FACTORS INFLUENCING FIRST ANTENATAL CARE AMONG PREGNANT MOTHERS DURING THE FIRST TRIMESTER AT KAJJANSI HEALTH CENTRE IV, WAKISO DISTRICT. A CROSS-SECTIONAL STUDY.
DOI:
https://doi.org/10.51168/sjhrafrica.v6i3.1542Keywords:
First Antenatal Care, Pregnant Mothers, First Trimester, Kajjansi Health Centre Iv, Wakiso DistrictAbstract
Antenatal care during pregnancy is a measure to reduce the maternal mortality rate. The study aims to determine the factors influencing first antenatal care among pregnant mothers during the first trimester at Kajjansi Health Centre IV, Wakiso district.
Methodology
A cross-sectional quantitative study design used a simple random sampling technique. Data from the questionnaires was entered into the computer using the Microsoft Excel program. Analysis was done, and data was presented in the form of tables, figures, and statistical texts
depicting respondents’ responses in frequencies and percentages.
Results
Most 5(45%) of the respondents mentioned delay in detecting abnormalities, 12(40%) thought one should start antenatal care, 11(38%) mentioned that distance to the facility hindered them. Majority 21(70%) of the respondents lacked ultrasound machine at the facility, Majority 18(60%) of the respondents spent long time waiting for service, 63% of the respondents were unaware of delayed ANC attendance. 53.3% of respondents reported that their religion restricted access to antenatal services. The study revealed that most respondents (40%) were between 18 and 20 years.
Conclusion
Level of knowledge and awareness about the risks of delayed ANC attendance, religious beliefs, geographic challenges, Inadequate healthcare infrastructure were the significant factors that influenced the timing of first ANC visit.
Recommendations
The government should improve access to healthcare services by expanding healthcare infrastructure in rural and underserved areas.
References
Ali, S. A., Dero, A. A., Ali, S. A., & Ali, G. B. (2018). Factors affecting the utilization of antenatal care among pregnant women: a literature review. J Preg Neonatal Med, 2(2).
Alibhai, K. M., Ziegler, B. R., Meddings, L., Batung, E., & Luginaah, I. (2022). Factors impacting antenatal care utilization: a systematic review of 37 fragile and conflict-affected situations. Conflict and Health, 16(1), 33. https://doi.org/10.1186/s13031-022-00459-9
Alosaimi, A. N., Nwaru, B., Luoto, R., Al Serouri, A. W., & Mouniri, H. (2019). Using household socioeconomic indicators to predict the utilization of maternal and child health services among reproductive-aged women in Rural Yemen. Global Pediatric Health, 6, 2333794X19868926. https://doi.org/10.1177/2333794X19868926
Gulema, H., & Berhane, Y. (2017). Timing of first antenatal care visit and its associated factors among pregnant women attending public health facilities in Addis Ababa, Ethiopia. Ethiopian Journal of Health Sciences, 27(2), 139-146. https://doi.org/10.4314/ejhs.v27i2.6
Hajizadeh, S., Ramezani Tehrani, F., Simbar, M., & Farzadfar, F. (2016). Factors influencing the use of prenatal care: a systematic review. Journal of Midwifery and Reproductive Health, 4(1), 544-557.
Jihad, M., Woldemichael, K., & Gezehagn, Y. (2022). Determinants of Late Initiation for Antenatal Care Follow-up Among Pregnant Mothers Attending Public Health Centers at Jimma Town, South West Ethiopia, 2021: Unmatched Case-Control Study. MedRxiv. https://doi.org/10.1101/2022.01.20.22269582
Konlan, K. D., Saah, J. A., Amoah, R. M., Doat, A. R., Mohammed, I., Abdulai, J. A., & Konlan, K. D. (2020). Factors influencing the utilization of Focused antenatal care services during pregnancy, a study among postnatal women in a tertiary healthcare facility, Ghana. Nursing Open, 7(6), 1822-1832. https://doi.org/10.1002/nop2.569
Laksono, A. D., Rukmini, R., & Wulandari, R. D. (2020). Regional disparities in antenatal care utilization in Indonesia. PLoS One, 15(2), e0224006. https://doi.org/10.1371/journal.pone.0224006
Manyeh, A. K., Amu, A., Williams, J., & Gyapong, M. (2020). Factors associated with the timing of antenatal clinic attendance among first-time mothers in rural southern Ghana. BMC Pregnancy and Childbirth, 20(1), 1-7. https://doi.org/10.1186/s12884-020-2738-0
Moller, A.-B., Petzold, M., Chou, D., & Say, L. (2017). Early antenatal care visit: a systematic analysis of regional and global levels and trends of coverage from 1990 to 2013. The Lancet Global Health, 5(10), e977-e983. https://doi.org/10.1016/S2214-109X(17)30325-X
Muchie, K. F. (2017). Quality of antenatal care services and completion of four or more antenatal care visits in Ethiopia: a finding based on a demographic and health survey. BMC Pregnancy and Childbirth, 17(1), 1-7.
https://doi.org/10.1186/s12884-017-1488-0
Mutowo, J., Yazbek, M., van der Wath, A., & Maree, C. (2021). Barriers to using antenatal care services in a rural district in Zimbabwe. International Journal of Africa Nursing Sciences, 15, 100319. https://doi.org/10.1016/j.ijans.2021.100319
Ng'ambi, W. F., Collins, J. H., Colbourn, T., Mangal, T., Phillips, A., Kachale, F., MfutsoBengo, J., Revill, P., & Hallett, T. B. (2022). Socio-demographic factors associated with early antenatal care visits among pregnant women in Malawi: 2004-2016. PloS One, 17(2), e0263650. https://doi.org/10.1371/journal.pone.0263650
Ngxongo, T. S. P. (2018). Basic antenatal care approach to antenatal care service provision. In Selected Topics in Midwifery Care. IntechOpen.
Noh, J.-W., Kim, Y., Lee, L. J., Akram, N., Shahid, F., Kwon, Y. D., & Stekelenburg, J. (2019). Factors associated with the use of antenatal care in Sindh province, Pakistan: A population-based study. PloS One, 14(4), e0213987. https://doi.org/10.1371/journal.pone.0213987
Seidu, A.-A. (2021). Factors associated with early antenatal care attendance among women in Papua New Guinea: a population‐based cross‐sectional study. Archives of Public Health, 79(1), 1-9. https://doi.org/10.1186/s13690-021-00592-6
Shaw, D., Guise, J.-M., Shah, N., Gemzell-Danielsson, K., Joseph, K. S., Levy, B., Wong, F., Woodd, S., & Main, E. K. (2016). Drivers of maternity care in high-income countries: can health systems support woman-centred care? The Lancet, 388(10057), 2282-2295. https://doi.org/10.1016/S0140-6736(16)31527-6
Tekelab, T., Chojenta, C., Smith, R., & Loxton, D. (2019). Factors affecting utilization of antenatal care in Ethiopia: a systematic review and meta-analysis. PloS One, 14(4), e0214848. https://doi.org/10.1371/journal.pone.0214848
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