Abstract

Early antenatal care visit promotes early detection and treatment of complications during pregnancy. The aim of this study was to assess the timing of the first antenatal care visit and associated factors in rural parts of Ethiopia. Only 3065 women from 2016 Ethiopian Demographic and Health Survey in rural area were included in this study. The descriptive and binary logistic regression analysis used to identify the determinants associated with the timing of the first antenatal care visit. This study revealed that 31% of women visited the first antenatal care within the first three months. Our study revealed that women education, maternal age, region, media access, women occupation, distance from health facility, wealth index, pregnancy complication and plan for pregnancy had significant effects on timing of the first antenatal care visit early. To initiate pregnant mothers to attend the first ANC visit timely, community-based services like media coverage, education, transportation and giving awareness about the necessity of having antenatal care service early is mandatory.

Highlights

  • Pregnancy-related deaths and diseases remain unacceptably high worldwide, around 303,000 women and adolescent girls and 2.7 million babies during the first 28 days of life, died due to pregnancy and childbirth related complications and 2.6 million babies were stillborn in 2015 (Alkema L, 2016)

  • The data used for this study were taken from the Ethiopian Demographic and Health Survey implemented by the Central Statistical Agency (CSA) at the request of the Federal Ministry of Health (FMOH) in 2016 and it is the fourth inclusive survey

  • We have identified the factors those determine the early timing of antenatal care service of the pregnant women in rural parts of Ethiopia

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Summary

Introduction

Pregnancy-related deaths and diseases remain unacceptably high worldwide, around 303,000 women and adolescent girls and 2.7 million babies during the first 28 days of life, died due to pregnancy and childbirth related complications and 2.6 million babies were stillborn in 2015 (Alkema L, 2016). An increased access to and use of higher-quality health care during pregnancy and childbirth can prevent many deaths and diseases, as well as improve women and adolescent girls’ experience of pregnancy and childbirth (WHO, 2020). According to WHO reports in 2017, 295, 000 women worldwide lost their lives during and following pregnancy and childbirth, about 86% of those deaths occurred in sub-Saharan Africa and South Asia (World health statistics, 2020). If the pregnant women or adolescent girls had been able to visit antenatal care (ANC) properly, the maternal death could be preventable (WHO, 2016).

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