Abstract
IntroductionAntenatal care (ANC) is important for both maternal and fetal health. However, the existing evidence from developing countries indicates that most pregnant women attending ANC in their late pregnancy. Little is known about the factors determining ANC booking and the content of care among pregnant women in West part of Ethiopia. Therefore, the present study was conducted to identify factors determining late ANC booking and the content of care among pregnant mother attending antenatal care services in East Wollega administrative zone, West Ethiopia.MethodsInstitutional based cross-sectional study was conducted from July to September, 2014 among 421 pregnant women's attending ANC services in purposively selected health facilities, East Wollega zone, Ethiopia. The pretested-structured questionnaires were used to collect socio-demographic data and predictor factors of late initiation of ANC services. Five trained nurse working at ANC clinic at each health institution administered the questionnaire. The collected data was analysed using SPSS version 20.ResultsThe prevalence of late ANC booking was 81.5% (343/421) in the study area. Being from Oromo ethnic group (AOR 4.27, (95% CI, 1.48-12.33)), maternal age equal or more than 25 year old (AOR 3.09 (95% CI, 1.53-6.27)), second trimester (AOR 6.05(95% CI, 3.08-11.88)) and third trimester (AOR 7.97 (95% CI, 3.92-16.23)) were main factors identified as contributing (favoring factors) for the likely occurrence of late booking for ANC whereas; monthly income more than and/or equal to 15000 Ethiopian birrs (AOR 0.38 (95% CI, 0.18-084)) were factors compromising (decreasing) the chances for late attendance for the services among the pregnant women.ConclusionLate ANC initiation is high in the study area despite the services is provided free of charge. Hence, it is important to provide health education on the timing of ANC among women with reproductive age. Community's awareness on importance of receiving early ANC also needs to be promoted.
Highlights
Antenatal care (ANC) is important for both maternal and fetal health
Study setting and design: The study was conducted in East Wollega administrative zone, West Ethiopia which located at 328km distance from capital city of Addis Ababa
81.5% of the pregnant women were initiated ANC attendance after recommend period in this study. This is consistence with study conducted in Gamo Gofa Zone (Ethiopia) [11] and Ambo Town (Ethiopia) [16], but the proportion of pregnant mothers who booked within the recommended time was low in this study compared with the finding from Addis Ababa [17] and Gondar [18]; this observed difference could be due to the fact that, these two studies were conducted in big city of the country which might have better health awareness comparing with communities served at rural health facilities as the present study involve both urban and rural health institution
Summary
Antenatal care (ANC) is important for both maternal and fetal health. the existing evidence from developing countries indicates that most pregnant women attending ANC in their late pregnancy. The present study was conducted to identify factors determining late ANC booking and the content of care among pregnant mother attending antenatal care services in East Wollega administrative zone, West Ethiopia. The aim of this study was to assess the factors associated with ANC booking and the content of care among pregnant mother attending antenatal care services in East Wollega administrative zone, West Ethiopia. Such information provides evidence for the identification of those factors contributing to the poor implementation of ANC services and fills the policy gaps towards improving ANC services
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