Factors influencing antenatal care service utilization in hadiya zone

Zeine Abosse, Mirkuzie Woldie, Shimeles Ololo, Zeine Abosse, Mirkuzie Woldie, Shimeles Ololo

Abstract

Background: In Ethiopia, the levels of maternal and infant morbidity and mortality are among the highest in the world. This is attributed to, among other factors, none use of modern health care services by women in Ethiopia. According to the 2005 Ethiopian Demographic Health Survey, more than seven in ten mothers did not receive antenatal care at all. Therefore, the objective of this study was to explore factors influencing antenatal care services utilization in Southern Ethiopia.

Methods: A community-based cross sectional study was conducted in Hadiya Zone of Southern Ethiopia from January to February 2009. A multi stage sampling technique was used to select the study population in one urban and five rural kebeles. Analysis was done using SPSS for windows version 16.

Result: This study revealed that antenatal care service utilization in the study area was 86.3%. However, from those who attended antenatal care service 406 (68.2%) started antenatal care visit during the second trimester of pregnancy and significant proportion 250 (42%) had less than four visits. Maternal age, husband attitude, family size, maternal education, and perceived morbidity were major predictors of antenatal care service utilization.

Conclusion: Though the antenatal care service utilization is high in the study population, four in ten of the mothers did not have the minimum number of visits recommended by World Health Organization. Promoting information, education and communication in the community is recommended to favorably affect the major predictors of antenatal care service utilization.

Keywords: Antenatal Care; Service Utilization; Southern Ethiopia.

Figures

Fig. 1
Fig. 1
Reasons for ANC non-attendance among mothers in Hadiya Zone, Southern Ethiopia, 2009

References

    1. WHO, UNICEF, and UNFPA, author. Maternal Mortality in 2000: Estimates Developed by WHO, UNICEF, and UNFPA. Geneva: 2003.
    1. Safe Motherhood Initiatives. 2003. [22 February 2004]. Web site: .
    1. CSA, ORC Macro, author. Ethiopia Demographic and Health Survey, Addis Ababa, Ethiopia and Calverton, Maryland, USA. 2006. Sep,
    1. Adekunle C, Filippi V, Graham W, Onyemunwa P, Udjo E. Patterns of maternity care among women in Ondo States, Nigeria. In: Hill Allan G., editor. Determinants of health and mortality in Africa, Demographic and Health Survey Further Analysis Series. Vol. 10. New York: The Population Council; 1990. pp. 1–45.
    1. Kwast BE, Liff JM. Factors associated with maternal mortality in Addis Ababa, Ethiopia. International Journal of Epidemiology. 1988;17(1):115–121.
    1. Bhandari B, Mandowara S, Kumar A, et al. Under utilization of MCH services- the major factor for very high IMR in rural Rajasthan. Indian Pediatrics. 1989;26(3):228–233.
    1. Holian J. Infant mortality and health care in Mexican communities. Social Science and Medicine. 1989;29(5):677–679.
    1. Paul B. Health Service Resources at determinants of infant death in rural Bangladesh: An empirical Study. Social Science and Medicine. 1991;32(1):43–49.
    1. The Cairo Consensus at Ten: Population, Reproductive Health and the Global Effort to End Poverty. 2004. UNFPA state of world population.
    1. Mekonnen Yared, Mekonnen Asnakech. Factors influencing the use of maternal healthcare Services in Ethiopia. J Health Popul Nutr. 2003 Dec;21(4):374–382.
    1. Mekonnen Yared. Patterns of maternity care service utilization in Southern Ethiopia: Evidence from a community and family survey. Ethiop J Health Dev. 2003;17(1):27–33.
    1. Addai I. Determinants of use of maternal-child health services in rural Ghana. Journal of Biosocial Science. 2000;32(1):1–15.
    1. UNFPA, author. Maternal mortality updates: Delivering in to good hands. 2004.
    1. Leslie J, Gupta GR. Utilization of formal services for maternal nutrition and health care. Washington, D.C.: International Center for Research on Women; 1989.
    1. Glei Dana A. Utilization of Care during Pregnancy in Rural Guatemala: Does Obstetrical Need Matters. 1989 Working Paper No. 2002-01.
    1. Navaneetham K, Dharmalingam A. Utilization of maternal health care services in south india. 2000. Oct,
    1. Niguse Mesfin, Hailemariam Damen, Mitike Getnet. Assessement of safe delivery service utilization among women of childbearing age in north Gondor Zone, North West Ethiopia. Ethiop J Health Dev. 2004;18(3):145–152.
    1. Mesganaw F, Olwit G, Shamebo D. Determinants of ANC attendance and preference of site or delivery in Addis Ababa. Ethiopia Journal of Health Development. 1990;6(2):17–21.
    1. World Bank, author. World development report: Infrastructure for development. New York, New York: Oxford University Press; 1994.

Source: PubMed

Спонсоры и соавторы

Заболевания

Медикаментозные вмешательства

Подписаться