Determinants of Antenatal Care Service ... - Juniper Publishers

Review Article

Curr Trends Biomedical Eng & Biosci

Volume 15 Issue 1 - May 2018 DOI: 10.19080/CTBEB.2018.15.555904

Copyright © All rights are reserved by Teklemariam Ergat Yarinbab

Determinants of Antenatal Care Service Utilization during the First Trimester among Pregnant Women in Boke Woreda, Ethiopia: A Facility Based Unmutched Case Control Study Teklemariam Ergat Yarinbab1* and Melese Wegayehu Gedle2 1

Department of Public Health, College of Health Sciences, Mizan-Tepi University, Ethiopia

2

Department of Reproductive Health, College of Health Sciences, Mekelle University, Ethiopia

Submission: May 02, 2018; Published: May 30, 2018

*Corresponding author: Teklemariam Ergat Yarinbab, Department of Public Health, College of Health Sciences, Mizan-Tepi University, MizanAman, Ethiopia, Email: Abstract Background: Antenatal Care (ANC) services utilization during the first trimester is very important for risk identification, and prevention and management of pregnancy-related diseases. However, the ANC services utilization during the first trimester in Ethiopia is very poor. Likewise, there has been no research conducted in Boke Woreda on determinants of ANC services utilization. Therefore, the aim of this study was to identify determinants of ANC services utilization during the first trimester in Boke Woreda, Ethiopia. Methods: A health facility based unmatched case-control study design was conducted in Boke Woreda, Ethiopia. The data was collected using pre-tested and structured questionnaires through interviews. Data analysis was done by SPSS for Windows Version 20.0. Bivariate and multivariate logistic regressions were conducted. P-value =4month

Reasons for attending ANC services

57(50.44) 63(55.75) 2(1.77)

96(84.95) 17(15.05)

From the total of antenatal care services attendants, fortytwo (37.2%) of cases and fifty-three (23.45%) of controls were responded as it is the right time to visit. On the other hand, thirty-

87(38.49)

117(51.77) 6(2.66)

123(54.42) 103(45.58)

144(42.5) 180(53.1) 273(80.5) 8(2.4)

219(64.6) 120(35.4)

one (27.4%) of cases and sixty (26.5%) of controls responded as they visited because of sickness whilst thirty-three (29.2%) of cases and 51(22.57%) of controls said it was for pregnancy checkup (Figure 1).

Figure 1: Reasons for attending antenatal care services among pregnant women in Boke Woreda, Oromia Region, Ethiopia, 2017.

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How to cite this article: Teklemariam E Y, Melese W G. Determinants of Antenatal Care Service Utilization during the First Trimester among Pregnant Women in Boke Woreda, Ethiopia: A Facility Based Unmutched Case Control Study. Curr Trends Biomedical Eng & Biosci. 2018; 15(1): 555904. DOI: 10.19080/CTBEB.2018.15.555904.

Current Trends in Biomedical Engineering & Biosciences Determinants of ANC service utilization The odds of pregnant women at less than 26 years old were about 4 times (AOR=3.86, 95% CI: 1.57,9.51) more likely to use ANC services during the first trimester than pregnant women who were at age greater than or equal to 26 years of age groups. Similarly, the odds of pregnant women travelling at lower than 30 minutes were 3 times (AOR=3.26, 95% CI: 1.46, 7.26) more likely to use ANC service during the first trimester than women who travel at 30 minutes and above. The odds of ANC services use in the first trimester for pregnant women who recognized their current pregnancy within 1-3 months were 7 times (AOR=7.32, 95% CI: 2.65, 20.24) more likely than their counterparts. Besides, the odds of pregnant

women who had good knowledge were 10 times (AOR=9.76, 95% CI: 3.80, 25.09) more likely to use ANC services during the first trimester than those who had poor knowledge about the importance of the services. The odds of pregnant women who had experiences of ANC utilization, on the other hand, were 3 times (AOR=2.52, 95% CI: 1.03-6.20) more likely to use ANC services than those who had no experiences.

The odds of pregnant women who supported by their families were 3 times (AOR=3.27, 95% CI: 1.18, 9.06) more likely to use ANC during first trimester than those who were not supported, where as the odds of pregnant women who wait services at less than 45 minutes were 6 times (AOR=6.17, 95% CI: 1.84, 20.73) higher to use ANC services than those who wait services for 45 minutes and more (Table 3 & 4).

Table 3: Determinants of ANC utilization during the first trimester in Boke Woreda, Oromia Region, Ethiopia, 2017. Variables

Categories

Attended ANC Before 4 Months of Gestation? Yes (%)

Age category Educational status HHs monthly income Travel time in minutes? Gravidity

Still birth Parity Place of last delivery? Recognition of current pregnancy

=26 years

88(77.9)

COR(95% CI)

AOR(95%CI)

7.23(4.28-12.21)

3.869 (1.57-9.51)**

No (%) 74(32.7)

25(22.1)

152(67.3)

Primary educ

41(36.3)

67(29.64)

3.107(1.75-5.51)*

College & above

22(18.7)

11(4.96)

10.15(4.39-23.45)*

>=1000Birr

61(53.8)

42(18.59)

5.139(3.12-8.47)

No formal edu Secondary edu =3

132(58.4)

39(34.52)

1 1

1 1

0.870 (.324-2.335)

7.62(3.56-16.28)*

0.405 (0.094-1.744)

1

1

1.236 (0.252-6.053) 1.45 (0.49-4.23)

5.79(3.53-9.47)

3.26 (1.46-7.26)**

39(17.25)

9.098(5.41-15.29)

5.014 (1.74-14.4)**

22(9.73)

1

1

165(73.0) 187(82.7)

1 1

1 1

No

110(97.35)

204(90.27)

3.954(1.158-13.506)*

>=3 births

11(9.7)

139 (61.5)

1

57(50.44)

87(38.49)

5.76(3.017-10.98)

1.082(0.335-3.485)

103(45.5)

1

1

0-2 births

102 (90.3)

Home

14(12.39)

1-3months

96(84.95)

Health inst

>=4months

*Significant in COR at p value