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Research Article
Timing of first ANC booking among pregnant women attending ANC at public health facilities, Western Ethiopia.
Tariku Tesfaye Bekuma
Wollega University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7390-1788
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Early booking of antenatal care is regarded as a cornerstone of maternal and neonatal health care. However, existing evidence from developing countries indicates that lots of pregnant women begin ANC booking lately. According to WHO report 2016, 34% of women made their ANC visit at first trimester of pregnancy. According to Ethiopia Demographic and Health Survey 2016, 62% of pregnant women who gave birth in five years preceding the survey received antenatal care from a skilled provider and 20% of women made their first ANC visit before the four-month of pregnancy. This reveals that that significant proportion of pregnant women have not started ANC timely.
Objective: This study was aimed to assess timing of first ANC booking among pregnant women attending Nekemte referral hospital, East Wollega, Oromia, Ethiopia.
Method: The study was conducted among pregnant women attending ANC clinic at public health facilities in Nekemte town from February to March 2017. A total of 376 pregnant women were included in the study. The average monthly client load from the daily average ANC clients flow of the hospital and health center was taken from the registry book after which systematic random sampling was used to select women who participated in the study. Thus, every other pregnant woman entering ANC service were selected for the study in the public health facilities. Data entry was made using Epi-info version 7.2 and then exported to SPSS version 20 for further analysis. Descriptive statistics were used to describe variables of the study.
Result: Three hundred forty-seven (92.3 %) respondents reported that they were informed when to book ANC of which 165 (47.56%) mentioned that the right time to start ANC is within 12 weeks of gestation. In this study, the timing of the first ANC booking ranged from 8 weeks to 24 weeks of gestation with mean timing of gestational 12 weeks. A total of 163(43.4%) respondents early booked within12 weeks of gestation; while 213 (56.6%) booked after 12 weeks of gestation.
Conclusion: Less than half of the respondents made their first ANC timely. Though early ANC booking was seen to be higher in this study compared to others, it is still below the WHO recommendation. Therefore, factors related to late ANC booking should be further investigated and appropriate intervention should be made to address problems which may arise early time before 12 weeks of gestational age.
Keywords
First ANC booking, public health facilities, Nekemte town
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Research Article
Timing of first ANC booking among pregnant women attending ANC at public health facilities, Western Ethiopia.
Tariku Tesfaye Bekuma
Wollega University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7390-1788
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 10 Apr, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Sexual & Reproductive Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Early booking of antenatal care is regarded as a cornerstone of maternal and neonatal health care. However, existing evidence from developing countries indicates that lots of pregnant women begin ANC booking lately. According to WHO report 2016, 34% of women made their ANC visit at first trimester of pregnancy. According to Ethiopia Demographic and Health Survey 2016, 62% of pregnant women who gave birth in five years preceding the survey received antenatal care from a skilled provider and 20% of women made their first ANC visit before the four-month of pregnancy. This reveals that that significant proportion of pregnant women have not started ANC timely.
Objective: This study was aimed to assess timing of first ANC booking among pregnant women attending Nekemte referral hospital, East Wollega, Oromia, Ethiopia.
Method: The study was conducted among pregnant women attending ANC clinic at public health facilities in Nekemte town from February to March 2017. A total of 376 pregnant women were included in the study. The average monthly client load from the daily average ANC clients flow of the hospital and health center was taken from the registry book after which systematic random sampling was used to select women who participated in the study. Thus, every other pregnant woman entering ANC service were selected for the study in the public health facilities. Data entry was made using Epi-info version 7.2 and then exported to SPSS version 20 for further analysis. Descriptive statistics were used to describe variables of the study.
Result: Three hundred forty-seven (92.3 %) respondents reported that they were informed when to book ANC of which 165 (47.56%) mentioned that the right time to start ANC is within 12 weeks of gestation. In this study, the timing of the first ANC booking ranged from 8 weeks to 24 weeks of gestation with mean timing of gestational 12 weeks. A total of 163(43.4%) respondents early booked within12 weeks of gestation; while 213 (56.6%) booked after 12 weeks of gestation.
Conclusion: Less than half of the respondents made their first ANC timely. Though early ANC booking was seen to be higher in this study compared to others, it is still below the WHO recommendation. Therefore, factors related to late ANC booking should be further investigated and appropriate intervention should be made to address problems which may arise early time before 12 weeks of gestational age.
Figure 1