Fortpflanzungssystem und sexuelle Störungen: Aktuelle Forschung
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Abstrakt

Antenatal Care Utilization and Associated Factors among Reproductive Age Mother in Ari Woreda, South Omo Zone

Worku Wondimu, Meseret Girma and Eskezyiaw Agedew

Introduction: Maternal mortality can be significantly reduced in low-income settings by increasing access to skilled attendants which has close link to anti natal care, emergency obstetric care and family planning services. In spite of this clear importance of maternity care which includes anti natal care, poor access to and low utilization of such services continue to be important determinants of maternal mortality and morbidity throughout the world.

Methodology: A community based cross-sectional study was conducted in April 2015 among all women reproductive age group (15-49 years) who have had a birth in the last 12 months. A multi-stage sampling scheme was used to identify the study subjects. The kebeles of the woreda were first stratified in to semi-urban and rural kebeles. The data were collected house to house by using interviewer administered, structured, and a pre-tested questionnaire. Data were analyzed by using statistical package for social science version 20. The association and significance between the explanatory and response variables were measured using binary logistic regression analysis and finally the relative contribution of each selected variable to the outcome of interest was assessed using multiple logistic regression analysis.

Result: The overall coverage for antenatal care service utilization was 87.9% for women in their pregnancy time which is relatively good. In this study, it was found that 58.9% of women have antenatal follow up, at least 2+ antenatal care from modern health care providers and close to 37% had 4 and above visit which is below World Health Organization recommendation. It reveals that a woman without complications should have at least four focused visits to provide sufficient care. For the women of age between 35-49 years, the adjusted odd ratio is 0.178 (0.05, 0.61), educational status of mother with primary school adjusted odd ratio is 4.14 (1.06, 16.15), lack of housebound support adjusted odd ratio is 0.18 (0.07,0.44), received tetanus toxid vaccination during recent pregnancy 8.12 (2.43, 27.29), waiting time to access antenatal careless than 30 min adjusted odd ratio is 3.38 (1.08, 10.58) and 31-60 min were significant factor for anti natal utilization.

Conclusion and recommendation: Antenatal care utilization among the study participants relatively good in coverage but the pattern and timing of follow up was found to be inappropriate in most cases. Almost more than half of the mothers were started utilizing antenatal care services in their second trimester. Increasing awareness of mothers on the danger signs of pregnancy and the importance of antenatal care utilization in addressing the problem, emphasis should be given on advantage of early attendance of antenatal care with involvement of husband.