Abstract
Background: Antenatal care (ANC) is the care that a pregnant woman receives while she is pregnant through a series of consultations with a trained health care provider. Adverse pregnancy outcomes can be minimized or avoided if antenatal care is received early in the pregnancy and continued through delivery. Despite it is a serious public health problem in Ethiopia, formation on the proportion and determinant factors of antenatal care service utilization is not well documented, particularly in the study area. This study aimed to identify determinant factors and the proportion of antenatal care service utilization in Fogera district, North West Ethiopia, 2019. Objectives: To assess antenatal care service utilization and its associated factors in the Fogera district, Northwest Ethiopia, 2019. Methods: Community- based cross-sectional study was conducted from December-01- to December-30- 2019 among mothers who gave live birth in the past one year before the study. Data were collected from 409 mothers using an interviewer-administered structured questionnaire. The data were analyzed manually and the chi-square test was used to describe relevant variables. Results: Antenatal care service utilization was 61.8% in the Fogera district. Variables such as age, Parity, Previous ANC visit, planned recent pregnancy, History of abortion were found to be associated with antenatal care service utilization with (df=2, x<sup>2</sup>=17.035 and p<0.001), (df=2, x<sup>2</sup>=10.50 and p<0.01), (df=1, x<sup>2</sup>=39.7 and p<0.001), (df=1, x<sup>2</sup>=31.91 and p<0.001) and (df=1, x<sup>2</sup>=6.39 and p<0.02) respectively. Conclusion: In this study, the proportion of antenatal care service utilization among mothers who gave live birth in the past one year, in Fogera district was found to be 61.8% and age, parity, history of abortion, planned recent pregnancy, previous ANC visit was found to be significantly associated with antenatal care service utilization. Recommendation; Based on this research every pregnant mother should receive the recommended antenatal care visits as it is important in identifying risk factors for adverse pregnancy outcomes, both for the mother and newborn and in providing preventive and promotive health services.
Highlights
Antenatal care is an important determinant of high maternal mortality rate and one of the basic components of maternal care on which the life of mothers and babies depend. [1].Antenatal care (ANC) can be defined as the care provided by skilled health-care professionals to pregnant women and adolescent girls to ensure the best health conditions for both mother and baby during pregnancy
Chi-square (x2) Analysis of factors affecting utilization of antenatal care services in table 3 indicates; age, Parity, Previous ANC visit, planned recent pregnancy, History of abortion were found to be associated with antenatal care service utilization in mothers who gave live birth in the past one year in Fogera district with, and respectively
The study identified five variables as associated factors for pregnant mothers’ antenatal care service utilization: The first variable identified was the age of the mother and the current study shows mothers in the age range of 20-34 years were utilized ANC service more significantly than any other age group
Summary
Antenatal care is an important determinant of high maternal mortality rate and one of the basic components of maternal care on which the life of mothers and babies depend. [1].Antenatal care (ANC) can be defined as the care provided by skilled health-care professionals to pregnant women and adolescent girls to ensure the best health conditions for both mother and baby during pregnancy. Adverse pregnancy outcomes can be minimized or avoided if antenatal care is received early in the pregnancy and continued through delivery Despite it is a serious public health problem in Ethiopia, formation on the proportion and determinant factors of antenatal care service utilization is not well documented, in the study area. Conclusion: In this study, the proportion of antenatal care service utilization among mothers who gave live birth in the past one year, in Fogera district was found to be 61.8% and age, parity, history of abortion, planned recent pregnancy, previous ANC visit was found to be significantly associated with antenatal care service utilization. Recommendation; Based on this research every pregnant mother should receive the recommended antenatal care visits as it is important in identifying risk factors for adverse pregnancy outcomes, both for the mother and newborn and in providing preventive and promotive health services
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