Pregnant women adherence level to antenatal care visit and. Assessment of focused antenatal care utilization and. Hence this study attempted to assess the quality of antenatal care services at public health facilities of bahirdar special zone, north western ethiopia. Early initiation of antenatal care and factors associated. Quality of antenatal care services at public health facilities of bahirdar special zone, northwest ethiopia. Timing of first antenatal care visit and its associated factors among pregnant women attending public health facilities in addis ababa, ethiopia. Quality of focused antenatal care laboratory services. Antenatal care uptake is among the key indicators for monitoring the progress of maternal outcomes. Improving antenatal care services utilization in ethiopia ethiopian. International studies indicate that it is possible to improve maternal health outcomes through action on the social determinants of health sdh. Antenatal care anc services are an essential intervention for improving maternal and child health worldwide. However,to achieve the full lifesaving potential that anc promises for women and babies, four visits providing essential evidence based interventions a package often. Little is known about factors contributing to inequities in antenatal care use in ethiopia.
The care is aimed at detecting those problems already present or those that can develop in the pregnant woman and her unborn child. Effects of antenatal care and institutional delivery on. Delayed initiation of antenatal care and associated. A questionnaire survey among all recent mothers in the study area was conducted to study the content of anc and to identify the predictors of low anc satisfaction. However,to achieve the full lifesaving potential that anc promises for women and babies, four visits providing essential. The 2016 ethiopia demographic and health survey 2016 edhs was implemented by the central statistical agency csa from january 18, 2016, to june 27, 2016. Mengistu and james 1996, in their study in the arsi zone of central ethiopia, found maternal age, parity, lack of time, education. Timing of first antenatal care visit and its associated factors. Antenatal care use in ethiopia a spatial and multilevel analysis. High quality antenatal care is important to safeguard their health help women maintain normal pregnancies and reduce the rate of maternal and infant morbidity and mortality. This study was therefore undertaken to assess focused antenatal care service utilization and associated factors in western ethiopia. We assessed how health system priorities matched user expectations and what the needs for antenatal care anc strengthening were for improved maternal health in jimma, ethiopia. Trends and determinants of antenatal care service use in. The world health organization who focused antenatal care fanc model recommends a minimum of four anc visit and the first visit to be within the first 16 weeks of gestation 3, 4.
However, most studies of ebf were crosssectional surveys and determined retrospectively 30 32. Background in the context of high maternal morbidity and mortality in subsaharan africa, less than 80% of pregnant women receive antenatal care services. Quality of antenatal care services at public health. Despite the fact that quality antenatal care is one of the essential aspects in maternal and child health care, the current perceived quality and associated factors of this service is not well acknowledged in ethiopia. Research article antenatal care strengthening in jimma. Assessment of focused antenatal care utilization and associated factors in western oromia, nekemte, ethiopia. Ethiopian public health institute, addis ababa, ethiopia. Improving maternal health in ethiopia is a major public health challenge. Article pdf available january 2009 with 1,070 reads. Since this time, ethiopia has seen improvements in several health indicators, including increased utilization of crucial maternal health services 4, 6. In rural burkina faso, pregnant women who had access to obstetric care facility within 5 km was significantly associated with the odds of having at least three antenatal care. School of public health, addis ababa university, ethiopia back ground. Cross sectional study on timing of antenatal care booking at public health facilities in addis ababa.
Exclusive breastfeeding practice in ethiopia and its. The aim of this paper was to assess determinants of early antenatal care initiation among pregnant women. Factors affecting utilization of antenatal care in. Ethiopia demographic health survey 2011results show that 34 percent of women received antenatal care from a trained health professional at least once for their last birth. However, only 43 % and 10 % of pregnant women in ethiopia received at least one antenatal care visits and gave birth at health institutions, respectively.
