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Attendance and Utilization of Antenatal Care (ANC) Services: Multi-Center Study in Upcountry Areas of Uganda

Open Journal of Preventive Medicine 2015年第3期5卷 132-142页

作者： Peter Chris Kawungezi Douglas AkiiBua Carol Aleni Michael Chitayi Anxious Niwaha Andrew Kazibwe Elizabeth Sunya Eliud W. Mumbere Carol Mutesi Cathy Tukei Arabat Kasangaki sarah nakubulwa School of Medicine Makerere University College of Health Sciences Kampala Uganda School of Health Sciences Makerere University College of Health Sciences Kampala Uganda School of Biomedical Sciences Makerere University College of Health Sciences Kampala Uganda Department of Dentistry Makerere University College of Health Sciences Kampala Uganda Department of Obs & Gyn Makerere University College of Health Sciences Kampala Uganda

Introduction: Globally every year 529,000 maternal deaths occur, 99% of this in developing coun-tries. Uganda has high maternal and neonatal morbidity and mortality ratios, typical of many countries in sub-Saharan Africa. Recent findings reveal maternal mortality ratio of 435:100,000 live births and neonatal mortality rate of 29 deaths per 1000 live births in Uganda;these still remain a challenge. Women in rural areas of Uganda are two times less likely to attend ANC than the urban women. Most women in Uganda have registered late ANC attendance, averagely at 5.5 months of pregnancy and do not complete the required four visits. The inadequate utilization of ANC is greatly contributing to persisting high rates of maternal and neonatal mortality in Uganda. This study was set to identify the factors associated with late booking and inadequate utilization of Antenatal Care services in upcountry areas of Uganda. Method: Cross-sectional study design with mixed methods of interviewer administered questionnaires, focus group discussions and key informant interviews. Data was entered using Epidata and analyzed using Stata into frequency tables using actual tallies and percentages. Ethical approval was sought from SOM-REC MakCHS under approval number “#REC REF 2012-117” before conducting the study. Results: A total of four hundred one were enrolled with the majority being in the age group 20 - 24 years (mean age, 25.87 ± 6.26). Health workers played a great role (72.04%), followed by the media (15.46%) and friends (12.50%) in creating awareness about ANC. A significant number of respondents went to TBAs with reasons such as “near and accessible”, “my husband decided”, and “they are the only people I know”. 37.63% of the respondents considered getting an antenatal Card as an importance of ANC. 71 (19.67%) respondents gave a wrong opinion (late) on booking time with reasons like demands at work, no problems during pregnancy, advised by friends, just to get a card, long distance

关键词： Antenatal Care ANC Utilization Attendance

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