required to improve utilization of services. Ante-natal care providers need to be trained to improve quality of care in the discharge of their duties.

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Section: Discussionsupporting

confidence: 80%

Pattern of utilization of ante-natal and delivery services in a semi-urban community of North-Central Nigeria

Abimbola¹,

Makanjuola²,

Ganiyu³

et al. 2017

Afr H. Sci.

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“…In a study done in Entebbe, a Semi urban locality of Uganda Tann et al [21] found that only 16% of women have their first visit in the first trimester. In another study in rural Uganda this time, Kiwuwa and Mufubenga [22] found that 57.7% of women booked for ANC in the first trimester. The finding of our study was similar to those of Ali et al [23] in Kassala, Eastern Sudan where 31% of women booked for ANC in the first trimester.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Content and Utilization of Antenatal Care Services in a Rural Community in Cameroon: A Cross-Sectional Study

Halle-Ekane¹,

Egbe²,

Nzang³

et al. 2014

OJOG

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Background: Pregnant women receive antenatal care (ANC) to ensure favorable pregnancy outcomes. Despite the high ANC coverage rate registered nationally in Cameroon; rural women, women with no formal education and those in the most deprived quintile still face difficulties in having access to quality ANC. The impact of the aforementioned factors on ANC use in the Muea Health Area (MHA) is unknown. The objective of this study was to determine the proportion of women attending ANC and the factors influencing ANC attendance in the MHA. Materials and Methods: This was a community based, analytical, cross sectional survey that involved pregnant women and women with children less than two years old who gave an informed consent or assent. Data were collected using a semi structured questionnaire. EPI info Version 7 and Stat Pac for Windows version 12 © 1998-2011 (Stat Pac Inc, Bloomington, USA) were used for data analysis. Associations were considered statistically significant for p values less than 0.05. Results: Two hundred and twenty women were interviewed. The mean age was 25 years (SD 5.28). Ninety-nine percent of women had at least one ANC visit meanwhile 84.8% had at least four ANC visits. Only 27.2% of women booked for ANC in the first trimester. Rural (Maumu) residence was associated with inappropriate ANC attendance (attending less than four times) (χ 2 = 18.5; p = 0.001). Semi urban women (87%; 95% C.I. = 85.10% -89.0%) were more likely to attend four or more sessions than rural (Maumu) women (60.7%; 95% C.I. = 44.2% -77.3%) (p = 0.001). Participant's educational

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“…This is in keeping with most previous studies in African women which show that the average timing was usually in the second trimester. 8,9,10,14 It was interesting to note that as much as about three quarter of the women felt that the first three months of pregnancy was the best time to register for antenatal care. This knowledge most likely came from health education programs during previous pregnancies, hospitals or the news media but the booking pattern suggests that most of the women were not convinced that there was any gain in registering for antenatal care early or had constraints hence the discordance between knowledge and practice in most of them.…”

Section: Discussionmentioning

confidence: 99%

“…Similar findings have been reported from other countries in sub-Saharan Africa suggesting that this is a wide spread practice. 10,11 While studies from most developed countries have established that socially disadvantaged women such as teenagers ,unmarried women and women with lower level of education and lower socioeconomic class are more likely to book late for antenatal care, studies from sub-Saharan Africa suggest that these may not be the major determinants in Afri-can women. 12,13 Previous studies from Nigeria are inconclusive.…”

Section: Introductionmentioning

confidence: 99%

Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Ndidi¹,

Oseremen²

2011

Ghana Medical Journal

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SUMMARYBackground: Many studies show that the vast majority of Nigerian women register for antenatal care late and that the determinants may differ from those found in developed countries. Objective: To determine the reasons for late booking among women presenting at the antenatal clinic of a major tertiary hospital in the Niger Delta, Nigeria Design: A cross sectional questionnaire based survey. Setting: A large tertiary hospital in the Niger delta, Nigeria Participants: Pregnant women registering for antenatal care after 14 weeks gestation. Results: The majority of respondents were aged 20-39 years (97.1%), quarters were primigravidae and 25 % of the women belonged to the upper socioeconomic class. Seventy three point six percent booked in the second trimester and 26.4% in the third trimester. Of the women who had given birth before, 80% had booked late in at least one previous pregnancy. More than three-fifth of the women (65.6%) booked late due to ignorance or misconceptions of the purpose of, and right time to commence antenatal care. Conclusion: The findings of this study suggest that most women book late because of a belief that there are no advantages in booking for antenatal care in the first three months of pregnancy. This seems to be because antenatal care is viewed primarily as curative rather than preventive in the study population. Research is needed to determine the best approaches for health education programmes to correct the misconceptions about antenatal care.

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Use of antenatal care, maternity services, intermittent presumptive treatment and insecticide treated bed nets by pregnant women in Luwero district, Uganda

Cited by 61 publications

References 18 publications

Pattern of utilization of ante-natal and delivery services in a semi-urban community of North-Central Nigeria

Pattern of utilization of ante-natal and delivery services in a semi-urban community of North-Central Nigeria

Assessment of the Content and Utilization of Antenatal Care Services in a Rural Community in Cameroon: A Cross-Sectional Study

Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

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