However, in the world including ethiopia, significant numbers of pregnant mothers were not booking the follow up on the. Pdf antenatal care service utilization and associated factors in. Ppt antenatal care powerpoint presentation free to. Outline describe the objectives of antenatal care discuss different models of antenatal care describe activities of antenatal care detail essential diagnostic workup during antenatal care outline anc fetal well being assessment strategies discuss health interventions during anc 2asheber gaym, 2009. Trends and determinants of antenatal care service use in ethiopia. A free powerpoint ppt presentation displayed as a flash slide show on id.
The traditional approach was replaced by focused antenatal care fanc a goaloriented antenatal care approach, which was recommended by researchers in 2001 and adopted by the world health organization who in 2002. Despite that antenatal care is the largest preventive care program. Disparities in the use of antenatal care service in. Factors affecting utilization of antenatal care in ethiopia plos. Process proportion of pregnant women missing a scheduled antenatal appointment who are followed up within locally defined timescales. Antenatal care service at jimma town public health facilities, south west ethiopia tesfaye abera gudeta1, tefera belachew lema2 and sena belina kitila3 1department of nursing, mizan tepi university, ethiopia 2department of population and family health, jimma university, ethiopia 3department of nursing and midwifery, jimma university, ethiopia. Antenatal care models with a minimum of eight contacts are recommended to reduce perinatal mortality and improve womens experience of care. Objectives uptake of maternal health services remains suboptimal in ethiopia. Health systems interventions to improve the utilization and quality of antenatal care who recommendation 2016 key considerations and rationale recommended for all settings e. In particular, the expansion of antenatal care anc services into rural areas is a major part of the countrys efforts. In ethiopia, however, anc service use has been suboptimal, and examining the trends and factors associated with anc service use is needed. Assessment of knowledge and attitude towards obstetric.
Timing and adequate attendance of antenatal care visits. In ethiopia, findings regarding the prevalence of ebf have been highly variable. Numerator the number of women in the denominator followed up within locally defined. It is recommended that each pregnant woman carries her own case notes during. Magnitude and factors associated with late antenatal care. Interventions for curing most diseases and save lives of pregnant and delivering women exist, yet the power of health systems to deliver them to those in most need is not sufficient. Previous utilization of service does not improve timely booking in antenatal care. We aimed to assess inequities in the use of antenatal care on the basis of area of residence, administrative region, economic status and education. In ethiopia, having access to obstetric care facilities within anhour travel time was also significantly associated with the use of antenatal care services 47, 48.
Pdf focused antenatal care service utilization and associated. Antenatal care coverage at least one visit is the percentage of women aged 15 to 49 with a live birth in a given time period that received antenatal care provided by skilled health personnel doctor, nurse or midwife at least once during pregnancy. In ethiopia, even if there is improvement in maternal health care service utilization including antenatal care. Assessment of quality of antenatal care service provision. Promoting and delivering antenatal care in rural jimma. Skilled health personnel refers to workersattendants that are accredited health professionals such as a midwife. Early initiations of first antenatal care visit and.
Utilization of antenatal care services and influencing factors among women of child bearing age in assosa district, benishangul gumuz regional state, west ethiopia. Antenatal care anc is a special care given for women during pregnancy and it is regarded as the cornerstone for improving perinatal outcomes 1, 2. This study was based on data from repeated crosssectional surveys carried out by measure demographic and health survey and central statistical. Quality of antenatal care ser vices in demba gofa woreda, gamo gofa zone, rural ethiopia niguse mekonnen1, tezera moshago berheto1, shimeles ololo2 and fikru tafese2 1school of public health, college of health sciences, wolaita sodo university, wolaita sodo, ethiopia 2department of health system management and health ser vice management, college of health and medical sciences.
Research article antenatal care strengthening in jimma, ethiopia. Pregnancy induced hypertension and associated factors. This study aimed to explore the sdh that influence the antenatal care anc utilization in ethiopia over time. This study therefore aims to fill this gap by assessing the current status of knowledge and attitude of danger signs among pregnant mothers attending antenatal care in mizan aman public health facilities in bench maji zone snnpr, ethiopia. Antenatal care service utilization and associated factors in metekel zone, northwest ethiopia. Who recommendation on antenatal care contact schedules rhl. Throughout pregnancy, all women should have a minimum of 8 contacts with a health provider. Every minute, somewhere in the world and most often in a developing. Significant proportions of antenatal care attendees give birth at home. Ethiopia 2008, which was based on a book for midwives. To assess pregnant women adherence level to antenatal care visit and its effect on perinatal outcome among mothers in tigray public health institutions, 2017. As soon as you know you are pregnant, seek antenatal care.
