Skip to main content
Top
Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Research

Early initiations of first antenatal care visit and associated factor among mothers who gave birth in the last six months preceding birth in Bahir Dar Zuria Woreda North West Ethiopia

Authors: Yibeltal Alemu, Amanu Aragaw

Published in: Reproductive Health | Issue 1/2018

Login to get access

Abstract

Background

Timing of Antenatal care booking is one of the basic components of antenatal care services; that helps to early detection, managing, and prevention of problems during the pregnancy and helps the mother to receive full packages of antenatal care services. However, in the world including Ethiopia, significant numbers of pregnant mothers were not booking the follow up on the recommended time. The main aim of this study was to assess the prevalence and factors that associated with the early timing of antenatal care visit in Bahir Dar Zuria District, North West Ethiopia.

Methods

A community-based cross-sectional study was conducted. A total of 410 mothers have participated. Data were collected through the interview from March 1 to 30/2018 using a structured and pre-tested questionnaire. Data were clear, code, and enter into Epi-info version 7.1 and export to SPSS for farther analysis. Both bivariate and multivariate analyses were used. On bivariate analysis p-value, less than 0.2 were used to select the candidate variable for multivariate analysis. P-value and confidence interval were used to measure the level of significance on multivariate analysis and those variables whose P-value < 0.05 were considered as statically significant.

Results

The prevalence of early timing of ANC in the study area was 46.8%; with [95% CI 40.5, 51.8]. Distances [AOR 2.47, 95% CI; 1.4, 4.2], Knowledge on the timing of ANC [AOR 2.1; 95% CI; 1.2, 3.7], No under-five children [AOR 2.7; 95% CI; 1.3, 5.8], having one under-five children [AOR 2.2; 95% CI; 1.1, 4.5], and wanted pregnancy [AOR 2.4, 95% CI, 1.3, 4.7] were affects the early timing of ANC.

