Current Status of Antenatal Care Utilization in the Context of Data Conflict: The Case of Dembecha District, Northwest Ethiopia

Abstract

Good antenatal care (ANC) is one of the most important health care aspects known to reduce maternal mortality. In Ethiopia, regional and national data at times do not concur thus data from district to district level decision making are needed. The aim of this study was, therefore, to assess the prevalence and correlates of ANC service utilization. A community based cross-sectional study was conducted among pregnant women. Multistage sampling was used. Pre-tested structured questionnaire was data collection tool. Data were analyzed using SPSS version 16.0 for windows. Logistic regression was used to assess possible association among variables. Odds ratio at 95% confidence interval was used to measure strength, and statistical significance of associations. Prevalence of ANC service utilization was 57%. Of these, more than 80% of them received ANC for ≥4 times. This finding is more similar to the regional report (68%) than that of EDHS (2011) for Amhara Region (34%). Marital status, educational status and income were important predictors for ANC service utilization. The most outstanding finding of this study was that more than 20% and 60% of mothers received antennal care, and information about antenatal care from health extension workers. Antenatal care utilization is still low. Single, divorced, or separated mothers were less likely to utilize ANC while economically better off, and literate mothers were more likely to use ANC services than their counterparts. The finding of this study is in line with the annual reports from the Regional health bureau and disagrees with Ethiopian demographic health survey—EDHS-(2011). Therefore, districts should be encouraged to make decisions based on their own locally generated data than based on EDHS data which could at times be discouraging for districts with better performance. Further strengthening of Health Extension Program is recommended.