Delayed initiation of antenatal care and associated factors in ethiopia. Table 2 presents the crude and multivariableadjusted association between anc utilization and institutional delivery. During the critical prenatal period, health care providers can educate women about healthy pregnancy behaviors, danger signs of complications, breastfeeding and family planning. This study was conducted to identify the predictors of noninstitutional delivery among women who received antenatal care in the southern nations nationalities and peoples region, ethiopia. Methods a facility based crosssectional study employing both quantitative and qualitative methods was conducted from march to april 2010 in bahirdar special zone, north western ethiopia. Antenatal care utilization and its associated factors among. Mothers attending shebedino district health centers for anc between january 12 and february 18. Southern ethiopia, community based cross sectional study.
Timing of antenatal care booking is one of the basic components of antenatal care services. In comparison with women with no antenatal care visit, the multivariable odds ratio 95% confidence interval of institutional delivery among those who attend one to three and four or more antenatal care visit were 2. Antenatal care strengthening for improved quality of care. Antenatal care anc is a maternal healthcare service provided by skilled healthcare professionals to pregnant women and adolescent girls. Despite the world health organization recommendation of exclusive breastfeeding ebf for the first six months of life, the rate remains low both in developed and developing countries.
Pdf assessment of focused antenatal care utilization and. Who recommendations on antenatal care for a positive pregnancy experience 3 table 2. The overall adherence level of the women towards to antenatal care visit was 49. According to data from the recent national demographic and health surveys. Several studies illustrated that early and frequent anc. The funding for the 2016 edhs was provided by the government of ethiopia, the united states agency for international development usaid, the government of. Pdf quality of antenatal care services at public health. Frontiers social determinants of antenatal care service. The intervention comprised trainings, supervisions, equipment, development of health education material, and adaption of guidelines. Utilization of maternal health care services in ethiopia. Antenatal care pre conception counselling smoking alcohol drugs diet exercise folic acid pre conception counseling family history personal history past obstetric. Focused antenatal care fanc laboratory service is critical to identify life threatening conditions of maternal and child health. There are few available studies on maternal health care and infant feeding in ethiopia. The aims of this study were to design a participatory antenatal care anc strengthening intervention and assess the implementation process and effectiveness on quality of anc in jimma, ethiopia.
Ethiopian federal ministry of health federal democratic republic of ethiopia ministry of health the ethiopian federal ministry of health fmoh and the regional health bureaus rhbs have developed this innovative blended learning programme in partnership with the heat team from the open university uk and a range of. Antenatal care anc coverage is a success story in africa,since over twothirds of pregnant women 69 percent have at least one anc contact. Improving antenatal care services utilization in ethiopia. Quality antenatal care should be available for all women to ensure a positive pregnancy experience.
High quality prenatal or antenatal care anc is an essential component of the reproductive, maternal, newborn and child health continuum of care. Who recommendations on antenatal care for a positive. According to a 2016 national report, only 62% of pregnant women in ethiopia made at least one antenatal care visit. Pdf on apr 1, 2017, muhammad asim and others published antenatal health care. Antenatal care and institutional delivery are the most important factors contributing to the practice of ebf however. Antenatal care is comprehensive care that pregnant women receive from organized health care services to promote and maintain optimal health of the mother throughout the pregnancy, labor and puerperium.
Utilization of antenatal care services and influencing. Quality of antenatal care services in demba gofa woreda. Antenatal care anc is the health care of pregnant women in the months and weeks before the birth of their babies. This study aimed to assess the quality of focused antenatal care laboratory services provided at public health facilities in addis ababa, ethiopia.
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