Conclusions

The prevalence of early timing of ANC was high when compared to the national figure and the Sub-Saharan country. Accessibility of health services, knowledge on the timing of ANC, under-five children, and desire for pregnancy were factors that affect the early timing of ANC.
Literature
1.
go back to reference World Health Organization (WHO), Pregnancy 2018. World Health Organization (WHO), Pregnancy 2018.
2.
go back to reference Abou-Zahr CL, Wardlaw TM. Antenatal care in developing countries: promises, achievements, and missed opportunities: an analysis of trends, levels, and differentials, 1990-2001. In: World Health Organization; 2003. Abou-Zahr CL, Wardlaw TM. Antenatal care in developing countries: promises, achievements, and missed opportunities: an analysis of trends, levels, and differentials, 1990-2001. In: World Health Organization; 2003.
3.
go back to reference World Health Organization (WHO). Antenatal care randemization trial. Geneva; 2002. World Health Organization (WHO). Antenatal care randemization trial. Geneva; 2002.
4.
go back to reference World Health Organization (WHO). Provision of effective antenatal care: integrated management of pregnancy and childbirth (IMPAC). Geneva: Standards for maternal and neonatal care (1.6), Department of making pregnancy safer; 2006. World Health Organization (WHO). Provision of effective antenatal care: integrated management of pregnancy and childbirth (IMPAC). Geneva: Standards for maternal and neonatal care (1.6), Department of making pregnancy safer; 2006.
5.
go back to reference World Health Organization (WHO). In: M.a.R. Health, editor. Maternal Mortality, global health observation data; 2016. World Health Organization (WHO). In: M.a.R. Health, editor. Maternal Mortality, global health observation data; 2016.
6.
go back to reference Oyerinde K. Can antenatal care result in significant maternal mortality reduction in developing countries. J Community Med Health Educ. 2013;3(2):2–3. Oyerinde K. Can antenatal care result in significant maternal mortality reduction in developing countries. J Community Med Health Educ. 2013;3(2):2–3.
7.
go back to reference World Health Organization (WHO), New ANC recommendation for positive pregnancy experience 2016. World Health Organization (WHO), New ANC recommendation for positive pregnancy experience 2016.
8.
go back to reference Ethiopian Central Statistics Agency (ECSA), Ethiopian demographic health survey (EDHS). 2016. Ethiopian Central Statistics Agency (ECSA), Ethiopian demographic health survey (EDHS). 2016.
9.
go back to reference World Health Organization (WHO). In: S.a.r. health, editor. More women worldwide receive early antenatal care, but great inequalities remain; 2018. World Health Organization (WHO). In: S.a.r. health, editor. More women worldwide receive early antenatal care, but great inequalities remain; 2018.
10.
go back to reference Moller A-B, et al. Early antenatal care visit: a systematic analysis of regional and global levels and trends of coverage from 1990 to 2013. Lancet Glob Health. 2017;5(10):e977–83.CrossRef Moller A-B, et al. Early antenatal care visit: a systematic analysis of regional and global levels and trends of coverage from 1990 to 2013. Lancet Glob Health. 2017;5(10):e977–83.CrossRef
11.
go back to reference Kenya National Bureau of Statistics, Kenyan Demographic, And health survey 2014. Kenya National Bureau of Statistics, Kenyan Demographic, And health survey 2014.
12.
go back to reference The National Population Commission Federal Republic of Nigeria, Nigeria demographic and health survey 2013. 2014. The National Population Commission Federal Republic of Nigeria, Nigeria demographic and health survey 2013. 2014.
13.
go back to reference Gebremeskel F, Dibaba Y, Admassu B. Timing of first antenatal care attendance and associated factors among pregnant women in Arba Minch town and Arba Minch district, Gamo Gofa zone, South Ethiopia. J Environ Public Health. 2015;2015. Gebremeskel F, Dibaba Y, Admassu B. Timing of first antenatal care attendance and associated factors among pregnant women in Arba Minch town and Arba Minch district, Gamo Gofa zone, South Ethiopia. J Environ Public Health. 2015;2015.
14.
go back to reference Gebreamlak G, et al. Timing of first focused antenatal care booking and associated factors among pregnant mothers who attend antenatal care in central zone, Tigray, Ethiopia. BMC research notes. 2017;10(1):608.CrossRef Gebreamlak G, et al. Timing of first focused antenatal care booking and associated factors among pregnant mothers who attend antenatal care in central zone, Tigray, Ethiopia. BMC research notes. 2017;10(1):608.CrossRef
15.
go back to reference Sanni Y, et al. Timing and adequate attendance of antenatal care visits among women in Ethiopia. PLoS One. 2017;12(9):e0184934.CrossRef Sanni Y, et al. Timing and adequate attendance of antenatal care visits among women in Ethiopia. PLoS One. 2017;12(9):e0184934.CrossRef
16.
go back to reference Thin A, et al. Late initiation of antenatal care and its determinants: a hospital-based cross-sectional study. International Journal Of Community Medicine And Public Health. 2017;3(4):900–5. Thin A, et al. Late initiation of antenatal care and its determinants: a hospital-based cross-sectional study. International Journal Of Community Medicine And Public Health. 2017;3(4):900–5.
17.
go back to reference Paudel YR, Jha T, Mehata S. Timing of first antenatal care (ANC) and inequalities in early initiation of ANC in Nepal. Front Public Health. 2017;5:242.CrossRef Paudel YR, Jha T, Mehata S. Timing of first antenatal care (ANC) and inequalities in early initiation of ANC in Nepal. Front Public Health. 2017;5:242.CrossRef
18.
go back to reference Belayneh T, Adefris M, Andargie G. Previous early antenatal service utilization improves timely booking: a cross-sectional study at the University of Gondar Hospital, north West Ethiopia. J Pregnancy. 2014;2014. Belayneh T, Adefris M, Andargie G. Previous early antenatal service utilization improves timely booking: a cross-sectional study at the University of Gondar Hospital, north West Ethiopia. J Pregnancy. 2014;2014.
19.
go back to reference Gebrekidan K, Worku A. Factors associated with late ANC initiation among pregnant women in select public health centers of Addis Ababa, Ethiopia: unmatched case-control study design. Pragmatic and observational research. 2017;8:223.CrossRef Gebrekidan K, Worku A. Factors associated with late ANC initiation among pregnant women in select public health centers of Addis Ababa, Ethiopia: unmatched case-control study design. Pragmatic and observational research. 2017;8:223.CrossRef
20.
go back to reference Abuka T, Alemu A, Birhanu B. Assessment of timing of first antenatal care booking and associated factors among pregnant women who attend antenatal Care at Health Facilities in Dilla town, Gedeo zone, southern nations, nationalities and peoples region, Ethiopia, 2014. J Preg Child Health. 2016;3(258):2. Abuka T, Alemu A, Birhanu B. Assessment of timing of first antenatal care booking and associated factors among pregnant women who attend antenatal Care at Health Facilities in Dilla town, Gedeo zone, southern nations, nationalities and peoples region, Ethiopia, 2014. J Preg Child Health. 2016;3(258):2.
21.
go back to reference Kondale M, et al. Timing of first antenatal care visit and associated factors among pregnant women attending antenatal clinics in Halaba Kulito governmental health institutions, 2015. J Women’s Health Care. 2016;5(308):2167–0420.1000308. Kondale M, et al. Timing of first antenatal care visit and associated factors among pregnant women attending antenatal clinics in Halaba Kulito governmental health institutions, 2015. J Women’s Health Care. 2016;5(308):2167–0420.1000308.
22.
go back to reference Zegeye AM, Bitew BD, Koye DN. Prevalence and determinants of early antenatal care visit among pregnant women attending antenatal care in Debre Berhan Health Institutions, Central Ethiopia. Afr J Reprod Health. 2013;17(4). Zegeye AM, Bitew BD, Koye DN. Prevalence and determinants of early antenatal care visit among pregnant women attending antenatal care in Debre Berhan Health Institutions, Central Ethiopia. Afr J Reprod Health. 2013;17(4).
23.
go back to reference Getasew, M., K. Teketo, and A. Mekonnen, Antenatal care service utilization and its associated factors among mothers who gave live birth in the past one year in Womberma Woreda, north West Ethiopia. Epidemiology: Open Access, 2015. 5(Special Issue 2). Getasew, M., K. Teketo, and A. Mekonnen, Antenatal care service utilization and its associated factors among mothers who gave live birth in the past one year in Womberma Woreda, north West Ethiopia. Epidemiology: Open Access, 2015. 5(Special Issue 2).
24.
go back to reference Geta MB, Yallew WW. Early initiation of antenatal care and factors associated with early antenatal care initiation at health facilities in southern Ethiopia. Advances in Public Health. 2017;2017. Geta MB, Yallew WW. Early initiation of antenatal care and factors associated with early antenatal care initiation at health facilities in southern Ethiopia. Advances in Public Health. 2017;2017.
25.
go back to reference Bahir Dar Zuria district, Quarterly and Yearly report 2017. Bahir Dar Zuria district, Quarterly and Yearly report 2017.
26.
go back to reference Gidey G, et al. Timing of first focused antenatal care booking and associated factors among pregnant mothers who attend antenatal care in central zone, Tigray, Ethiopia. BMC research notes. 2017;10(1):608.CrossRef Gidey G, et al. Timing of first focused antenatal care booking and associated factors among pregnant mothers who attend antenatal care in central zone, Tigray, Ethiopia. BMC research notes. 2017;10(1):608.CrossRef
27.
go back to reference Gulema H, Berhane Y. 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. 2017;27(2):139–46.CrossRef Gulema H, Berhane Y. 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. 2017;27(2):139–46.CrossRef
28.
go back to reference Tolefac PN, et al. Why do pregnant women present late for their first antenatal care consultation in Cameroon? Maternal health, neonatology and perinatology. 2017;3(1):29.CrossRef Tolefac PN, et al. Why do pregnant women present late for their first antenatal care consultation in Cameroon? Maternal health, neonatology and perinatology. 2017;3(1):29.CrossRef
29.
go back to reference Tesfaye G, et al. Delayed initiation of antenatal care and associated factors in Ethiopia: a systematic review and meta-analysis. Reprod Health. 2017;14(1):150.CrossRef Tesfaye G, et al. Delayed initiation of antenatal care and associated factors in Ethiopia: a systematic review and meta-analysis. Reprod Health. 2017;14(1):150.CrossRef
30.
go back to reference Dembelu M, et al. Assessment of timely initiation of first ANC visit and associated factors among pregnant mothers in Wolayita Soddo public health facilities. Soddo Town: Wollayita Zone, SNNPR, Ethiopia; 2016. Dembelu M, et al. Assessment of timely initiation of first ANC visit and associated factors among pregnant mothers in Wolayita Soddo public health facilities. Soddo Town: Wollayita Zone, SNNPR, Ethiopia; 2016.
31.
go back to reference Geta MB, Yallew WW. Early Initiation of Antenatal Care and Factors Associated with Early Antenatal Care Initiation at Health Facilities in Southern Ethiopia. Advances in Public Health. 2017;2017(Article ID: 1624245:6.CrossRef Geta MB, Yallew WW. Early Initiation of Antenatal Care and Factors Associated with Early Antenatal Care Initiation at Health Facilities in Southern Ethiopia. Advances in Public Health. 2017;2017(Article ID: 1624245:6.CrossRef
32.
go back to reference Ewunetie AA, et al. DELAY on first antenatal care visit and its associated factors among pregnant women in public health facilities of Debre Markos town, north West Ethiopia. BMC Pregnancy and Childbirth. 2018;18:173.CrossRef Ewunetie AA, et al. DELAY on first antenatal care visit and its associated factors among pregnant women in public health facilities of Debre Markos town, north West Ethiopia. BMC Pregnancy and Childbirth. 2018;18:173.CrossRef
33.
go back to reference Gebremeskel F, Dibaba Y, Admassu B. Timing of First Antenatal Care Attendance and Associated Factors among Pregnant Women in Arba Minch Town and Arba Minch District, Gamo Gofa Zone, South Ethiopia. J Environ Public Health. 2015;2015(ID 971506):7. Gebremeskel F, Dibaba Y, Admassu B. Timing of First Antenatal Care Attendance and Associated Factors among Pregnant Women in Arba Minch Town and Arba Minch District, Gamo Gofa Zone, South Ethiopia. J Environ Public Health. 2015;2015(ID 971506):7.
35.
go back to reference Ebonwu J, et al. Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: a cross-sectional study. PLoS One. 2018;13(3):e0191903.CrossRef Ebonwu J, et al. Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: a cross-sectional study. PLoS One. 2018;13(3):e0191903.CrossRef
Metadata
Title
Early initiations of first antenatal care visit and associated factor among mothers who gave birth in the last six months preceding birth in Bahir Dar Zuria Woreda North West Ethiopia
Authors
Yibeltal Alemu
Amanu Aragaw
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2018
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-018-0646-9

Other articles of this Issue 1/2018

Reproductive Health 1/2018 Go to the issue